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Knee pain & osteoarthritis

Knee pain holding you back? Get it checked.

Knee pain is common, and many flare-ups settle within 6 weeks with the right exercises and advice. If yours is not improving, or you want to know what is causing it, we can examine your knee and agree a plan.

Can’t put any weight on your leg after an injury, or a hot, red knee with a high temperature? Phone NHS 24 on 111 now.

Same & next-day appointmentsKnee examined by a GPSteroid injections if suitableYou keep your NHS GPKnee injection £120
Dr Muhammad Roslan
Medically reviewed by Dr Muhammad Roslan, MBChB, DGM, MRCGP · GP & Clinical Educator · GMC 7446695
OUR GP Dundee · Last reviewed November 2026
Seen by a GP
Knee properly examined
Clear exercise and pain plan
Steroid injections if suitable

Start here

Why knees hurt, and what to expect

Knee pain is very common, particularly as we get older. Osteoarthritis is one of the most common causes, but injuries and other conditions can cause it too.

In many cases, new pain or a flare-up of a long-standing problem begins to settle within 6 weeks. Keeping your knee moving is the most important part of getting better, even if it feels sore at first.

In osteoarthritis, part of the cartilage in the joint thins and its surface becomes rougher, so the knee doesn’t move as smoothly as it should. There is no cure, but many people manage it well with exercise and the right support.

Movement helps

Stronger muscles around your knee ease pain and support the joint. Any activity is better than none.

X-rays don’t tell the whole story

Some people have big changes on an X-ray and mild symptoms. Others have severe symptoms and few changes.

Weight makes a difference

If you are overweight, any weight you lose is likely to help your knee.

Most symptoms can be managed

Exercise, pain relief and sometimes an injection can help. Surgery is for when other treatments have not worked.

Symptoms

What knee osteoarthritis can feel like

Symptoms vary from person to person, and you may have some or all of these.

  • Pain that is worse when moving or doing activities
  • Stiffness, often in the morning or after resting
  • Swelling in the joint
  • Weakness in the thigh muscle
  • The knee feeling as if it gives way when you walk
  • Creaking, grating or crunching as you move

You may also feel pain nearby. A knee problem can cause aches in your hip, thigh or lower leg. This should improve as your knee gets better. Knee pain can also come from a problem in the hip or lower back.

At OUR GP

Steroid injection for knee pain

For people with knee pain from arthritis that is limiting what they can do.

A GP assessment and a steroid injection into the knee in one appointment. Both knees are £180.

Good to know: injections ease pain for weeks to months but do not repair the joint, so exercises still matter.

About joint injections →

£120

One joint, includes GP assessment

Book now

Causes

What can cause knee pain

The cause often becomes clear from what you tell us and from examining your knee.

GroupExamples
OsteoarthritisPain and stiffness that build up over time, usually in people aged 45 or over
InjuryMuscle strain, ligament or cartilage (meniscus) damage, tendon injury, a dislocated kneecap or a fracture
Pain at the front of the kneePatellofemoral pain, often worse on stairs or after sitting for a long time
Swelling around the jointBursitis, or a Baker’s cyst behind the knee
Inflammatory arthritis and goutRheumatoid arthritis and other types of arthritis, or gout crystals in the joint
InfectionA joint or bone infection, which is urgent and needs treatment straight away
Children and teenagersGrowth spurts and Osgood-Schlatter disease. A child with a limp should always be checked
Pain from elsewhereA problem in the hip or lower back. Rarely, a tumour

Who is more at risk

Anyone can get knee pain, but it is more likely if you:

  • are getting older
  • are overweight
  • have a physical job, or one that strains your knees
  • play sport
  • have injured your knee before
  • have a family history of osteoarthritis

Your appointment

What the GP will do

The aim is to find the likely cause, rule out anything urgent and give you a plan you can follow.

  1. Listen to your story

    When it started, any injury, what makes it better or worse, and whether it has swollen, locked or given way.

  2. Examine your knee

    We look at the joint, feel around it, and check how well it moves and how strong it is.

  3. Arrange tests only if needed

    Osteoarthritis can often be diagnosed without an X-ray if your symptoms are typical. We arrange tests when they would change what we do.

  4. Agree a plan

    Exercises, pain relief and, if suitable, a steroid injection. We can refer you for physiotherapy or to a specialist if your symptoms persist or the diagnosis is unclear.

What helps

What you can do for your knee

These are the things that make the biggest difference day to day.

Stay active

Keep up your daily life and work if you can. You don’t need to be pain-free before going back to work.

In a flare-up

For the first 1 to 2 days, do less but keep moving. Rest with your leg raised, and move your knee gently every hour.

Pace yourself

Spread activities through the day and adapt the ones that hurt. Avoid sitting in one position for long.

On the stairs

Lead with your good leg going up and your sore leg coming down. Use a handrail.

Footwear and walking aids

Wear supportive shoes with cushioned soles and avoid high heels. Hold a walking stick on the opposite side to your sore knee.

Heat or ice

Wrap it in a towel and use it for up to 20 minutes, a few hours apart. Don’t use it if you have poor circulation or reduced feeling.

Pain relief

An anti-inflammatory gel is usually the first medicine to try for knee osteoarthritis. Ask your pharmacist or GP what is suitable for you.

A healthy weight

If you are overweight, any weight loss is likely to help, and losing more is likely to help more.

Exercises

Simple knee exercises

You can do these at home with no special equipment. Start with one or two, and add more gradually. Your knee may feel a little more sore at first, and this should get easier.

  • Knee bend: lying down, slide one foot towards you, then straighten
  • Thigh squeeze: tighten your thigh and push the back of your knee into the bed
  • Knee over a roll: with a towel under your knee, straighten and lift your heel
  • Lying leg raise: bend one knee and lift the other straight leg just off the bed
  • Seated leg raise: sit back, straighten one leg, raise it and slowly lower it
  • Seated knee stretch: rest your foot on a chair and gently push your knee down
  • Sit to stand: stand up and sit down slowly, without your hands if you can
  • Step ups: step onto the bottom stair and back down, holding the bannister if needed

How much pain is OK?

Rate your pain out of 10 as you exercise, and aim to stay between 0 and 5.

Pain scoreWhat it means
0 to 3Minimal: carry on
4 to 5Acceptable
6 to 10Too much: do fewer, go slower or rest for longer

Your muscles may ache briefly as they get used to new movements, and your pain should be no worse the next morning. Stop if the exercises make your symptoms worse or cause new pain. If you have had recent knee surgery or been given exercises, follow that advice first.

Simple knee exercises

Download our knee exercises leaflet

A free two-page guide with pictures of all eight exercises, how to build up, how much pain is OK and when to get help. Print it and keep it somewhere handy.

PDF · 2 pages · A4 · 537 KB

Steroid injections

Could a steroid injection help?

A steroid injection puts an anti-inflammatory medicine straight into the knee joint. It can ease pain and swelling for a while, so you can move and exercise more easily, but it does not cure the cause.

When it may help

When pain is holding you back from exercise and gels or tablets have not helped. It can also settle a swollen knee in inflammatory arthritis.

How long it lasts

It usually takes a few days to start working. NICE says relief lasts 2 to 10 weeks. In our experience, it lasts 3 to 4 months. It helps some people a lot and others very little.

How many you can have

Most people have no more than 3 a year in one knee, at least 3 months apart. Too many can damage the joint.

Afterwards

Rest your knee for 1 to 2 days and don’t overdo it for 2 weeks. Then start your exercises gently and build up slowly.

Tell us first if you have, or take

  • any infection, antibiotics, or sore skin on the knee
  • a recent knee injury
  • blood thinners or a bleeding problem (don’t stop a blood thinner unless your doctor tells you to)
  • diabetes, as your blood sugar can rise for a few days
  • a weakened immune system, or any allergies
  • pregnancy or breastfeeding, a recent or upcoming vaccine, or knee surgery planned

Side effects: most people have none. Your knee may be more sore for a day or two. Skin changes where the needle went in, a flushed face, short-term changes to mood or periods, and bleeding into the joint can happen. Joint infection is very rare but serious, so contact us the same day if your knee becomes hotter, redder or more painful, or you feel unwell.

Knee steroid injection prices

TreatmentPrice
Steroid injection, one knee£120
Steroid injections, both knees£180

Prices include the GP assessment, the steroid and the injection. No referral is needed. The GP will check that an injection is right and safe for you before going ahead. Read more on our joint injections page.

Steroid injections for the knee

Download our knee steroid injection leaflet

A free two-page guide: what to expect, what happens on the day, aftercare, side effects and when to get help.

PDF · 2 pages · A4 · 222 KB

Get help now

When it can’t wait

Call 999 if

your leg is badly injured and your foot is cold, pale or numb · you are seriously unwell · after an injection, your lips, mouth or throat swell, you are struggling to breathe, or you collapse

Phone NHS 24 on 111 if

you have had a bad fall or direct blow to the knee in the last 7 days · your knee looks misshapen after a new injury · you can’t put any weight through your leg · your knee swells straight away after a twist · you have a very high temperature, feel hot and shivery, and your knee is red or hot, as this can be a sign of infection

Contact a GP if

your knee locks or gives way · your knee is hot, swollen or tender, especially if you can’t recall an injury · your pain is getting worse · your knee is no better after 6 weeks

A private appointment is not a substitute for emergency care. If you are unsure, call NHS 24 on 111.

FAQs

Common questions

Do I need an X-ray for knee pain?

Not always. If you are 45 or over, have pain with activity, and have no morning stiffness or stiffness lasting no more than 30 minutes, osteoarthritis can usually be diagnosed without one. We may arrange a scan if your symptoms are unusual or something else could be the cause.

Is it safe to exercise with a painful knee?

Yes, for most people. Exercise may cause some discomfort at first, but it helps in the long term. Aim to keep your pain at 5 out of 10 or lower, and stop if an exercise makes your symptoms worse or causes new pain.

How long does knee pain take to get better?

Many new knee problems and flare-ups begin to settle within 6 weeks. If yours has not improved by then, or is getting worse, speak to a healthcare professional.

How long does a knee steroid injection last?

It usually takes a few days to start working. NICE says relief lasts 2 to 10 weeks. In our experience, it lasts 3 to 4 months. It varies a lot: some people get a big improvement, and others notice very little.

Should I have a steroid injection before a knee replacement?

Tell us if you are waiting for knee surgery. Research suggests that a steroid injection in the 3 months before a knee replacement may raise the risk of infection, so the timing matters.

What about hyaluronic acid (gel) injections?

NICE recommends that these are not offered to manage osteoarthritis.

Will I need a knee replacement?

Most people don’t need surgery straight away, and it is usually considered when other treatments have been tried. If you are waiting for surgery, keeping your knee moving helps your recovery.

Worried right now?

If you have a hot, red knee with a high temperature, or you can’t put weight on your leg after an injury, phone NHS 24 on 111.

Knee pain not getting better?

Book a GP appointment and we will examine your knee and agree a plan with you.

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