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why does my knee hurt when walking down stairs

September 9, 2025 · In: Body Region Support, Knee, Science-Backed Education

Knee Pain Walking Down Stairs? This Can Help!

Do you have knee pain walking down stairs? You’re not alone. Many people find that going down stairs feels harder on the knees than going up, and there’s a good…

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prp for knee osteoarthritis

September 2, 2025 · In: Pain Science and Healing, Science-Backed Education

The Truth About PRP for Knee Osteoarthritis: Benefits and Limitations

Knee pain is one of the most common complaints among adults, affecting 25% of people in the US. As we age, the likelihood of experiencing knee pain also increases. For…

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stress muscle tension relief

August 26, 2025 · In: Nervous System Regulation

Stress and Muscle Tension Relief: How to Ease Tightness and Restore Calm

Stress doesn’t just live in your head. It shows up in your body; the tight shoulders, clenched jaw, an achy back. For many women, that tension becomes the quiet background…

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weekend recovery routine

August 19, 2025 · In: Holistic Self-Care and Sustainable Healing, Rest and Recovery

Your Weekend Recovery Routine: Simple Steps to Reduce Soreness and Fatigue

Weekends often bring long hikes, tough training sessions, or packed schedules with the kids that push your body to its limits. For many of us, Monday morning hits with tight…

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weak ankles running

August 12, 2025 · In: Movement, Strength for Resilience

Weak Ankles Running? Stabilization and Strengthening for Pain Free Running

Do you suffer from frequently spraining your ankles? Do you have a sensation like you have weak ankles running? If you’ve ever strained to stabilize your ankles on a run…

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diaphragmatic breathing

August 5, 2025 · In: Nervous System Regulation

Diaphragmatic Breathing: How to Breathe Correctly

When stress, fatigue, and chronic pain play a part in your daily life, something has to change. I’ve been there. I understand the struggle. It’s hard to find our way…

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DOMS vs injury

July 29, 2025 · In: Pain Science and Healing, Science-Backed Education

DOMS vs Injury: What Your Body is Really Telling You

You crushed your workout and now your muscles are letting you know it. Now the question starts rolling around in your head: DOMS vs injury? Is this normal soreness or…

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ankle dorsiflexion

July 22, 2025 · In: Mobility and Restoration, Movement

Limited Ankle Dorsiflexion Might Be Why You Can’t Squat Well

Do you notice your heels pop up off the ground when you squat? Do you feel stuck, almost like you can’t drop down lower in your squat no matter how…

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hip extension

July 15, 2025 · In: Movement, Strength for Resilience

Why Hip Extension Matters (and 3 Easy PT‑Approved Exercises to Improve Yours)

If you’re someone who sits a lot, has dealt with chronic back pain and tension, and you notice you can’t stand or walk for long periods of time, consider looking…

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hip hinge

July 8, 2025 · In: Movement, Strength for Resilience

The Hip Hinge: Why it is Important for Daily Life

We all hear it: “hinge at your hips” whenever you are working out at the gym. Why does everyone harp on this one movement? Here is the thing…it is a…

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Meet Tera

Meet Tera
hi friends!

I'm a practicing physical therapist based out of sunny SoCal who loves to educate others and share information and knowledge. You can typically find me hard at work trying to manage normal life or cuddled up under a blanket enjoying coffee or desserts I can never seem to get away from!

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Featured Posts

how to start exercising again after a chronic pain flare

How to Start Exercising Again After a Pain Flare or Long Layoff (Without Setting Yourself Back)

woman experiencing pain that moves around the body, chronic pain explained

Pain That Moves Around Your Body: What Your Nervous System Is Trying to Tell You

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What Real Rest Actually Looks Like for Chronic Pain (And Why Sleeping More Isn’t the Whole Answer)

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Saying “I’m fine” hasn’t been a lie in a long time Saying “I’m fine” hasn’t been a lie in a long time. Right now it’s probably just the fastest thing you know how to say.

When you’ve been dealing with this for as long as you have, saying “I’m in pain” over and over stops feeling worth it.

Chronic pain means every day carries some of it, so every day would mean saying it again. At some point, you stop wanting to be the person who’s always the one bringing it up. So “I’m in pain” turns into “I’m fine,” not because it stopped being true, but because you got tired of being the one who has to keep announcing it.

I know this one myself. Saying it enough times starts to cost more than staying quiet does. Next time, try something closer to the truth, something like “I’m managing, but it’s a lot today.” That’s honest enough to let someone actually see you, without turning into the running commentary you’re tired of giving.

Are you trying to convince everyone else you’re fine or are you trying to convince yourself?

Send this to someone who needs to stop convincing herself she’s fine.
I hear this one on repeat. It started in your shou I hear this one on repeat. It started in your shoulder, now it’s crept into your shoulder blade, and maybe down toward your mid back. And the first thought is always the same: something new is wrong now or something else is breaking down.

But that’s not usually what’s happening. Pain that spreads to the region right next door isn’t a new injury announcing itself (unless you legitimately injured yourself again).

When pain spreads without a new injury behind it, it’s been part of the picture for a while, and showed up out of nowhere, it’s usually the same alarm system that’s been running in the background. It’s now been ringing long enough that the areas nearby started picking up the signal too.

Think of it less like a break and more like a smoke detector that won’t stop going off until the whole hallway of detectors starts sounding along with it. Nothing new caught fire. The system’s just been on for a long time.

If you’ve already had this checked and nothing new turned up to explain it, pay attention to that. It’s usually your best clue that this is your nervous system spreading the pain to a new area, not a new injury needing its own workup.

Comment “MINE DID THIS” if pain has crept into the area right next to where it started. I’ll send you my blog post I wrote on this exact topic that goes more in depth on what’s actually going on.
But here’s what’s actually true. You’ve probably But here’s what’s actually true.

You’ve probably been told for years that any movement counts as building strength, and in the very beginning, it kind of does. If you’re coming from little to no activity, walking, Pilates, biking, or yoga will strengthen you…at first. Your body is adapting to a demand it hasn’t had to meet before.

But that adaptation has a ceiling. Once your body reaches its load tolerance for that amount of activity, doing more of the same thing doesn’t build you past it. You’re not getting stronger anymore. You’re just maintaining the level you already reached.

This is where cardiovascular and endurance work split from strength work. Walking and biking stay focused on the cardiovascular system. They’re not increasing the load on your muscles. You’re training your heart and lungs instead.

Pilates and yoga work your muscles through holds, which builds muscular endurance and helps your muscles sustain a position under fatigue. That’s a real adaptation. It’s just not the same one as strength.

Real strength requires loading a specific muscle heavy enough, and consistently enough, that it has a reason to adapt again.

If you keep exposing your body to the exact same stimulus, no further change happens. The muscle already met that demand. It has nothing left to respond to.

Comment “MAXED OUT” if you just realized you’ve been maintaining instead of building for a while now.
Everyone sees you making it through the day just f Everyone sees you making it through the day just fine. They don’t see what it’s costing you to get there or what happens once you finally stop.

You show up. You answer the emails, sit through the meetings, keep your voice even when it needs to be, and nobody watching would ever guess anything is off.

They don’t see how tirelessly you work the second you walk back in the door, taking care of everyone else before you’ve had a single second to take care of yourself. They don’t see whatever you’re quietly carrying right now…the thing nobody’s asked about because you never said it out loud.

But your nervous system has been working the entire time to keep you looking like that. Holding the line through every part of the day you couldn’t afford to fall apart in.

And by evening, when nothing else is asking anything of you, it finally stops pretending. Not a dramatic collapse, just a flatness. It’s in the plans you cancel, the conversation you can’t hold, the two hours you lose staring at nothingwhen there’s nothing left keeping the performance up.

Nobody sees the discipline it takes to hold that together all day. They only see the version of you that’s left once it’s finally safe to stop.

If this is you, let the plans stay cancelled tonight. That’s not falling behind. You’ve already asked enough of yourself today.

Send this to someone who’s fine all day and disappears the second it’s finally safe to stop.
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