Last Updated – June 2026
As a mobile sports and therapeutic massage therapist in York, I treat a lot of clients struggling with knee pain, whether it’s runners, lifters, people with physically demanding jobs, or those who’ve simply been dealing with niggling discomfort for months or even years.
Knee pain is one of the most common issues I see. Many people assume it’s just wear and tear or that they just have to live with it, but in my experience the majority of knee problems are caused by tight muscles, imbalances, and compensation patterns rather than the knee joint itself being damaged.
Having overcome my own long-term chronic pain and with qualifications in sports massage and Advanced Personal Training, I take a different approach. Instead of just massaging where it hurts, I look at the whole chain, including hips, glutes, quads, calves, and ankles, to find and fix the real root causes.
In this article, I explain the most common causes of knee pain I see in my York clients and how my targeted sports massage combined with corrective work helps relieve pain and improve knee function for the long term.
What Causes Knee Pain
Many people who get knee pain assume that it’s wear and tear of cartilage. This a tissue that covers the surface of joints to prevent them rubbing against each other. Or they think it’s just something that comes with getting old, such as arthritis. But there are other causes that can be due to the ligaments around the knee, or muscles that initially don’t seem to have anything to do with it.
Knee Pain Caused By Ligament Issues
Between the upper and lower leg bones sits cartilage that prevents the bones from rubbing together. To keep the joint stable, four main ligaments hold everything in place: the anterior and posterior cruciate ligaments (inside the knee) and the medial and lateral collateral ligaments (on the sides).
Ligament injuries often happen from sudden twisting, over-extension, or sharp changes in direction, which is common in sports, running, or even just stepping awkwardly. Minor sprains can heal naturally, but even mild injuries can create scar tissue that leads to ongoing pain, stiffness, and a feeling that the knee isn’t quite right.
How I Treat It
For recent ligament injuries (within the first 72 hours), I always recommend rest, ice, and avoiding aggressive massage. Once that acute phase has passed, I begin gentle but targeted work to promote healing and prevent excessive scar tissue from forming.
When treating clients with ligament-related knee pain, whether the injury is a few weeks old or several months old, I focus on the surrounding muscles (quads, hamstrings, calves, and glutes) as well as careful work around the knee itself. Scar tissue from ligament injuries can make the area feel tight and restricted, so I use specific techniques to gradually soften and mobilise that tissue without aggravating the joint.
I also look higher up the chain at the hips and glutes, because poor stability there often puts extra stress on the knee ligaments. After the massage, I give clients specific strengthening and mobility exercises to improve knee stability and help prevent the same injury from recurring.
Knee Pain From Tight Muscles
Knee pain from muscles is actually far more common than pain from ligaments, and it often appears without any obvious injury. The main muscles involved are the quadriceps at the front of the thigh (which connect to the kneecap), the hamstrings at the back, the sartorius (which crosses the knee), and the calf muscles which can also refer pain into the back of the knee. The IT band on the outside is another frequent culprit.
This type of knee pain usually comes from tight, shortened, or overworked muscles caused by things like prolonged sitting, running, heavy squatting, poor flexibility, or old compensation patterns. Over time these tight muscles pull on the knee joint and create pain, stiffness, and sometimes clicking or grinding sensations.
How I Treat It
When a client comes to me with muscle-related knee pain, I always look at the whole chain rather than just treating the painful area.
- If the pain is at the front of the knee, I focus on releasing the quadriceps and the tissues around the kneecap.
- If it’s on the outside, I work deeply on the IT band and tensor fascia latae (TFL).
- If it’s on the inside or back, I target the hamstrings, sartorius, and often the calves.
I use a combination of deep tissue massage, therapeutic techniques, and myofascial release to loosen the tight muscles, improve flexibility, and reduce the pulling sensation on the knee. I also check and treat the glutes and hips because weakness or tightness higher up the chain is a very common reason why muscle imbalances show up at the knee.
After the massage, I give clients specific stretching and strengthening exercises tailored to their particular problem (for example, quad stretches, IT band release with a foam roller, or glute activation work).
Knee Pain From Arthritis
Arthritis in the knee can be a very debilitating condition. It often causes pain, stiffness, swelling, clicking, or a grating sensation inside the joint. Symptoms are usually worse first thing in the morning or after periods of inactivity, but can also flare up after too much walking or standing.
While arthritis is a degenerative condition and in advanced cases may eventually need surgical intervention, many people find they can manage the pain and maintain much better mobility with the right treatment.
How I Treat It
When clients come to me with arthritic knee pain, my approach focuses on reducing pain and stiffness while improving function in the surrounding muscles and tissues. I use gentler, more rhythmic Swedish and therapeutic massage techniques combined with careful myofascial release around the knee, quadriceps, hamstrings, and calves.
The goals are to:
- Increase blood flow to the joint, which helps remove waste products and brings fresh nutrients and oxygen to the area.
- Reduce muscle tension and guarding around the knee, which often makes the pain and stiffness worse.
- Improve range of movement in the knee and supporting muscles.
- Help release endorphins (the body’s natural painkillers) to provide natural pain relief.
I also work on the hips and glutes because poor stability higher up the chain often increases stress on an arthritic knee. After the massage, I give clients gentle mobility exercises and advice on activity levels so they can stay as active as possible without aggravating the joint.
Frequently Asked Questions
Should I see a doctor before booking a massage for knee pain?You should consult a doctor first if the pain is severe, came on suddenly after an injury, there is significant swelling, the knee feels unstable or gives way, or you cannot put weight on it. Once any serious issues have been ruled out, massage can be very effective for most muscle-related and mild arthritic knee pain.
What should I expect during your knee pain treatment session?When I arrive at your home, we start with a detailed assessment of your knee, movement, and the muscles around it (hips, quads, hamstrings, calves, etc.). I then use targeted sports and therapeutic massage to release tight muscles and improve mobility. The pressure is adjusted to your comfort level, and I’ll explain everything as we go. After the massage I give you specific exercises and advice tailored to your particular problem.
How many sessions will I typically need?Many clients notice meaningful improvement after 2–4 sessions. For recent muscle tightness or mild issues this is often enough. For longer-term knee pain, arthritis, or significant imbalances I usually recommend an initial course of 4–6 sessions. I’ll give you an honest recommendation after your first assessment.
Will the massage be painful?I always work within your comfort zone. Some tight areas (especially quads, IT band, or calves) may feel intense at first, but it should feel like productive pressure rather than sharp pain. I check with you regularly and adjust pressure immediately. The goal is relief, not to push through high pain levels.
Will I be sore after the massage?Most people feel little to no soreness the following day. You may feel a mild awareness in previously tight areas (similar to post-workout soreness) for up to 24 hours, but this usually passes quickly and is followed by improved movement and reduced knee pain.
Can you help with knee arthritis?Yes. While massage cannot cure arthritis, it can significantly reduce pain and stiffness by improving circulation, loosening surrounding muscles, and reducing compensatory tension. Many of my clients with knee arthritis report less morning stiffness and better daily mobility after regular sessions.
Why is mobile massage particularly good for knee pain?After treatment your knee and surrounding muscles are looser and more relaxed. Driving or sitting in traffic straight after often causes the muscles to tighten up again. Having the session at home allows you to rest properly, move gently, or apply heat if needed, which helps the benefits last much longer.
How often should I have treatment for knee pain?This varies by person. For acute issues I often recommend weekly sessions initially. For ongoing maintenance or arthritis, many clients do well with a session every 4 weeks. During your first appointment I’ll give you personalised advice based on your condition and lifestyle.
Summary
Knee pain is rarely just a knee problem. In the majority of cases I see in my York clients, it stems from tight muscles, imbalances in the hips and glutes, restricted ankles, or old compensation patterns. Through targeted sports and therapeutic massage combined with practical corrective exercises, I help many clients reduce pain, improve knee stability, and return to the activities they enjoy, whether that’s running, squatting, walking, or simply moving without discomfort.
If you’re tired of living with knee pain, my personalised assessment and treatment plan can make a real difference.
Book A Mobile Massage
If you would like to book a mobile massage in York please contact me on 07713 250352 or email david@massageinyork.co.uk. Includes sports massage, deep tissue massage and Swedish massage. For more information on booking click here