Is Your Lower Back Causing Knee Pain?

Is your lower back causing knee pain or is your knee pain causing your lower back pain? It is quite a “chicken or egg” scenario…

When you experience knee pain the first place you would think to look it at the knees…

That would make sense now wouldn’t it?

But is this really the case? Let’s take your car as an example. You are driving down the road and the oil light goes on in your car…so do you think that the oil light is the problem? No, of course not, that would be silly, however when you are just looking at your knees when you have knee pain you might be doing the very same thing!

So now let’s look under the hood, so to speak…Back and knee pain psoas muscles

Think of your body like a chain and you have heard the old saying, “a chain is only as strong as its weakest link.” So when your knees begin hurting, we immediately think that the weakest link is in the knees. However, let’s for a moment consider that the tension in the chain may have moved to a different point along the chain. The part of that chain that I am talking about is your lower back. Attached to your lower back are the two largest and strongest muscles in your body, your psoas muscles. When these muscles are pulling really tight they pull forward and down on your lower back creating tension in your pelvis. As this happens guess what part of your body needs to pick up the slack?

Yep that’s right! Your Knees!

All the pressure now is forced into your knees, your meniscus must pick up the slack, and as this begins to wear and tear it causes KNEE PAIN…

So yes your back and knee pain can be related.

See the picture in this post [below]. It is a standard nerve function chart used by chiropractors to pin point areas of the body that hurt and how they correspond with the spine. This is a very useful tool for any knee treatment protocol to take the pressure off of the knee and redistribute the tension to the rest of the body relieving knee pain.

Click here to see the nerve function chart.

So if your knee treatment is only looking at strengthening the muscles in your legs to help with your knee pain...
1.) Your knee treatment is not taking into consideration the "bigger picture" of what is going on in your body creating your knee pain to begin with
2.) Your knee treatment is really not going to help you in the long run...(Aka "job security" for anyone who is only looking at your knee to solve your knee pain)

In essence when you begin to strengthen the legs to address your knee pain you are essentially re-enforcing an already dysfunctional tension pattern in your body causing your knees to hurt.

Don’t take my word for it. Try it yourself. Stand up straight…see how your knees feel…walk around the room a little…go up and down some steps paying extra close attention to your knees and how they feel…

Now try the very same exercise bent over (as if your psoas muscle is tight). See how your knees feel…walk around the room (bent over)…go up and down some steps bent over and see how your knees feel…

This is an easy test of the relationship between back and knee pain.

If you already have knee pain when you try the first exercise there is a good chance that your knee pain will be reduced…

The key is to lock this functional tension pattern in place and make it permanent so the tension in your body is balanced the way it is supposed to be…

Approaching your knee pain any other way is cheating yourself and depriving the quality of life for you and your loved ones…

the knee pain guru
the knee pain guru

Bill is “The Knee Pain Guru” and The Best in the World at Eliminating Knee Pain without Drugs, Shots or Surgery.”

He has over 26 years of martial art and body work experience understanding movement and tensions patterns that lead to physical pain.

Bill’s believes the nervous system is the key to the body’s healing and the bridges the gap between what we currently know and the infinite possibilities of what we don’t know yet how the body can heal itself. Coupled with comfort this combination creates the shortest distance between a life riddled with pain to a physical life fully mobile and self expressed.

“You can’t think your way out of pain. Pain is not rational and doesn’t care what you think. You must feel your way out of pain through comfort. Through the weeks, months and years of injury and compensation patterns built up in your body limiting your movement and making you feel older than your years.”

His unique ability of identifying the blocks that keep people stuck in pain and skillfully removing them allows for lasting change and a new reality for his clients…

===> Click here to setup your Knee Pain Strategy Session with me and learn <===

– The cause of the “Pain-Tension Loop” and how you think, move and feel about your knees…

– How to use “Pain-Pattern Interrupts” to break the “Pain-Tension Loop” and get relief immediately…

– How to include this in your daily life in only 20 minutes a day…

123 comments on “Is Your Lower Back Causing Knee Pain?

  1. I am just writing out of concern and at my last options.. my mom has been suffering with chronic back pain for over 6 yrs now..the doctors she has been seeing are just sending her home and patching her up for the time being. She has had surgery that placed six screws in her back…well as of now im fed up with it because she isnt her self any more she wakes up to know she is going to be in pain..i need answers and not just” well theres nothing we can do” because i know there is something out there..So im requesting if anyone has any advice plz give I am willing to listen to any thing at this point…I just want my mom back!!!!

        • Hi Mike,

          Thank you for your patience. To better address your question, I have contacted you via email.


      • I am 21 and have constant lower back aches/pains. Normally it will go in to my knees. Some days it’s barely bearable and costs me sleep most nights. So I’ve been doing some research and came acrossed this. I’ve been told hernatied disc but I when I get adjusted I’ll be fine for a few days and then it’ll come back just as bad. My feet and legs will also go to sleep a lot. Just wanting some answers or some ideas on what u should do.

    • Asia, tell your mom to pick up a book, I think it’s called Relieving Back Pain “The Mind – Body Connection” or something to that extent. It’s by Dr. John Sarno and did me wonders. God bless.

    • I don’t know if you know the simple things…Here are a few things that I do for my pain..It’s unavoidable but some things help. Heat patches from the store…I don’t use the whole big patch at once but I cut it up and use it on several places. Usually when I am hurting at night I do this and wake up feeling so much better rather that waking with pain. The heatpad does wonders…..Medicated heat rubs,,Even ice pouches from walmart, not so bulky and I can lay on them easily. Sometimes pain pills wont cut it , so I use advil or aleve which is ten times better than tylenol….I hope this helps some..

  2. Hi myy name is rose im having sharp pain in both of myy knees every time it gets cold or i walk down stairs both of myy knees hurt very bad im looking for help to find out what can i do to get help i really need it thanks

    • Hi Rose, Thanks so much for reaching out. There can be several reasons why this sort of pain can happen. I’m really happy to help you with your journey to better health. I sincerely want to be there for you each step of the way.

      Here’s some valuable information to help get you started relieving your pain and working with your knees in the “Comfort Zone”

      Also, here’s a link to further information regarding knee pain:

      If this information does not help significantly within a couple of weeks – let’s go ahead and touch base again at that point. Just go to my site and schedule a free 30 minute session.

      Wishing you health,

      • Been having lower back pain for 6 plus months horrible knee pain Dr gave me baclofen dont work also have had herpy chiropractor work epidural steroid injections nothing is helping I literally feel helpless

        • Hi Liana,

          I have contacted you via email to obtain more information about your situation.


          Mimi|Customer Support

          • I have the same thing going on for about 5 months but only one of my knees are in pain along with my lower back. I’m in so much pain especially in the morning and the end of every day:\ I have done everything and anything for the pain and nothing. Cani u help? Because I just don’t understand it ..

          • Hello Marta,

            Thank you for reaching out to us! I suggest booking a free 30 min consultation/knee evaluation with Bill to discuss what your experiencing. Bill will be able to provide great advice and recommendations/solutions for whats going on. If your interested, please click on the link below to complete the consultation form and schedule a date and time that is best for you. Feel free to reach out to me for further assistance.


            Kind regards,

            Mimi | Customer Service

  3. I have been suffering with pain or aches in my knees that have been keeping me up at night. I play football and thought it my be that. Im 37 but for years I have suffered lower lumbar back pain on and off. What is the problem my knees? or my back?

    • Have you ever seen your pcp about your pain?
      At age 33 I developed osteoarthritis. It’s an aging thing. We all will have it in some form or another.
      Have you done the RICE method? Rest, Ice, Compression, Elevation,
      Moist heat helps too.
      Chiropractor s help, Exercise helps too.

  4. I must also add my knees do crack when I walk which I have been told may be a problem with arthritis im at the doctors on the 24th and don’t really know what to say about it do I tell him my knees hurt or my back or both

  5. Question – I was working out about 6 weeks ago and I did something wrong and have been having pain in my lower right back. It was just a dull pain for a while. I stopped working out thinking it would heal and go away – Well, it comes and goes but is almost always there in some sort. It is hard to bend over and touch the ground and to do squat motions. Now that I have had it for a while I have noticed my right knee is in pain sometimes as well. I have been taking a PM pain mediction at night and it seems to relieve it a little, like when I wake up it is easier to get out of bed and get going. Normal day-to-day activities are generally ok unless I sit down for any period of time longer than 30 seconds. If i sit down and then get up minutes later soemtimes I almost have to walk funny to get the pain to relieve so I can walk normal. Any ideas of what it could be or what I can do to make it better without going to a DR or Choiropractor??

    • Hi,

      Thanks for your question. Please do consult your doctor and keep us posted on what are his views so that we can then accordingly advice you.

      Adam on Behalf of Bill

  6. hi, i have trouble feeling back of knees. In the morning after use of toilet when i get up feel it most. it started about 2 months ago. now a day when i get up from chair after sitting lets say 1/2 hours in the office i also feel it. i am male and 39 years of age. please advise what should i do and whats the cause?

    • Hi Shahnour,

      Thanks for the question. Knee pain may occur due to many reasons have you seen any doctor yet? If not than please consult the doctor about it and let me know so that I can assist you with the required advise and appropriate exercises

      Adam on Behalf of Bill

  7. Clicking and pain in knee since May now have pain at lower part of my of my back could this pain be related to knee injury.

    • Hi,

      Thanks for your questions. There are many reasons why knee pain is caused. Can you please explain your knee problem in detail? This will allow us to help you further.

      Adam on Behalf of Bill

  8. Hi,

    I have been having sharp shooting pains in my right knee for at least 7 weeks…. I do have some arthritus in this knee and have had injections on and off for 2 years now… So when my knee stopped me from working recently i really thought it was my knee at fault. i have however just been told thats its my back not my knee that is the issue. My specialist says its a nerve in the muscles that are sending shooting pains through my knees. He says that my body is inbalanced therefore putting extra strain on my already arthritic knee. I just couldnt get my head around this as i dont actually feel much pain in my lower back. Is this normal? I do feel shooting pain in top butt…… Lol. I do however wake everynight to turn over in bed which i have to do by pushing up on my forearms…… Is this all correct for the symptoms i am experiencing? He is sending my for physio. Is there anything i can do for myself before this though.
    Thanks Kath (uk) ps its not sciatica!

  9. I been dealing with this pain in my left lower back region, its a shifting pain that goes from my back to my hip, my knee and sometimes my calf and ankle….
    I have what I thought were stress balls in that region of my back which really bother me…
    I also find it weird that I don’t have this pain when I am standing or walking around work, but instead when I am sitting down or laying awkwardly…
    I really font know what this could be….

    • I had the same problem. Pain starting in the back and going down the leg I had to rushed to the ER because I could not stand on my right leg I would fall on the floor in unbearable pain. They did and MRI had found 2 lower bulging disc that was causing all these problems. You might want to have one done to see whats going on. I am having issues noe 2 years after surgery with the pain in the other knee that is coming from my back going to make appointment with the chiropractor see if he can straighten me out I get out of alignment easy.

  10. Ok, uhm. I’ve had knee pain on & off tingly, burning & numbness too, sometimes quite painful to the point where I do not want to move, since I was about 5 or 6. I’m 15 now & a few years ago I started getting an extremely sore lower back which has had severe pain & has also been tingly at times. This pain sometimes crawls up my back but mostly radiates into my hip/ pelvis. I’ve been to doctors & a physiotherapist but they all say there’s nothing wrong or it’s just growing pains… But I’m sure pains this bad can’t be nothing please help me.

  11. Oh and I felt a weird click when I bend my knees , sometimes it’s audible but there is a weird swollen kind of liquid bubble that occurs with the pain sometimes, more often than not. And my back feels like something needs to crack into place or something.

  12. Great article. I’ve had knee pain for over a year now stopping me from playing sports or doing any exercise. I was convinced it was my patella tendon based on the symptoms and so was the first physio and knee specialist I went to. Recently I went to another physio who worked on my lower back and a year of pain was instantly gone in half an hour. The lower back was so tight it was pressing down on the nerve which could be felt at my knee. We don’t give the back the attention it really needs. Cheers

  13. Both my knees have bothered me on and off for as long as I can remember but I have always blamed it on volleyball which I play a few times a week. Its a sport that can be pretty hard on your knees. My left knee will swell with squats and such and I was diagnosed with patellar tendinitis. I have quit doing squats since them and my knee has only bothered me from time to time. A few weeks ago while getting into a car my knee just started hurting terribly and was excruciating for about 2-3 days and has continued to hurt with bending. I had an MRI but the findings were not significant. Now today the left side of my lower back hurts like heck. I feel like I am falling apart!! Do you think it could be related?

    • Rachelle,

      Thank you for reaching out to us about what your experiencing. The nerves that provide sensation to the knee come from the lower back and also provide hip, leg, and ankle sensation. To better assist you, I have contacted you via email to recommend some great programs for you. Again, thank you for contacting the Knee Pain Guru and I look forward to speaking with you!

      Kind regards,

      Mimi|Customer Support

  14. Hi, I am 27 and have been experiencing knee and lower back pain. Usually it happens after standing or sitting too long. When I am doing a long walk, i always feel pain on my calf and ankle. Frequent pains on the said areas started 4 months ago when I handled a 3-story house construction and have to go up and down the stairs several times for inspection.. and i guess stress. I am really worried. What could probably cause this pain? Thank you..

    • Melai,

      Thank you for reaching out to us. I can definitely understand the frustration your experiencing. To better assist you, I have contacted you via email. Again, thank you for contacting us and I look forward to speaking with you soon.

      Kind regards,

      Mimi |Customer Support

  15. I was hit from be hide while sitting at the red light since then I have soffering with my neck and back. When I wake up my hands are very stiff and painful, and my feet hurt very bad. After riding in a car or getting up from sitting my feet is very painful.

    I have pain in my neck and lower back everything is getting worse now the pain is in my right knee it hurt to stand up and walk. There has always been pain in my left forearm and in mr right wrist.

    Please help, is all this pain from my lower back which constantly hurt, so painful.

    Thanks to God be the Glory.

    • Hi Jo,

      Thank you for your message. To better assist you I have contacted you via email.

      -Mimi |Customer Support

  16. OMG I have to write. I’m 8 months postpartum and suddenly my knees were killing me! Like no relief and just kept getting worse and worse. I couldn’t bend down, I couldn’t kneel at all I couldn’t jog… I’m not heavy or big just normal. I talked to my SIL about my pain and she said to try having your back adjusted. I thought yeah right… but then I remembered when my mom had cancer she had a tumor in her spine causing compression and leg pain and swelling and knee pain. So I decided to have it adjusted and bam! the next day my pain was completely gone! Like completely! I came to this sight from googling back compression associated to knee pain. I was suffering for 2 weeks. I was about to go to the drs. and instead I decided to adjust my back and now I’m feeling normal again literally over night!

    • Hi Marie!

      Thank you for writing, we sincerely appreciate your positive feedback and continue to hear the feedback on your pain-free journey!

      Kind regards,

      Mimi L
      TKPG Customer Support

  17. Hi I have lower back and knee pain, massive amounts of tension come into my hips and upper glutes also. I recently attempted a long walk across northern Spain and had to stop halfway as my left knee periodically crunched very painfully and felt as though it was giving way, almost partially dislocating. What would be your advice? I have seen a couple of osteopaths but nothing has been diagnosed or successfully treated…

    Many thanks,


    • Hello Danny,

      Thank you for reaching out to us! I suggest booking a free 30 min consultation/knee evaluation with Bill to discuss what your experiencing. Bill will be able to provide great advice and recommendations/solutions for whats going on. If your interested, please click on the link below to complete the consultation form and schedule a date and time that is best for you. Feel free to reach out to me for further assistance.

      Kind regards,

      Mimi | Customer Service

  18. I have bad knee and back pain and I really need help with getting insurance..sometimes its hard to walk and I have trouble with bowel movements.. I feel a tightness in lower back burning sensation. Please help.

    • Hi LaTonya,

      Thank you for reaching out to us and trusting Bill to provide you with a solution. I’m sorry to hear what you are encountering and I definitely want to help you with your situation. The first step would be to see the doctor to get a diagnosis of what is going on. Without a diagnosis, Bill will not know which programs best fit your situation. If you have seen the doctor previously, please send your diagnosis to and I’ll be happy to get you in touch with Bill. I look forward to hearing back from you!

      Customer Support

  19. I have had lower back pain for about 8 months now and my knees have started to hurt when I squat down, and my neck hurts. Some days I cannot even move it from side to side. I have recently gone to the Dr’s and he did some work on me trying to put things back in order. When he did my lower back area I wanted to scream it hurt so bad. He took some xrays and he said everything was fine. He also then gave me a shot in my lower back and it has not helped. And my lower back pain is worse now. This was 4 days ago. He also put me on prednisone. And i m having an allergic reaction. He did take blood as well to test for rherumitoid authritis and it came back negative. Having a MRI done on Monday but he is puzzled as to what is wrong with me. It hurts to walk and sit as well. And hurts to press on certain areas. I just want some answers. 🙁 Please help! Thank you!

    • Hello Jessica,

      Thank you for reaching out to us! I suggest booking a free 30 min consultation/knee evaluation with Bill to discuss what you are experiencing. Bill will be able to provide great advice and recommendations/solutions for whats going on. If your interested, please click on the link below to complete the consultation form and schedule a date and time that is best for you. Feel free to reach out to me for further assistance.

      Kind regards,

      Customer Support

  20. I have had lower back pain for over a year now, the doctor keeps giving me sleeping tablets and pain killers and said I should try pilates. About two months ago I started getting pain all around my knee which is there 24/7, sometimes it feels like fluid is there. I went to see the doctr who told me it is just wear and tare and these things happen as you get older. What can I do to get rid of the lower back and knee pain or can I?

  21. Ten years ago I turned wrong and my knee popped i was in the garage moving boxes and my husband heard it in the house. It was really sore and I was told i had injured my meniscus, it improved in month or so but for the past ten years i have had occasional flair-ups that would last a week to a couple weeks to a month or two. About a year ago the knee was hurting more and more until about 6 months ago it came and stayed. It has gotten worse and a mri disclosed i had minimal arthritis and a smaller tear in my meniscus on the outside of my knee. Becasue of the pain and with pain medication only helping minimally they considered doing a scope. The surgeon thought perhaps it wasnt the tear and now that after all this my hip and groin are starting to hurt. My knee locks or gives way sometimes when I walk so I have wretched my hip a couple times, I also walk with a pretty bad limp because I cannot put weight on my knee. I have had some ajustments done and it helps the hip and groin area but does nothing for the knee. My medical Dr is now convinced that it is a lower back problem causing my knee and leg pain. I am scheduled to have an mri and hopefully that will show something. I would like to ask if we can be sure if the knee is the chicken or the egg. Did the knee trigger the back problems or did the back cause the knee problem…or do I have both. I am concerned becasue my Drs are ready to do knee surgury then they shift after I started to have this hip and groin pain to possible back correction. I need to get all the info possible before I submit to anything.

  22. OK what do we do? I first went in to the doctors about 5 months ago with knee pain no back pain, I then hear a pop weeks later I go to ortho doctor and I torn cartliage and went to therapy things started getting better untill I started walking more again, now lower back constant pain and both knees hurt and the one with the cartliage still hurts, he says I have arthritis and I take mobic a for the swelling. But my question is what else can I do I’m only 37 years old I had a active life used to be able to walk, hike, walk the dog now cant walk the dog and barely can walk 30 mins even with a knee brace.

    • Hello Mary,

      Thank you for reaching out to us.

      I’m sorry to hear that your still experiencing pain. Have you tried The Comfort Zone Stretches yet? These are really good exercises to break up scar tissue and will help you create comfort in the knee joint (only the knee) by systematically working with the tiny movements in the knee that squeeze on the nerves the width of an eyelash letting you know you have knee pain. It’s a great place to start to get a feel for the program.

      Feel free to reach out to us for further assistance.

      Customer Support

  23. I have been having these pains for over a year now, one morning i woke up and all of a sudden I was in pain. I am 33yrs old and relatively active. I go to the gym but i dont feel like I over do it. The pain first started in my lower back and it was radiating in my buttocks and down the side of my leg. I went to the doctor did x-rays and they could not find anything. They then decide to do an MRI and then the MRI showed that I had a minor arthritis in my lower back. The doctor said it was very minor and if i exercise it will go away. The back pain did go away for a while but then my knees start hurting me terribly especially when i walk up and down steps, sometimes when i sit. The pain is around my knee cap and especially to the front of my knee. I have been wearing braces but the pain is still there and it is terrible. I feel like an old person, how can this just start happening and I have no idea where it came from. Lately my back has been paining me again and I work in Accounting so I have to sit at desk all day. If i sit for too long my back, legs and knees start hurting. I am going back to the doctor but just wanted your opinion on what you think i should do. I want to get rid of these pains and be my old self again.

  24. I had a teared meniscus on my left knee years ago during a badminton tournament and since then I constantly have knee pain around the kneed cap. The has affected my ability to participate my favorite sport. I started going to spinning class 2 years ago,hoping to strengthen my knee muscles. In stead, my right knee also experience the same sharp pain. I have seen chiropractors, physiotherapy, acupuncture, and muscle strengthening and nothing seem to work. Now I experience knee pain when working up and down stairs but it is frustrated to see the poor performance in playing badminton. Lately I injured my lower back during the badminton game, which make things worse. I am not really sure if the cause is from my back or knee. I just want to find the right diagnosis and get back to my favorite sport.

  25. I had a MRI which showed I have a lumbar problem, L1-5, and I see a specialist who.have given me 3 cortizone steroids injections which they all work for less than a week and pain always comes back along with pain somewhere else. Like the first back injection I had my hip started hurting plus tingling & numbness to my legs. The second on i got worked for a few day but pain came back more intense on my left side hip. I had the third injection and when i went to bed that night I woke with both knees swollen, my left knee was swollen the size of a watermelon. The right side was the size of a cantalope. My knees are still swollen but not as bad a they were, but its been 3weeks I couldn’t walk at all for a while I’m just barely getting up and walking. At night when I go to bed I notice I get woken up with Sharp pain in my knees andin my bones, my femer hurts really bad like achey all the time. Now my question is could what happened to my knees be a reaction to the injections? Or nerve damage? The pain sucks and I hate taking pain killers but that’s the only way to get relief.. Can you help with some info on this? Thank you

  26. Hi, I know this post has been on here for a long time so I’m not sure if anyone’s able to help me.

    A couple of years ago I got into running – something I had never been into before, I couldn’t see the point of running for the sake of running. Anyway, I got into it and over 6 months or so I built up from doing 3-4km to taking part in 10km runs and after that even contemplating a half marathon. Then, after one particular run (off-road) I felt a burning sensation in my right knee. I iced it not thinking too much about it but the next run I felt the same irritation. I went through a stage of discomfort and weakness in the knee. I stopped running thinking that resting it would be the answer. Over the next 5-6 months I generally rested it but now and again tried very short, 1-2km runs/jogs to see whether I felt the same irritation. I also tried knee supports and straps but I was still feeling the same. I bit the bullet and saw my doctor who said that my knee cap wasn’t running in it’s groove properly and the only thing I could do was to see a physio. I did this for a number of weeks. She told me that the muscles around my need were not strong enough which was causing the kneecap irritation. This didn’t make sense to me as surely the muscles in my leg must be the strongest they’ve ever been since I started running? Anyway, I did my daily exercises, squats, leg lifts etc but after 5-6 weeks I had to cancel my appointment due to us having a few weeks of heavy snow. After this, due to one thing and another I didn’t re-book any appointments. It’s now about 18 months down the line. I had basically given up on running as a hobby. I can just about handle short burst, although I sometime regret overdoing it the next day. I’ve seen a video on YouTube that a Chiropractor was able to ‘pop’ the knee of someone suffering from a sports injury and knee injuries in general could be connected to underlying back issues.

    So, if you’re still with me, my question is whether you think I’m right to see Chiropractor about this or whether I should have stuck with the physio? Or am I destined to a lifetime of weak knees and no more running? I am a little cynical of Chiropractors as I have a friend who sees one who comes back complaining being in more pain than when he went so I’d be interested in your view.

    Many Thanks

  27. HI

    I have lower back pain which seems to be connected to a pain running from the lower back round to the front of my knee and ending in the sort of soft dimple just under the knee cap and sort of to the outer front part of the knee, this is not a constant pain. My lower back pain is like a really bad toothache and whilst its not there all the time standing for any length of time sets it off and then my knee joins in, this pain is also like bad toothache. I also get some numbness in my feet particularly when I lie down this may or may not be a red herring.

    Any Ideas what might relieve any or all of this.

  28. This has been enlightening! I have been having low back pain since a fall while pregnant in 1985. No testing was done at that time. During my second pregnancy I was down flat on the floor four times for at least a week at a time. After the birth I seemed to go back to normal with only mild low back pain. Two years ago my pain worsened to the point that I hurt all the time and I began haveing left knee pain all the time with what feels like electrical shooting pain if I knelt on it. An MRI of my back and knee showed L4-5 to S1 disk bulging with impingement on nerves on the right…no not left. It also showed mild meniscus fraying on left knee along with Avascular necrosis (old term I know) of the top of my tibia and bottom of femur. Orthopedist said the AVN is of no significance and could have happened when my growth plates fused. I was sent to back pain specialist was has now injected, with steroids, my L4-S1 and SI joints bilaterally. This helps for about 3 months….including my knee pain feeling better. In your opinion, how many injections should I do before seeking other options? By the way I also was diagnosed with SLE 2 years ago after 25 years of symptoms.

    • Veronica – It’s important to understand that the injections are only a “bandaid” for what is going on with your body. The “pain management” strategy is hoping the pain will be gone when the shot wears off. In my opinion and what I would do is immediately look for other options while you are receiving the injections.

  29. I’m interested in find out information regarding my knee pain. In the yr. 2009 I had a spinal cord stimulator implaint for sever multi degenerative disk dease. The stimulator has helped my back pain. Over the years I have had sever pain behind my right knee. Last yr. I went in to have my torn munisus repaired. They can’t do an MRI because of my stimulator implaint. My knee pain is getting worse. Could my knee pain be from a baker’s cyst? And wouldn’t the doctor had seen it when they repaired the torn munisus? Or is my knee issue being caused from my back problem. What can they do?

    • Laura – I believe your knee pain is being caused by all of those factors and apparently the doctor didn’t see or didn’t do anything about the baker’s cyst that may or may not have been there before your surgery. I don’t know what they can do, have you spoken with your doctor/surgeon about this?

  30. Hi! I have serve lower back pain caused primarily by scoliosis surgery I had a few years back. As the curve in my back has gotten worse, I have started to feel crazy pain in my knees. You say the two are connected? That would make sense.

  31. Hi Doctor,
    Last 2 years i am having severe back pain and my MRI Shows “The central portion of the cord shows hyperintense signal on t2 weighted sequences with patchy areas of hypointensity within, extending from c7 to D11. The psterior columns are spared. cord is mildly swollen at c7 to D3 levels and D10=D11 level. the involved area shows isointense signal at T1 weighted sequences and show no enhancement on post contrast study”. here the doctor havn’t suggested any surgery. I am using Defcort for last 6 months. I am having Constipation and bladder problems and now started the Knee pain not able to walk. Please suggest me some good option. Let me know if you need more information. Thanks a lot.

  32. I started doing the “Plank” exercise. Within a week my knee pain and lower back pain was gone, I felt 20 years younger! I’ve had no injuries or surgeries to my back, just getting older. Talk with your doctors and ask them if this is right for you to try!

  33. I have been experiencing some knee pain for some years now. One minute I was active, in the gym, running up stair and another minute I was crying out for pain. It started with my lower back pain and then and sharp pain in my buttocks and back leg. I went to the doctor and I did and MRI on my back and was told that I have minor arthritis in my lower back. I did X-rays for my knees and was told the everything was fine. The pain in my lower back has since subsided and there remains the pain in my knees. I have problems walking up and down stairs which can prove to be very painful and sometimes when i walk i feel a pain in my lower leg almost like a pinch nerve and this can paralyze me for a couple seconds. Also if I am sitting for too long my feet becomes heavy and the back of my upper leg becomes wearing and painful. I am really tired of these pains. I am only 33 and I want to be able to get back to my life and be active again. I am considering doing an MRI on my knees, not sure if that’s going to do anything. I need some advise ASAP on what to do so that I recover from these pains.


  34. I am also suffering from lower left back pain and left knee pain but sometimes it occurs in both the knees i am having a really bad time.. Plz suggest me something

  35. Hello I live in Oxofrd in the Uk. I injured my lower left back when I fell against a wall.
    This was three weeks ago. I am 60 years old. Over the next three weeks it became more difficult to get out of bed, bend over to get dressed. Went to see an osteopath for an initial diagnosis. Last Wednesday on the loo something clicked in my lower back as I try to, well you know. I could hardly moved and just about managed to stagger to bed.After four days in bed ice packs, heat treatement and pain killers, I can still hardly move. My left thigh and knee seems swollen, My knee is very tender andat specific points hurts a great deal when I tried to walk. I am currently lying on my back. my thigh feels like there are kneedles sticking into it and is numb. there is also pain below my knee and have loss some sentation on th soles of my feet. Can you please help?

  36. hii…I am 19 and was diagnosed with disc bulge at L3 – L4 AND L4 – L5 about 6 months ago, I regularly did all the mckanzie exercises prescribed by orthopaedic doctor and now I have significant relief and lower back hurts very less, all this is on my left side but I don’t understand why do I have mild discountinous paib in my right knee, and do DISC bulge 100 % curable?

  37. Gaurav
    Disc bulges are caused by undue stress and tension that builds up on the body from an accident or injury. This creates a “pain-tension loop” that must be changed with a “pain-pattern interrupt” This begins to immediately reduce the tension and creates the conditions for your body to heal the DISC bulge…

  38. I have lower back pain with uncertain area since last year I sprained my back when I tried to pick thing up. For your information I had hurt my back 4-5 years ago while playing badminton, but it was a minor sprain which got fine after weeks. I went for x-rays and even massage therapy but it don’t get cure. This issue stops me from sporting because I would feel chronic pain after sport , but not during the sport. My back is typically tight and I feel pain when I bend down. Recently I found out my right knee pain has relation with my back pain, I feel pain in my right knee whenever I bend down my body. By the way, i felt burning sensation in my right knee since months.
    I’m not afraid of long term healing process but I hope I can know what should I do to get it cure!

    • Hai
      Dealing with back pain and knee pain can be a very tricky complex process. I’ll need more information as to what’s going on to be able to offer you support. My suggestion would be to jump on a Complimentary Strategy Session so we can figure out the best course of action to help you feel better. Here’s the link to my online calendar to set that up:

  39. First of all I would like to state that I have never suffered with back pain before – actually I would go as far to say I have a pretty strong back…

    But here is my inquiry:
    About 2 weeks ago I started getting a slight stabbing pain in my lower right back, in the area of where that dimple is. maybe slightly below, but this only occurred when standing still. If I walked or sat down, nothing at all .
    Over the last 10 days it has got steadily worse. Then about a week ago I got a pain in my knee when I had the pain in my back. And now in the last couple of days it is extremely pain except when sitting or lying down.

    The strange thing is is that if I stand or walk bent over there is no pain, nothing! But as soon as I stand – BANG! Quite debilitating, mainly because of the pain in my knee!

    Any ideas please?

    ps. I am a male over 50 of normal weight, but reasonably fit – people think I’m 40-ish….

    • Bill
      Yes the tension in your body is different when you’re standing then when you stand or walk bent over. So the tension is increased when you stand up irritating the nerves in the spot where the “dimple” is in your lower back creating the pain. Since you can’t just have pain/tension in one part of your body without it affecting the rest of your structure you’re noticing the next weakest point of tension from your head to your feet, which is your knee.

      Does that help?


  40. Okay i have a messed up knee and i walk funny to reduce the amount of pressure i put on my knee. Now im having pains im my lower back everytime i walk. Is there anyway i can stop the pain in my back without having to move my knee?

    • Naomi
      Yes, however you may be setting the bar to low for yourself. How about a question like: “How can I have no pain in my back and my knee?” If that’s the kind of question you’re interested in getting answered then it would make sense for us to have a conversation on how to do so. Here’s a link to to my online calendar:


  41. I have a curve in my spine but have always been ok until now. It started with my first migraine about 6 months ago because my shoulders were so tense for so long. I went to the chiropractor and since then my shoulders have improved and I haven’t had any migraines. But then my lower back started to hurt every time I spent more than 2 hours standing, just from everyday things like cooking / cleaning. I get regular massages (like every 2 weeks) but lately I have not been able to fully get rid of the pain. Yesterday my knee started aching and now I can barely walk on it and my ankle hurts on the other foot. I have been doing a bathroom remodel but I made sure to wear tennis shoes and a back brace. I am only 38 so I should be able to paint walls and easy manual labor jobs. I am starting to feel old and like my body is deteriorating. UGhhh. I would welcome any natural remedies you may have.

    • Christina –

      Thanks for reaching out. Your body is stuck in a “Pain-Tension Loop”. The More pain you feel the more your body tenses up causing you to feel more pain. The key is to begin creating “Pain-Pattern Interrupts” on a consistent and regular basis to get the pressure off of the nerves in your knee as well as the rest of your body, creating space and comfort so your body can relax and begin to heal. This of course is way more indepth than what I could possibly type in this thread however I’d be happy to speak with you and figure out a strategy for your specific situation.

      Here’s a link to my online calendar to setup a time:

      Let me know if you have any further questions.


  42. Hi i have been having these sharp pains in my knees before, during, and after volleyball, and also back aches everyday that leave me feeling like an old lady but im only 15 and i dont understand why this is happening i am always hydrated, stretch and roll out but it still happens

  43. Please need help.
    Hi I am Wangmo 24, and I have been suffering form back pain, keen pain and thigh gap(v) part and sometime the pain even goes to my shoulder. I observe that it’s not exactly the pain but it’s kinda Numness and then pain. So I offen ask my fren to do massage and it makes me relax but it last for a few minutes only. And initially I thought it’s because of the change in weather as I moved in a hot place and I am using A.C. in my room which is very chill.
    My email id-
    Looking forward to help.
    Thank you.

  44. My dad, 79, has had back issues since I can remember. He started getting injections maybe 10yrs ago and it has helped, but no cure…he now take a plant based product that I am a distributor for and has had no back problems in over a year, but his knees keep him up at night. He also is walking like he is afraid he may fall because of his knees. He is a marine and so he complains very little, but the not sleeping is wearing on him. The relief he takes for his back is not helping the knees. Any suggestions?

    • Hi Kim

      Here’s the response to your question:
      Yes, I always have lots of suggestions when it comes to knee pain! 🙂

      In all the clients I’ve worked with over the past 2 decades…

      There is always a connection with the knees and the back

      With that being said:

      First of all it sounds like the “Plant based products” you are getting to your father is helping reduce inflammation in his body which helps in the body’s healing process.

      Second, your dad’s knees are stuck in a “Pain-Tension Loop”

      Tiny little nerves the width of an eyelash are being squeezed sending a signal to your dad’s brain that his knees hurt.

      The more pain he feels…

      The tighter the knee joints get…

      Irritating the nerves more…

      Causing more pain…

      Thus the “Pain-Tension Loop”

      The key to breaking this loop is to begin creating “Pain-Pattern Interrupts”

      These “Pain-Pattern Interrupts” gets the pressure off of these tiny nerves…

      Which creates a little space…

      Causing relief…

      Making the joint relax,

      which is comfortable.

      By creating “Pain-Pattern Interrupts”

      On a consistent and regular basis.

      You teach your father will teach his knee how to be comfortable again.

      Third, he’s gotta want to do this…

      It’s the old saying, “You can lead a horse to water but you can’t make it drink.”

      I understand how you hate to see your dad suffer…

      I’m sharing this with you because I had to learn this lesson the hard way…
      (My dad had a knee replacement last year)

      We can want them to get better all day long,


      They have to want to get better more than we do.

      With these three point being said,


      if that old Marine is up for another challenge.

      Then I’ve got a program to start getting relief in his knees today.

      Here’s a link to sign up for immediate access to “Knee Club”
      (Complete with “Knee Pain Reduction Quick Start Guide”)

      ===> Knee Club <=== Regards, Bill (The Knee Pain Guru) ~ “Putting the ‘FUN’ back into Knee DysFUNction”

  45. Bill I had been suffering on my lower back and I was told by the doctor that I have a pinch nerve and this back problem occurred last 1989, we were doing a air assault army training by helicopter. No one noticed that I was not wearing gloves even do I never noticed myself that I don’t had gloves on and I let go the rope about 60 feet from the ground and I dropped so hard to the ground on my back with a ruck suck on it and helmet on. I had a 3 degrees burn on my hands, I was told that I was not moving for 3 mins, I got up limping and shouting cause I was on pain on my back and both hands I had X Rays.,MRI and CT Scan on my back and the doctors found out about the pinch nerve and also have a lumbar problem And now both of my knees is also on pain every time my back is painful my knees do the same and my provider also believe that it is connected to the knees, my V.A doctors won’t do surgery because of my age, and my doctor try to submit a letter to the Department of Veterans Affairs, but Dept of Veterans Affairs denied telling my doctor that back pain is not connected to the knees. I am 70 years and I was told by a doctor from the Army that I will have a problems once I become older, Sir, all I need is your opinion / suggestion to tell my doctor. I made a copy of a three signs of knee pain accompanied by back pain to show it to my doctor , Orthopedic and Medical doctors.

  46. Charles
    Your entire body is connected. It’s ignorant for anyone to think that one part of your body is isolated and doesn’t affect every other part of you.

    Good luck at the doctor’s


  47. Hi
    My 18yr old daughter gets really bad knee pain which spreads to her lower back and heels after only standing for about 30 mins, this is causing her great distress. We are currently going to physio but nothing seems to be helping, the pain.

    The doctors just try to get her to take strong pain killers but this is just masking the symptoms not finding out what is causing it.

  48. Hi Guru ji,

    I am from India and my mother in law is suffering from pain from under her buttocks to her knees through her thighs. The doctors have told her its due to disc problem. Can you please tell what type of exercise and how long it will take to get over this problem.


    • Rithika
      There are too many factors left out of the information you provided which makes it difficult to answer your question.

      I will say that if your mother is in pain, exercise most likely will NOT get her out of pain and many times will make her pain worse.

      If you and your mother would like to discuss this further, please use the following link to setup a time for us to speak.


  49. Hello there,

    I am 37 years old, 5’2″ and 104 lbs. About a year ago I started working out with heavier weights and have been doing glute-focused exercises such as barbell glute bridges (currently at 160 lbs), barbell hip thrusts (155 lbs), romanian dead lifts (110 lbs), split squats (50 lbs), fire hydrant (25 lbs). In the last 6 months I noticed that my lower back has been very tight, no pain but just tight and cracks a lot when twisting my upper body. the right side feels a lot more tight than the left side. About 10 days ago my right knee started hurting. It’s on/off even during the same day. It does not hurt while I do these exercises but it starts hurting about 30 min after I am done, on/off. The pain migrates sometimes, it’s not always at the same location. Sometimes I feel it at the lateral side of my right knee and sometimes it is more in front of the knee, near the top of the tibia. I just started doing stretches but I am wondering if my tight lower back causes the knee pain. I hope my explanation makes sense…Thank you so much for your time and advice!


  50. Hi Bill

    About 5 years ago I had an MRI of my lower back and left knee. Buldging disc and a slight tear in left meniscus. Physical therapy helped relieve everything. Went dancing recently then couldnt walk on left knee. Had a 3D MRI I have a tear that requires surgery. While waiting for surgery I started having digestive problems that went from my abdomen to my back. Bloodwork came back healthy. Then I tried to climb in hubbys truck and I could sit my back hurt so bad. Went into his gravity table hoping to relieve the pressure I felt in lower back and hips. It has seemed to help quite a bit even my knee feels better. I started correlating the two and now wondering if I really need the meniscus surgery. Just custom built a reverse living two story looking forward to living there without knee problems

    • Absolutely, they are connected! The decision for surgery is going to be between you and your doctor.

      If I was in your position I would do everything possible to avoid any unnecessary surgery. because it always will be an option…


  51. Hi Bill,

    I’ve had knee pain in both knees for going on 4 years. MRI over the 4 years have show the knee joints to be in good condition. Cortisone, Blood Platelet Treatment, Suplaysn One extensive strength and conditioning and physio have not worked to solve the problem.

    Pain comes on when I am sitting for a long period (at work sitting in a bad chair, long flight etc) or cycling. I find the gym helps relive the knees as does walking on mostly flat routes. Lower back feels weak at times and gets tired really fast when bending over, such as under a car bonnet or unloading something from a low down cupboard etc.

    Do you do online consultations over Skype or the like? I’m desperate to find a solution and get back to sport.

    All the best,

  52. Hi
    I am 44 years old, experiencing right knee pain outer aspect. i was physically active and started serious running 6 months back, and progressed very fast from 7 km to 17 km in just 3 weeks, meanwhile i was also doing extensive high intensity training at gym and weekly hikes.I developed pain right knee after 3 weeks. Orthopedic on seeing my xray knee detected osteoarthritis and gave me steroid shots. . Took consultation from sport physician and chiropractor who recommended knee strengthening exercises. presently my chiropractor made me understand that that my low back ache and knee pain are correlated. I am getting my spine manipulation done. Will i be able to run again without my knee pain?

  53. It seemed as if the knee and the back pain is totally unrelated and very far from one another to affect each other. Your point is very valid and it does make sense though! Thanks for sharing, Bill!

    • Allen
      You can’t cause pain in one part of the body without it affecting the rest of the structure. It’s impossible, the human body is a system which is why when you stub your toe you clench your jaw and arms tense up…and the toes are smaller and further away from the arms than the knees are to the lower back…

  54. So when a muscle is tight over a long periode it is usually weak right? So by strengthening the psoas major you take the load of the knees?

    • Arne
      Not necessarily. The muscle that shows up as not as tight shows up as weak. There’s no way to tell how strengthening the psoas major will affect the knees.

  55. Bill,

    I got an appeal in thru VA to connect my left knee injury as a secondary condition due to my hips and lower back injury which are both Service connected. My right knee is also serviced connected and I had total knee replacement in 2015. I was reading this article and seeing what you said there I should be able to get it connected. What do you think? I have a lot of issues with this knee. I’m bone to bone grinding. I need it replaced but I’m still waiting in the VA. THANK YOU FOR THE INFORMATION! Feel free to send me some feedback.

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