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How do you guys still have knees? I've not been doing high-impact sports, just tennis a few hours a week for a few years, and my left knee always hurts now. Am I just unlucky?

Tennis is a sport that I think of as being especially punishing on knees - with all the quick changes in direction on hard surfaces.

In the past I had some issues with my IT band when I used to run longer distances. I was able to clear it up by using a foam roller in combination with other stretches. These days I have issues with my achilles/calf, which I’m sure I could clear up with a combination of strengthening, stretching, and weight loss - but instead have just been sticking to slower speeds and shorter distances. Cushioned shoes helped, too.

It may be worth seeing a sports or physical therapist. It’s amazing how much of a difference a strengthening exercise can make. Or if you’re like me and don’t like seeing doctors, there are a lot of physical therapy videos on YouTube to try out.

Last suggestion I have is to look into cycling. I ride with lots of guys who took up cycling after ACL injuries, achilles injuries, etc., forced them to give up other sports. With a proper bike fit, I think you shouldn’t have any issues with your knees. And can be done both indoors and outdoors (smart trainers and Zwift have come a long way in making stationary bikes more fun, though still not as fun as outdoors).

This is all good advice, thank you. I saw an ortho doctor, he recommended weight training, which I am doing, and cycling is my favorite cardio, so I need to do more of that.

Basically, I guess "exercise the thing up to the point where it starts hurting" is the general advice for this kind of thing. I just hope the pain can go away so I can enjoy tennis again.

You can’t foam roll or stretch away IT band issues, fascia just doesn’t work that way.
The danger to your knees scales with your weight class - no matter if you're overweight/fat or muscular.

A very lean and thin person weighting in at sub 70kg will hardly ever get issued with their knees, even if they run daily

Running mechanics also greatly impact injury risk. One of the best suggestions I got was to drastically increase my cadence, which forced me to go from longer (more powerful) strides to shorter (lower impact) strides. My observation is it also shifted much of the load from my lower legs (knees and ankles) to my core (hips and glutes).
Interesting, thanks. I need to lose some fat, then.
I took up running in 1978. I don't run as often, let alone as far, as I did 40 years ago, but I still enjoy it. As the parent comment says, it's quick and easy to lace on the shoes.
What are you doing for the knee pain?

If you weren’t doing any activity before, the pain is probably related to muscle imbalances, (relative) overtraining or similar. Obviously not a doctor but the takeaway shouldn’t be that exercise is bad, more that years of inactivity leads to serious atrophy that later causes injury when activity levels pick up.

Well, I was playing tennis, but that's what caused it.

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