Hi there, I decided to take control of my weight 6 years ago. So I cut back on bread, no rice, no pasta or potatoes and walked about 50 hours per month and I lost 15 kilograms. Everything was fine uptil 2 months ago when I developed an annoying knee pain. I don't remember when it first started but it's rather annoying as not only I have to put up with the pain when walking but my knee can all but buckle up without warning. Is there a way to treat this. Before I moved to Thailand I knew a great chiropractor but as yet I haven't seen one in Pattaya. Are there any other suggestions to remove this pain?

1 hour ago, NONG CHOK said:

Are there any other suggestions to remove this pain?

Gentle cycling in place of walking works for me.

go see a real doctor

I played many sports in my younger days. When I was around 40 yo I ran in 5 marathons. I soon found out that doctors are useless for anything physical whereas a good chiropractor can fix most sports injuries that don't need surgery.

On 2/26/2026 at 6:03 PM, pomchop said:

go see a real doctor

Yes.

Agree 100 percent.

They can keep their chiropractors.

Almost 2 hours a day -- that's a lot of walking.
I have knee problems from marathon training -- I took up swimming.
I suggest the pain is a warning sign and with your knee buckling up you really need to see an orthopaedic surgeon ASAP.

Start doing your mobility and stretching exercises. YouTube is a great source for great guides. Most can solve their problems in short time of period. If not or same time go to an orthopedic and check if there is something else

I fractured my knee a few decades ago.

It has not bee the same since.

Now, I am getting these clicking noises.

This has occurred, probably, due to the fact that I gave up walking/exercise for many months.

I will first tray a regimen of walking and see if the clicking sounds go away.

I am a firm believer that moderate exercise can cure most problems.

If this does not work, then I will see a REAL doctor.

Significant excess body weight is a killer for the knees.

On 2/26/2026 at 4:45 PM, NONG CHOK said:

When I was around 40 yo I ran in 5 marathons.

There's your answer. For any distance more than a mile take the bus.

IMHO a physio would be better to see than a doctor ( too generalist) or a chiropractor (more concentration of skeletal geometry). You might have meniscus or cartilage damage, please get that checked. But, if I may, I'll share some advice that I got a few years ago that basically cured me of the type of knee pain you are getting as I understand it.

Your thigh muscles are the "shock absorbers" for your knees. Strengthen your thighs, but by that I mean keep them supple and pliable as well as stronger, tight muscles cannot absorb shock. That may take a bit of time though. As an interim, try a patella support (see photo). My physio told me there is no clinical evidence of "why" this works, but it seems to fool the brain into using the thigh muscle to provide shock absorption. But, importantly, this is not a long term solution. Get your thigh muscles strengthened.

The suggestions made about cycling are good, but poor pedalling technique or saddle height can exasibate knee pain. Be careful. Swimming is good as it's non weight-bearing, but I was advised to avoid the breaststroke-style kick as that is putting strain on the knee cartilage.

I must stress that this is the advice I got, your exact situation may be wholly different.

Going back to the chiropractor suggestion, might not be a bad thing as your skeletal geometry might be a bit out, and this could be adding to strain your knees. I once got measured as having >1kg of weight more on one knee than the other due to hips being a bit out.

Also, your shoes might not be helping. Pronantion or arch support might be missing. I dunno of course.

Hope this helps! And congrats on the weight loss.

I walk 5k everyday and a few years ago I started getting pain in my left knee. I believe the doctor said it was rheumatoid arthritis. I now walk with a knee brace and I take glucosamine every day. It has helped. Very rarely do I feel any pain.

If your knees are not good you cannot really walk for long. Changing your gait and body posture while walking can sometimes help. So can walking on irregular terrain, as opposed to walking flat where the strain is stricly repetitive.

Best advice see someone. Choindroitin, Glucosamine, Shark Cartilage and MSM all help, but can't replace the damage you've done by all the running. I did this to myself squatting very heavy weights for 40 years until I had to see a doctor for a meniscus tear. After that I just did leg press, curls and extensions but the damage was already done. Buckling is definitely a problem and I've experienced that occasionally. Some days I feel nothing and some it's stiff when I get up and have to walk a bit. Walking is always a good exercise, as is bicycling and swimming, as your body is supported. Using a brace until you see someone also helps support the knees. What Watawattana said can also help. My best friend used to walk everywhere, and downhill skiing a lot also, and he got to where he couldn't walk normally at all. Got a hip and knee replacement and he was okay. Again, it's best to get a doctor to look at the knees and go from there.

On 2/28/2026 at 3:53 PM, fredwiggy said:

Best advice see someone. Choindroitin, Glucosamine, Shark Cartilage and MSM all help, but can't replace the damage you've done by all the running. I did this to myself squatting very heavy weights for 40 years until I had to see a doctor for a meniscus tear. After that I just did leg press, curls and extensions but the damage was already done. Buckling is definitely a problem and I've experienced that occasionally. Some days I feel nothing and some it's stiff when I get up and have to walk a bit. Walking is always a good exercise, as is bicycling and swimming, as your body is supported. Using a brace until you see someone also helps support the knees. What Watawattana said can also help. My best friend used to walk everywhere, and downhill skiing a lot also, and he got to where he couldn't walk normally at all. Got a hip and knee replacement and he was okay. Again, it's best to get a doctor to look at the knees and go from there.

We are lucky to live in Thailand,there are excellent sources for cartilage repair that are not only very affordable but also the best!

Fried pork skin is the best and cheapest source!

2 minutes ago, jvs said:

We are lucky to live in Thailand,there are excellent sources for cartilage repair that are not only very affordable but also the best!

Fried pork skin is the best and cheapest source!

I eat very low fat, almost nothing fried, and no skin of anything. I use collagen for many reasons, including joints. I do know pork cartilage is supposed to be good for joints.

What do the x-rays show? When my hip was replaced the x-rays clearly showed the cartilage around the joint basically gone.

I also walk a lot and I started getting knee pain about 2 years ago. After a lot of trial and error I found out the cause was gout.

I have high uric acid and now I take Colchicine and Allopurinol to keep the gout at bay. No more knee problem.

Also see a podiatrist, you might have flat feet as I do. Professionally fitted orthotics have greatly reduced my knee pain. You can see the difference in the soles of my old shoes - instead of being worn and squashed on the inner side, there’s now even wear across the soles.

On 2/25/2026 at 6:17 PM, NONG CHOK said:

Hi there, I decided to take control of my weight 6 years ago. So I cut back on bread, no rice, no pasta or potatoes and walked about 50 hours per month and I lost 15 kilograms. Everything was fine uptil 2 months ago when I developed an annoying knee pain. I don't remember when it first started but it's rather annoying as not only I have to put up with the pain when walking but my knee can all but buckle up without warning. Is there a way to treat this. Before I moved to Thailand I knew a great chiropractor but as yet I haven't seen one in Pattaya. Are there any other suggestions to remove this pain?

You might wanna check your shoes. Maybe your shoes wore out and you need to replace it. I would go to a running shoes store and see if you can find a proper shoes to your needs. You need to find a knowledgeable person about running. It might be a tight ITB. Over or under pronation. I would avoid walking or running on pavement. Ice your knee a few times a day for ten to fifteen minutes with your legs elevated, maybe over a desk or chair. All the knee problems I started to have over the years were caused by wore out shoes. It is a good idea to replace your shoes every 300 miles. I am not sure why I know that. Do not ask me. You should try to figure out what you did different that might have caused the knee issue. That would be the ideal. Since you don't remember my best guess would be a wore out shoes. If I had similar knee issue i would use my hand and press around the knee area, specially on the outside above and bellow the knee. See if you can find any tight or sore spots. Tight ITBs can cause knee issues and if it is not treated can make things worse. I am not a doctor. This is only for entertainment purposes.

On 2/26/2026 at 6:03 PM, pomchop said:

go see a real doctor

Clinic = B700....dose of tylanol.

Bangkok or PIH = intensive therapy, dose of tylanol....B20,000.

Or as Britman said.....cycle.

Works for me too.🙃🙃

On 2/26/2026 at 9:17 AM, NONG CHOK said:

Are there any other suggestions to remove this pain?

Can you do bodyweight squats without pain?

If so, this may strengthen the ligaments/tendons around the knee.

Can start with just 2 or 3 and work your way up.

But if you feel pain, best not to do them.

Also, not sure chiro can fix knee pain.

I would consider a Physiotherapist, stretching, join a yoga class.

27 minutes ago, Lucky Bones said:

Clinic = B700....dose of tylanol.

Yeah, but you can't take Tylenol on a long-term basis.

It will cause liver toxicity.

59 minutes ago, save the frogs said:

Yeah, but you can't take Tylenol on a long-term basis.

It will cause liver toxicity.

Ha-Ha!

Liver damage?

I lived 34 years in tropical Darwin from 79, aged 21-55.

Liver forgave me a long time ago.🙃🙃

2 hours ago, Lucky Bones said:

Ha-Ha!

Liver damage?

I lived 34 years in tropical Darwin from 79, aged 21-55.

Liver forgave me a long time ago.🙃🙃

That was probably due to those Darwin stubbies.

14 minutes ago, NONG CHOK said:

That was probably due to those Darwin stubbies.

Cheers.

NT draught.

Horrible stuff.

But yesh. (sic)

I did knock over a few!🙃🙃