Why does my knee make a popping sound when going upstairs, but it doesn't hurt and doesn't make sounds when walking?

May 28, 2023 Source: Cainiu Health
Dr. Lin Yunfei
Introduction
If a person experiences knee clicking when climbing stairs but no pain, and the clicking does not occur during normal walking, it is generally related to factors such as knee ligament injury, hip joint damage, or changes in knee structure. Additionally, it may also be associated with osteoporosis, malunion of fractures, osteosarcoma, chondrosarcoma, or synovial sarcoma. It is recommended that patients seek timely medical evaluation and appropriate treatment at a正规 hospital upon experiencing such symptoms.

Knee clicking when climbing stairs without pain or noise during walking is generally associated with factors such as knee ligament injury, hip joint damage, and changes in knee structure. Specific analyses are as follows:

1. Knee Ligament Injury

Inadequate warm-up before exercise or incorrect exercise posture may lead to injuries of the cruciate ligaments. For example, sudden body rotation while the knee is in a flexed position can cause ligament tears—known as knee ligament injury. In such cases, patients may experience knee clicking specifically when climbing stairs, without pain or any sound during regular walking. If the injury is mild, initial treatment may include ice application. Ice therapy helps reduce swelling and pain caused by joint inflammation and supports recovery of normal knee movement.

2. Hip Joint Damage

This condition is usually caused by prolonged intense physical activity or heavy manual labor. Excessive long-term exercise places excessive stress on the hip joint, leading to damage of cartilage and bone tissue. As a result, knee movement may be affected, causing audible clicking in the knee without pain. In mild cases, engaging in targeted rehabilitation exercises can effectively promote normal knee function, improve joint mobility, and prevent further injury.

3. Changes in Knee Structure

Fractures or osteoarthritis of the knee joint can lead to local degeneration, overgrowth, and aging, potentially altering the shape and structure of the knee. If structural abnormalities are not corrected promptly, knee clicking may occur when climbing stairs, even in the absence of pain. If inflammation causes both clicking and pain, pain relievers such as ibuprofen sustained-release capsules or celecoxib capsules may be taken as directed by a physician to alleviate discomfort.

In addition, similar symptoms may also be related to osteoporosis, malunited fractures, osteosarcoma, chondrosarcoma, or synovial sarcoma. Patients experiencing the above symptoms should seek timely evaluation and appropriate treatment at a reputable medical facility.