Gardening with knee pain and setting up a knee-friendly garden
Dr Nicola Tik

Weeding the borders, planting out and getting up and down from the ground can all ask a lot of your knees. When one is sore, gardening can start to feel like more effort than pleasure. A few changes to your tools, your garden and how you pace the jobs can help you keep enjoying it.

Why gardening can be hard on your knees

Much of gardening happens at ground level. Kneeling at the borders puts pressure on the front of the knee, and squatting to weed or plant bends it deeply. Getting up and down from the ground again and again, and carrying bags of compost or full watering cans, all add up.

None of these is harmful in itself. But when your knee is sore, long spells of kneeling or squatting can make it grumble.

Kneelers and seats

Some ideas:

Raised beds and containers

Bringing the garden up to you can make a big difference:

These can be added gradually, starting with the areas you use most.

Long-handled tools

Long-handled tools let you do many jobs standing:

Lifting and carrying

Carrying heavy loads adds to the load through your knees. Some ideas:

Pacing seasonal jobs

Gardening often comes in bursts, like spring planting or the autumn tidy. Some ideas:

Reading how your knee responds

A mild ache after gardening that settles by the next morning is usually fine. If your knee is sorer, stiffer or more swollen the next morning, make your next session shorter and add more breaks.

Building leg strength

Strong leg and hip muscles help your knees cope with gardening, especially getting up and down. Research on knee pain has found that combining hip and knee strengthening works better than knee exercises alone. Something to try two or three times a week:

If you would like to follow along, VIDA has short videos of sit to stands, bridges and heel raises you can use at your own pace.

Getting up from the ground

A steady way to get up can make a big difference. Something to try:

When to get it checked

You should get it checked by a GP or physiotherapist if your knee swells up quickly, locks so you cannot straighten it, or gives way.

Building back up

As your knee feels easier, you can gradually take on longer sessions and more ground-level work. Your VIDA pain check-in is a good way to keep track of how your knee responds.

What to take away

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