Knee pain after hiking is usually caused by overuse, strain on the knee joint during descents, or an underlying condition such as iliotibial band syndrome or patellar tendinitis. Most cases improve with rest and home care, but persistent or severe pain may need a medical evaluation. Post-hike knee pain is one of the most common complaints among outdoor enthusiasts, and it can range from mild soreness to sharp, debilitating discomfort. The knee absorbs significant force ...