Patient question
Why is knee arthritis more common in women, and what can women do about it?
Quick answer
Women develop knee osteoarthritis more often than men, especially after menopause. Hormonal changes, wider hips and knee alignment, lower thigh muscle mass and weight gain all contribute. Strength training, weight management and early assessment make a real difference, explains Dr. Pablo Gelber, orthopaedic knee surgeon at Aman Hospital in Doha, Qatar.
Why women are at higher risk
- Hormones: oestrogen appears to help protect cartilage and bone, and the drop after menopause coincides with a rise in knee arthritis
- Anatomy: a wider pelvis changes the angle of the thigh to the knee, which can increase load on parts of the joint, particularly behind the kneecap
- Muscle: women generally have less thigh muscle mass, and strength declines further with age if it is not trained
- Weight: pregnancies, the menopause and less time for exercise can all lead to weight gain that the knees carry with every step
- Previous injury: women playing pivoting sports such as football, padel or basketball have a higher rate of ACL tears, which increases later arthritis risk
Life in Qatar adds its own factors
Many women in Qatar find regular exercise hard to fit around work, family and the summer heat. Kneeling and floor sitting for prayer, family gatherings and household tasks place repeated deep-bending load on the knee. None of this causes arthritis on its own, but it can make symptoms appear earlier and be more noticeable.
What helps most
Strength training is particularly valuable for women, because it rebuilds the muscle that protects the knee and also supports bone health after menopause. Women-only gym sessions, home programmes with resistance bands, aqua classes and walking in air-conditioned spaces are practical options in Doha. Even modest weight loss reduces knee pain for many women. Vitamin D levels are worth checking, as low levels are common in the Gulf and affect muscle and bone, although vitamin D does not treat arthritis itself.
When to see a knee specialist
Do not dismiss persistent knee pain as just part of getting older. If it affects prayer, stairs, sleep or caring for your family, an assessment can clarify the cause and the options. At Aman Hospital, Dr. Gelber examines the knee and its alignment, reviews standing X-rays and builds a plan that fits your daily life. A female chaperone can be requested for the examination.
Frequently asked questions
Does hormone replacement therapy prevent knee arthritis?
The evidence is not clear enough to use HRT for this purpose. Decisions about HRT should be made with your gynaecologist for other reasons.
Are women's knee replacement results different?
Women generally do as well as men after knee replacement. Implant sizes and shapes cover the range of female and male anatomy.
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