If achy knees have you avoiding the stairs, taking the elevator might not be the cure-all: Pain while climbing up steps could actually be an early sign of knee osteoarthritis (OA), finds research from the University of Leeds.

In the study, participants answered annual questionnaires that asked whether they felt knee pain during different everyday activities, and if so, how severe it was. For those who started the study pain-free, climbing steps tended to be the first source of knee discomfort, which researchers interpreted as a possible early warning sign of knee OA. 

That’s most likely because step-climbing puts more stress on the knee joint than walking alone, says study coauthor Philip Conaghan, PhD. When that kind of pressure leaves you hurting, it could be a sign that other, gentler activities will end up posing a problem for your knees later on.

MORE: Do This At The Airport To Prevent Back Pain When You Travel

Knee OA tends to strike people over 40, but symptoms can start much sooner if you're super active—especially if you play high-impact sports—or have already had a serious knee injury like a ligament tear. And if you feel these pains cropping up early, it’s a good idea to start making changes now to help prevent arthritis and stave off more serious pain and structural damage down the road.

"The important thing to do is modify training or activities to reduce impact, like less running and more swimming or bicycling," Conaghan says.

If your symptoms persist, see a physical therapist. He or she can help you find ways to take more pressure off your joints, like quad-strengthening exercises. You'll also probably be advised to drop some pounds if you're overweight.

(If you have knee pain, try The Low-Impact, High-Intensity Cardio Workout That’s Easy on Your Knees.)

The article "What Your Knee Pain May Be Telling You" originally ran on Menshealth.com.

MORE: The Lower Body Move That Protects Your Knees

Headshot of Marygrace Taylor for MensHealth.com
Marygrace Taylor for MensHealth.com
Marygrace Taylor is a health and wellness writer for Prevention, Parade, Women’s Health, Redbook, and others. She’s also the co-author of Prevention’s Eat Clean, Stay Lean: The Diet and Prevention’s Mediterranean Kitchen. Visit her at marygracetaylor.com.