Happened to me while hiking on Madeira too. One knee hurt like hell and I was unable to bend the knee. Going downhill for a long time is very hard on the knees. My other knee was ok fortunately and I used it for most of the pressure. Glad the knee healed in 2 or 3 days and my travel didnt get totally ruined.
Hiking poles should prevent or at least delay this kind of knee pain.
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Yeah it can happen easily on long hikes. My knees have always been bad. I made the mistake of never doing leg exercises to strengthen the muscles around the joints. This hike definitely did permanent damage but I don't know how severe it is. I can still do most regular activities and can still hike if I don’t push too hard m, so that's lucky.
Good point about the poles. I'll remember that.