I have reached a real turning point with my knees where going DOWNHILL 4500 feet (or 2500, lol) hurts as much as going UP! Damn skiing..........
Thats a large part of why I use trekking poles with a pack on. I can climb anything, anytime and nothing hurts. Downhill tears me up bad. Do more lunges when you're at the gym (and see a physical therapist too, and do what they say) I haven't had any trouble with my left knee for a few months, we'll see how it holds up this spring with a pack on. What tore mine up was pounding on it all those years in JuJitsu