The phrase often describes a non-physical defeat or submission, not an actual person falling down. The relentless competition brought the company to its knees.
Pro Tip 2/3
Severity of Situation
It implies a very difficult or desperate situation that's hard to recover from. Sanctions have brought the nation's economy to its knees.
Pro Tip 3/3
Colloquial Expression
Used informally, more common in spoken language or narrative styles. After hours of negotiations, the workers' strike brought the city to its knees.