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Runner's Knee Exercises

by Princeton Orthopaedic Associates


Runner's Knee Exercises

by Princeton Orthopaedic Associates

Treating Runner's Knee Through Strengthening Exercises

Effective exercises for runner's knee focus on strengthening muscles around the knee, improving flexibility, and enhancing stability. These exercises reduce stress on the kneecap and improve joint alignment. Runner's knee exercises are the cornerstone of your knee rehabilitation.


Straight Leg Raises

  • Purpose: Strengthens the quadriceps without placing stress on the knee joint.
  • How-To:
    • Lie flat on your back with one leg bent and the other straight.
    • Tighten the muscles in your straight leg and lift it to the height of the bent knee.
    • Hold for 2–3 seconds, then slowly lower the leg. Repeat 10–15 times per leg.
  • Why It Works for Runner's Knee:
  • Strengthens the quadriceps to support the knee.
  • Improves joint stability without bending the knee.
  • Reduces stress on the patellofemoral joint

Mini Squats

  • Purpose: Builds strength in key knee-supporting muscles while avoiding excessive stress.
  • How-To:
    • Stand with feet shoulder-width apart, near a chair or wall for balance.
    • Slowly squat down to about a 45-degree angle, keeping your knees aligned over your toes.
    • Hold for 1–2 seconds, then return to standing. Repeat 10–15 times.
  • Why It Works for Runner's Knee:
    • Strengthens the quadriceps, hamstrings, and glutes.
    • Helps stabilize the knee joint during movement.
    • Promotes proper alignment to reduce knee strain.

Clamshells

  • Purpose: Strengthens hip muscles to improve knee alignment and stability.
  • How-To:
    • Lie on your side with knees bent at a 90-degree angle.
    • Keeping your feet together, lift the top knee as high as possible without moving your pelvis.
    • Lower the knee slowly. Repeat 10–15 times per side.
  • Why It Works for Runner's Knee:
    • Targets the gluteus medius for better hip stability.
    • Prevents inward knee movement that strains the joint.
    • Enhances overall leg alignment during activities.

Step-Ups

  • Purpose: Strengthens lower-body muscles while mimicking functional movements.
  • How-To:
    • Stand in front of a sturdy step or platform.
    • Step onto the platform with one foot, driving through your heel to bring the other foot up.
    • Step back down with the same foot and repeat. Perform 10–12 reps per leg.
  • Why It Works for Runner's Knee:
    • Builds strength in the quadriceps, glutes, and calves.
    • Encourages proper knee tracking over the toes.
    • Improves balance and stability in functional movement.

Quadriceps Stretch

  • Purpose: Relieves tightness in the thigh muscles to reduce stress on the knee.
  • How-To:
    • Stand on one leg, holding onto a wall or chair for support.
    • Pull the opposite foot toward your glutes, keeping your knees close together.
    • Hold for 20–30 seconds, then switch sides.
  • Why It Works for Runner's Knee:
    • Loosens tight quadriceps that can pull on the kneecap.
    • Improves flexibility and joint movement.
    • Reduces strain on the patellofemoral joint.

Hamstring Stretch

  • Purpose: Reduces tension in the back of the thigh to improve knee alignment.
  • How-To:
    • Sit on the floor with one leg extended and the other bent.
    • Reach toward the toes of the extended leg while keeping your back straight.
    • Hold for 20–30 seconds, then switch legs.
  • Why It Works for Runner's Knee:
    • Loosens tight hamstrings that can pull the knee out of alignment.
    • Enhances flexibility and joint mobility.
    • Helps balance muscle tension around the knee.

Calf Stretch

  • Purpose: Eases tension in the lower leg to reduce stress on the knee.
  • How-To:
    • Stand facing a wall, placing your hands on it for support.
    • Step one foot back, keeping it straight, while bending the front knee.
    • Press the back heel into the floor and hold for 20–30 seconds. Switch legs.
  • Why It Works for Runner's Knee:
    • Loosens tight calves to improve shock absorption.
    • Enhances lower leg alignment during activity.
    • Reduces stress transmitted to the knee joint.

Single-Leg Balance

  • Purpose: Enhances knee stability and improves proprioception.
  • How-To:
    • Stand on one leg with your hands on your hips or out for balance.
    • Hold for 20–30 seconds, gradually increasing the time as your balance improves.
    • For added difficulty, try closing your eyes or standing on a soft surface.
  • Why It Works for Runner's Knee:
    • Strengthens stabilizing muscles around the knee and ankle.
    • Improves body awareness and balance.
    • Reduces improper knee alignment during movement.

Side-Lying Leg Lifts

  • Purpose: Strengthens outer thigh muscles for improved knee tracking.
  • How-To:
    • Lie on your side with your legs straight.
    • Lift the top leg slowly, keeping it in line with your body.
    • Lower it back down without letting it rest. Repeat 10–15 times per side.
  • Why It Works for Runner's Knee:
    • Strengthens the outer thigh to stabilize the knee.
    • Reduces lateral instability.
    • Improves overall knee alignment during movement.

IT Band Foam Rolling

  • Purpose: Relieves tension in the iliotibial band to reduce knee strain.
  • How-To:
    • Lie on your side with a foam roller under the outer thigh.
    • Roll slowly from your hip to just above the knee, pausing on tight spots.
    • Perform for 1–2 minutes per side.
  • Why It Works for Runner's Knee:
    • Loosens the IT band, which can pull on the knee.
    • Improves flexibility and reduces friction around the knee joint.
    • Enhances mobility for smoother movement patterns.
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