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How to Strengthen Knees for Function and Performance

May 16, 2023 · In: Movement, Strength for Resilience

One common question I frequently hear of is how to strengthen knees, whether it is for athletic performance, going on hikes, or going up and down the stairs. This article has stated that one in four adults suffers from chronic knee pain. With the increasing prevalence of knee pain, it is important to address common concerns and how to help reduce knee pain conservatively. This post will address how to strengthen knees for various concerns and levels of performance.

how to strengthen knees

How to Strengthen Knees for…

Daily Life

Think about the activities you have to do in your daily life. This can include sitting and standing, going up and down stairs, running errands, taking care of others, etc. You body needs to be able to withstand all of this activity on a daily basis. Consider how much time we spend on our feet. You should be training your body based on the types of activities it needs to be able to withstand.

Common exercises include strengthening the quads and glutes while also paying attention to form. Form can play a big part in helping reduce added stress to certain areas of the knee, particularly to the front and inside parts of the knee.

Active Living

The knee joint sits between the ankle and the hip meaning both can act on the knee. While knee pain can come directly from the knee, sometimes it can also be caused from issues with either the ankle or the hip. When you live a more active lifestyle (hiking, frequent workout classes, cycling, etc.) you have to make sure all portions of the lower extremity are working synergistically. That is, every part needs to contribute in some way. You shouldn’t have too much stress going to one area of the leg.

This is something we frequently see with the knee joint. Lets take cycling for example. Some cyclers have bouts of knee pain. Increased stress to the knee can occur if the setup on the bike is not adequate for the rider. Other common faults are lack of mobility in the ankle and hip joints. Now why would this cause an issue to the knee?

If the hip or ankle joint is stiff and doesn’t move well, your body will most likely compensate for the lack of mobility by adding extra stress onto the knee joint causing it to either overwork or move too much in a direction you don’t necessarily want. Now a few revolutions of this may not cause any issue. But if you frequently ride during the week or you take long bike rides here and there, the repetition of stress to the same area through the knee will add up over time.

As discussed earlier, form is important to pay attention to. When dealing with repetitive stress to the knee, you have to break down the form to figure out what is the “break in the chain” that is leading to the knee feeling weak, painful, or both.

Athletic Performance

An athlete needs to be able to withstand lots of force through the entire lower extremity. Based on the sport they are returning to, an athlete needs to be able to jump and land, react at a moments notice, change direction quickly, sprint, throw, etc. The body needs to be able to withstand these intense loads, absorb impact, and function at much higher levels than the typical activities of daily living. Click here to learn more about function vs performance.

Strengthening knees for athletic performance combines form, high levels of dynamic strengthening and endurance, and stability.

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Tera Sandona
Tera Sandona

Tera Sandona is a licensed Doctor of Physical Therapy (DPT) and the founder of PT Complete. She helps high-achieving women break out of cycles of chronic pain, stress, and burnout through her Regulate and Rebuild Method, a sequenced approach that addresses the nervous system first and builds strength second. Her work focuses on helping women finally understand their bodies, rebuild strength, and create lasting resilience that fits real life.

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By: Tera Sandona · In: Movement, Strength for Resilience · Tagged: capacity building, confidence with movement, functional movement, knee, strength training

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Meet Tera

Meet Tera
hi, i'm tera!

I'm a licensed Doctor of Physical Therapy and the founder of PT Complete. I built the Regulate and Rebuild Method because most people trying to get back into their body after chronic pain are told to either push through it or rest completely, and neither one actually works. I write from the clinic and from my own body, since I'm working through my own chronic pain story right now, too. When I'm not working, you'll probably find me managing the regular chaos of life or curled up with coffee and a dessert I can't seem to quit.

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chronic back pain and stress

Strong Looks Different Now: Chronic Back Pain and Stress When the Workouts Finally Work

Woman pausing to check in with her body during a busy day, a small moment of nervous system awareness

Allostatic Load: What Your Body Is Keeping Score Of (And Why It Matters for Chronic Pain)

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How to Survive the Holidays With Chronic Pain (Without Becoming the One Who Ruins Everything)

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On a good day, it’s tempting to do everything you’ On a good day, it’s tempting to do everything you’ve been saving up, and that’s usually when the crash comes.

A good day can be a test, just a small one. Add a little more than your usual (a few extra minutes, one more set), then notice how you feel that night and the next morning. If you’re steady, you have information about what your body can take. If you’re not, you have that information too, and it points to a smaller step next time.

Everything on this list comes from the same idea: strength gets built at the speed your body can absorb.

Save this for your next good day, or send it to the friend who goes all out when she finally feels good, then pays for it later.

#chronicpain #painscience #strengthbuilding #returntostrength #chronicpainawareness
September 🏝️👙🌊☀️⛱️🍾🍋🥝🥑☕️ Filled with one amazing t September 🏝️👙🌊☀️⛱️🍾🍋🥝🥑☕️
Filled with one amazing trip and tons of food
When you’ve been hurting long enough, your body ge When you’ve been hurting long enough, your body gets very good at saying stop, and it doesn’t always say it because something is being damaged. Sometimes it’s the pain and sometimes it’s the fear the pain left behind (both are real, and they can feel identical from the inside).

For years you may have moved around one movement, avoiding the exact position that causes pain, and sometimes you’re still doing it after the movement has stopped hurting (I still catch myself doing it too).

That makes sense because your body learned the pattern while the pain was real. It can keep bracing before you’ve even started moving. Sometimes you recheck and the pain isn’t there.

What I see clinically is that stop signals get treated as pain by default, when some of them can be learned protection that’s outlasted the pain. The two can feel identical from the inside. Both deserve respect.

Sometimes the useful move is a small, careful test: try the movement once, slow and small, see what’s there. If the pain isn’t there, keep going. Stop if the pain is there and sharp or progressively getting worse.

Telling them apart is a skill (and a slow one for most people).

Save this for the next time you catch yourself moving around something that used to hurt.

#chronicpainlife #nervoussystemsupport #painscience
I’ve taken three weeks off working out between tra I’ve taken three weeks off working out between travel and getting sick, and then life just picked back up again before I felt ready for it.

The whole time, my body has been stressed in a way sleep hasn’t fixed, wired and on edge, snapping at small things that shouldn’t be a big deal.

I kept telling myself I’d feel better if I just sat down and worked instead. Sitting still felt like the safer choice.

It wasn’t. It was just a different kind of stress with nowhere to go.

Exercise is technically a stressor too, but the right amount of it can help a nervous system come back down instead of staying stuck in high alert. Too much too fast just adds another demand on a system that’s already maxed out.

This is something I watch play out constantly. Someone’s system is already maxed out and the instinct is to either push through anyway or stop moving completely. Neither one actually gives the nervous system what it needs.

So today I did something easy instead: an arm workout, kept light, with nothing that leaves me flattened afterward.

It’s still real strength work. I’m still showing up. It just doesn’t have to be all or nothing to count.

Starting is usually the hardest part and you’re allowed to start in the messy middle instead of going all in or not at all.

If you’ve ever put off the small version of a workout because part of you decided it didn’t count unless it was the hard one, tell me. I want to know I’m not the only one.

#capacitybuilding #pushcrashcycle #chronicpainawareness #regulateandrebuild #chronicpaincommunity
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