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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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I'm a practicing physical therapist based out of sunny SoCal who loves to educate others and share information and knowledge. You can typically find me hard at work trying to manage normal life or cuddled up under a blanket enjoying coffee or desserts I can never seem to get away from!

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woman testing a gentle movement baseline during a slow walk

What is Gentle Movement? (And Why Most Advice Gets It Wrong)

woman taking a planned rest break while pacing an activity with chronic pain

Pacing for Chronic Pain: The Skill No One Teaches You (And How to Actually Start)

woman managing push crash cycle chronic pain fatigue

The Push-Crash Cycle: Why High-Achieving Women Keep Falling Into It

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Somewhere along the way, gentle movement became a Somewhere along the way, gentle movement became a genre instead of a description. A category of things, restorative yoga, gentle stretching, slow walks, that you’re supposed to do when you’re not up for a “real” workout. This means most days you either skip movement completely because nothing on that approved list sounds appealing or you push straight past it into something your body wasn’t actually ready for because gentle felt like admitting defeat.

Here’s the part nobody explains. Gentle was never supposed to be a fixed list of activities. It’s a match between whatever movement you’re choosing and where your nervous system actually is that day. On a Green Light day, a hike can be gentle. On a Red Light day, five minutes of walking around your kitchen can be more than enough. Calling it gentle isn’t you being soft, it’s you reading the room your body is actually in.

That’s the piece the standard advice skips. You can’t match movement to capacity if nobody’s taught you how to read your own capacity in the first place. That’s what the Traffic Light System is for. Not a chart to memorize, but a way to actually check where you are before you decide what “gentle” looks like today.

So the next time someone tells you to “just do something gentle,” ask yourself what your system needs today, not what the label says gentle should look like. Some days that’s a walk. Some days that’s getting down onto the floor and back up. Both count.

Comment “red” or “green,” whichever one today actually is. There’s no wrong answer.
It’s been sitting there for months. Maybe it was a It’s been sitting there for months. Maybe it was a gift or maybe you bought it yourself in a burst of “this year I’m going to actually rest.” Then, work picked up or one of the kids got sick, and the book stayed closed...same bookmark, same page, for weeks.

Every productivity hack tells you to schedule yourself in like an appointment. To block the time and treat it as non-negotiable. That misses the real problem. You can put an hour on the calendar and still not open the book because the block was never the missing piece. What’s missing is a nervous system that has to believe stopping is actually safe before any schedule works.

You’ve told yourself it’s because you’re busy. And if you’re honest, it’s quieter than that. Every time you chose between something for yourself and one more thing for someone else, someone else won. Not because you’re weak, but because somewhere along the way, your body learned that stopping wasn’t safe, so it stopped asking to be prioritized at all.

That’s not poor time management. That’s the sign. The women who are just busy find the five minutes. The ones who take care of everyone else first, don’t. Their own needs stopped registering as needs a long time ago and “later” became the answer to everything that was actually about them. And right now, with school starting back up in a few weeks and every calendar about to fill in again, this is exactly the season it gets worse, not better.

You are not broken. You are dysregulated. The order matters and the fix isn’t a better system. It’s teaching your nervous system that it’s allowed to stop before it’s forced to.

Open the book tonight, even for two minutes. Not to finish it, just to prove to your body that stopping doesn’t cost you anything. Then, save this for the next time you need the reminder.
Everyone treats the moment pain stops as the finis Everyone treats the moment pain stops as the finish line. It’s not. I’m currently two weeks into the longest pain-free stretch I’ve had in a long time, and this afternoon, I still braced myself to load the dishwasher. I had hands on the counter and on my thighs doing everything I could to avoid just bending forward. Then I stepped back and stood there and nothing hurt. So I bent down again, without any support, and it still didn’t hurt! My brain and movements are still anticipating what I’ve grown accustomed to.

So if you’re still bracing for a pain that already left, try this: next time you catch yourself hesitating, stop and ask, “is this pain or is this the memory or anticipation of pain?” That’s the whole gal. You’re not imagining it and you’re not behind. You’re just not caught up yet.

Save this for next time you catch yourself doing it. And follow along if you want to hear me talk more about this topic.
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