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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 vaughn physical therapist
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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Some of the work does not look like work at all. Some of the work does not look like work at all.

Sometimes it looks like rest. Sometimes it looks like saying no. Sometimes it looks like doing 10 minutes when you wish you could do 60. Sometimes it looks like sitting on the couch and letting the day be small.

If you are someone who has spent your whole life proving you can push through, this part of the work will feel like failure at first. But try looking at it like this instead: it is part of what your nervous system has been asking you for the whole time.

A little reminder ❤️

#chronicpain #nervoussystemawareness #restisimportant #mentalawareness
I am not posting this from the other side of a fla I am not posting this from the other side of a flare. I am posting it from inside one.

For two weeks I have been doing the work I teach… pacing, resting, listening, modifying. None of it has fixed it.

And I have caught myself spiraling into the exact thoughts I would gently redirect a patient out of. “I should know better.” “I am the expert in this.” “What am I doing wrong?”

Here is what this flare has reminded me. Knowing the framework does not exempt you from living inside it. A regulated nervous system is not a permanent state. It is a relationship you keep coming back to. And the moments when nothing is working are not proof you are doing it wrong. They are proof your body is asking for something you have not figured out how to give it yet.

If you are in it too right now, I am right there with you. Tell me what is in your bucket this week. Let’s all share some support with one another.

#nervoussystemhealth #chronicpainawareness #chronicpainsupport #painflare #mindbodyconnection
I did a workout that should have been easy and los I did a workout that should have been easy and lost two weeks to it. Six months ago that same workout was nothing. Nothing about my body broke. My capacity is just being asked to cover more than it used to.

This is the thing I want every woman with chronic pain to understand before she beats herself up one more time. Your nervous system is not separating “the hard workout” from “the rough week at work” from “the night you barely slept.” It is pulling from one pool to handle all of it.

When you stop asking “what should I be able to do” and start asking “what can my body support today,” everything gets easier. Not in a wellness-quote way. In a real, your-actual-life way.
If your bucket has been full for a while, tell me what is in it.

Save this for the next time your body does something you do not understand. You will want the reminder.

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