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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 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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This was a test. For the last couple of months, I This was a test.

For the last couple of months, I’ve been thoughtful about when I train legs while managing back pain. It’s not a hard rule, it’s just what makes sense in the season I’m in.

But I’ve also been doing a lot of foundational work and I wanted to see if that’s gotten me to a place where I could test my body a little differently.

Today wasn’t about adding weight or reps. It was about seeing if I could handle a familiar workout while actively experiencing some back pain. Could my body tolerate what I already know it can handle?

Turns out, yeah. And that tells me something about the work I’ve been putting in.

#stronglooksdifferentnow #returntostrength #backpainrecovery #chronicpain #listentoyourbody
If this week has already felt like too much before If this week has already felt like too much before it even really started, this one is for you.

You are probably actively trying to rest. Rest days, early nights, stepping back when you can. And you are probably still waking up exhausted, still carrying the weight of yesterday into today, still wondering why nothing is fully resetting.

Here is what nobody told you: your body being horizontal and your nervous system being at rest are two completely different things. You can stop moving and still be bracing. Still be running the list. Still be waiting for the next thing to land.

The tools that actually help are not the ones that require perfect conditions. They are the ones small enough to use in the middle of real life: at your desk, and between meetings, while you are already in it.

The full breakdown is on the blog. Link is in bio.

#nervoussystemregulation #chronicpainsupport #restandrecovery #nervoussystemhealth
You might be treating four problems that are actua You might be treating four problems that are actually one.

When you are living with chronic pain, fatigue, poor sleep, and anxiety all at once, it is easy to assume each one needs its own fix. But, when you keep addressing them separately and nothing fully sticks, that is information.

Your nervous system is your body’s control center. It regulates pain signals, sleep cycles, energy levels, and stress responses. When it gets stuck in a prolonged state of threat, all of those systems get pulled into that same dysregulated state. Your body is doing exactly what it was designed to do when it does not feel safe.

The problem is not that you have four things going wrong at once. The problem is that the one thing driving all of them has not gotten the support it actually needs.

That is not a willpower or discipline issue. That is a nervous system that has been running in “threat mode” for a long time and needs a different kind of approach than what you have been trying.

When you start working with your nervous system instead of managing each symptom separately, things shift in a way they never did before. Not overnight, but slowly, overtime, in a way that actually gets to the root of the problem.

Pain level is one data point. It is not the whole story.​​​​​​​​​​​​​​​​

#chronicpainrecovery #nervoussystemhealing #painmanagement #chronicfatigue #healingchronicpain
You’re taking rest days, sleeping more, and saying You’re taking rest days, sleeping more, and saying no to plans.

And you still wake up exhausted, still hurting, and still wondering what you’re doing wrong.

Here’s what nobody is telling you: physical rest and rest for your nervous system are not the same thing.

You can lie on the couch for eight hours while your brain runs a full sprint. Your heart rate stays elevated, your muscles stay braced, your body keeps producing the same stress response it would if you were actually in danger (just at a smaller scale).

You’re horizontal, but your nervous system never got the memo.

And a body that never leaves threat mode cannot repair itself. 

That’s not a discipline problem or a motivation problem. That’s just biology.

Rest days inside a stressed body aren’t rest. They’re just a pause.

Real recovery starts when your nervous system finally gets the signal that it’s safe to come down. That’s a completely different thing and it requires a completely different approach than just stopping movement.

If you’ve been resting and still not recovering, this is probably why you’re not noticing any considerable improvement in your symptoms. 

Tell me in the comments: do you take rest days and still wake up feeling like you didn’t rest at all?

#mindbodyconnection #nervousystemregulation #burnoutrecovery
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