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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 practicing nervous system regulation for chronic pain

Nervous System Regulation Isn’t Working? What to Do Next

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Strong Looks Different Now: Rebuilding Strength After a Chronic Pain Flare

Woman in athletic wear sitting on a yoga mat, pausing rather than working out, representing rest as part of consistency

Can’t Stay Consistent With Exercise? It’s Not a Discipline Problem

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@teravaughn22

teravaughn22

I help high-achieving women stuck in pain & burnout
→ build strength, regulate, & heal deeper
💌 Join 100+ women reclaiming their strength 🔗

I got back from vacation this week and it’s that s I got back from vacation this week and it’s that specific feeling a lot of people are having right now…trips wrapping up, summer easing into the back half, and the to-do list doesn’t ease you back in with you.

By day two, my body had already picked up right where it left off. Nothing dramatic was happening, just returning to work and a to-do list, and I noticed I was moving through it revved, like the trip never happened.

That’s when it hit me: this isn’t about how busy the day actually is. I’ve trained myself to stay revved, even when the crazy part of the day is over.

Every productivity hack is built to get you through the list faster. None of them ask what your nervous system is doing while you’re crushing it.

Lately I’ve been testing a different question while I do the boring stuff, the emails, the errands, the folding, and the unpacking. Not how fast can I get this done, but how calm can I be while I’m doing it?

The task itself never changes. What changes is what my body is doing underneath it and that’s the part that actually decides how the rest of the day goes.

Save this for the next time you notice yourself running hot through a day that’s actually pretty calm.

#productivityhabits #productivitytip #calmoverchaos #chronicstressrecovery #chronicstress
Calming the body’s alarm and rebuilding the body a Calming the body’s alarm and rebuilding the body are two different jobs. The order matters.

Sometimes calming the mind and body is as simple as wind moving through the trees, water running over rock, birds going back and forth, and your feet in the grass or the sand.

Research has found that nature sounds pull the nervous system out of fight-or-flight and toward rest and digest. The body reads these sounds as a signal that it’s safe. Meditation, a quiet minute alone, and a massage all work too. Nature is just one more way to get there.

Here’s the part almost nobody names. Calm is only step one. Regulation quiets the signal, but it doesn’t rebuild the tissue, the capacity, or the tolerance that let the trigger through in the first place. Skip that second job and you’re stuck resetting the same alarm on a loop, wondering why the tools that used to help stopped working.

Regulate, then rebuild, and layer in the habits. Skipping the middle step is what breaks the whole sequence.

What’s the tool that calms you down. Tell me in the comments, I want to know what you’re using.

#regulationtools #nervoussystemregulation #mindbodywellness #quietthemind #regulateandrebuild
Breathwork and relaxation for the mind before bed, Breathwork and relaxation for the mind before bed, the journal half filled in, and a nightly routine preparing me for the wind down…every regulation tool in the toolbox and I’m still bracing for the pain that faces me in the morning like my body never got the memo.

That confused me for a long time. Feeling like I was doing all the right things and yet, still feeling like I hadn’t moved an inch. I kept assuming I was missing a tool, so I added another and another.

What actually moved things was different: regulate, then rebuild, then layer in the habits. Regulation was never meant to carry the whole job alone.

If you’ve run the checklist and you’re still exhausted, you are not broken. You are dysregulated. And dysregulation needs the next step in the order, not another tool.

Tag the person who has tried everything and still feels like this.

#nervoussystemregulation #regulateyournervoussystem #mindbodyconnection #chronicpainawareness
For two years I thought I had stopped being discip For two years I thought I had stopped being disciplined.

I had the program written down. The weekly schedule, the reps, and the rest days all set. I was checking the box on most of the workouts, but feeling like I was failing them.

I was using lighter weights and cutting sessions shorter. The same plan that used to feel easy now felt like more than I can keep up with.

The program had not changed. My system had.

What I was carrying outside the workouts was larger than what I’d been carrying during the years I thought of as ‘being disciplined.’ I had less of the underlying resource the workout plan was assuming.

That underlying resource is capacity. The amount of load your system can absorb in a given week without flaring. Stress, sleep, hormones, recovery, the demands you can’t postpone. The plan you are not ‘keeping up with’ was built for the version of you that had more of all of it.

Save this for the week the plan feels bigger than your system can carry.

#capacitybuilding #regulateyournervoussystem #strengthbuilding #highachievingwomen
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