Conquer Runner’s Knee – How Strength Training Helps You Prevent Knee Pain

Photo of author

Written by :

David Dack

Tired of knee pain disrupting your running? You’ve found the right place for solutions.

Knee pain can feel like an unwelcome constant for runners, akin to an uninvited guest that keeps showing up. Often, this pain is due to runner’s knee, a common issue characterized by discomfort at the front of the knee.

But there’s good news: while avoiding knee problems entirely may seem unrealistic, there are effective exercises you can do at home to significantly reduce your risk of pain. Today’s post is your toolkit for combating knee troubles.

In this article, I’ll explain what causes runner’s knee and guide you through exercises designed to strengthen your glutes, hamstrings, and quads. Because the quality of your exercise is just as important as the exercise itself.

Ready to leave knee pain behind? Let’s get started and step into a world where knee pain doesn’t dictate your running. Let’s go!

Unraveling the Mystery of Knee Pain

Dealing with knee pain as a runner? You’re definitely not alone. A 2019 study in the Journal of Sports Science & Medicine points out that the knee is a frequent trouble spot for us runners. It’s kind of like that unexpected plot twist in your training routine, isn’t it?

But here’s the thing: knee pain doesn’t have to put a full stop to your running. It’s all about getting to know the problem and learning how to tackle it head-on.

Strengthening key muscle groups is a big part of the solution. We’re talking about beefing up the support around your knees, hips, and thighs. This includes working on your quadriceps, hip abductor, and rotator muscles. Turns out, weakness in these areas often plays the villain in the runner’s knee saga. Studies show that exercises focusing on both the knee and hip areas are way more effective than just zeroing in on the knee.

And let’s not forget about stretching – it’s like the trusty sidekick in this story. Regular stretching helps keep the kneecap in line, easing pain and boosting function. Key areas to target? Your hip flexors, quadriceps, hamstrings, and the tensor fasciae latae, which links to the iliotibial band.

Before we jump into the exercises, let’s take a quick detour to understand the main villain behind knee problems for runners. Ready for the reveal? Let’s go!

Preventing Knee Pain Recurrence: Maintaining a Regular Strength Training Routine

Incorporating a solid strength routine can be a real game-changer in preventing knee pain and other overuse injuries. But you might wonder, how does it really help with knee pain? It boils down to the balance and strength of your lower body muscles. When these muscles are weak, your knees end up taking more of the impact with each step.

There’s solid research to back this up. A study in the Journal of Athletic Training showed that 80% of runners with knee issues saw a decrease in pain after a few weeks of hip and core strength training. That’s a big deal, right?

Still on the fence? Consider this: another study in Medicine & Science in Sports and Exercise found that female runners with patellofemoral joint pain (a fancy term for “runner’s knee”) often had weaker hips, which played a role in their knee pain.

To keep knee pain at bay, or manage it if it’s already a bother, it’s important to focus on strength exercises that stabilize the knee. This means giving some love to your hips, glutes, hamstrings, quadriceps, and calves. By strengthening these areas, you’re essentially giving your knees a strong support system.

Now, let’s dive into the specifics – how does each muscle group contribute to the health and performance of your knees? Let’s break it down!

The Hip-Knee Connection:

Think of your hips as the crucial link in your running mechanics, bridging your upper body and lower limbs. Strong hip muscles are key to keeping everything in line during your runs, reducing knee stress. Weak hips, though, can lead to misalignments and increase the strain on your knees.

To beef up your hips, zero in on exercises targeting this area. Hip bridges, clamshells, or lateral leg raises are perfect. They’re specifically crafted to bolster hip strength and stability, which, in turn, supports your knees.

Quadriceps: Pillars of Knee Stability:

Now, let’s talk about the quadriceps at the front of your thigh. These aren’t just for looks – they’re crucial for knee stability. They extend your knee and absorb the shock as you run. Building up your quadriceps can significantly lessen the burden on your knee joints, acting like shock absorbers with each stride.

For beefing up those quads, squats, lunges, and leg presses are your go-to exercises. They’re not just great for knee extension; they boost overall leg strength, essential for a smooth running experience.

Hamstrings: Supporting Knee Health:

The hamstrings often play second fiddle to the quadriceps, but they deserve just as much attention. Situated at the back of your thigh, they’re vital for knee support. Strong hamstrings work alongside your quads to create a balanced force around the knee, which is crucial for injury prevention and maintaining healthy knee function.

Calf Muscles: Supporting Knee Stability:

Lastly, let’s not overlook the calf muscles. Located at the back of your lower leg, they might be quiet contributors, but they’re pivotal in knee stability. When you’re running, they control the motion of your lower leg and act as natural shock absorbers. This cushioning they provide is essential, as it reduces the impact and stress on your knees with each stride.

The research

Recent studies have illuminated the crucial role of strength training in managing and preventing knee pain, particularly with knee osteoarthritis (KOA). Let’s dive into some key findings that underscore the value of strength training for your knees:

A Study from the Osteoarthritis Initiative:

A significant study involving 2,607 participants revealed eye-opening insights. Those who engaged in strength training at some point had a notably lower chance of suffering from frequent knee pain, radiographic osteoarthritis (ROA), and symptomatic radiographic osteoarthritis (SOA). This challenges the myth that strength training might aggravate knee issues, suggesting instead that it’s beneficial for long-term knee health.

Effectiveness in Managing Knee Osteoarthritis:

A clinical trial with 377 individuals with KOA found that high-intensity strength training didn’t significantly improve knee pain or joint compressive forces after 18 months. However, a broader approach to exercise, including proprioceptive training, showed positive effects in reducing pain, stiffness, joint dysfunction, and muscle weakness in KOA patients.

Dosing Parameters for Optimal Results:

A systematic review examining resistance training’s impact on KOA patients found that most studies reported improvements in pain and/or physical function. The typical regimen included sessions of 30 to 60 minutes, with exercises performed in 2 to 3 sets of 8 to 12 reps. These sessions, held thrice weekly over 24 weeks, demonstrated notable improvements.

General Exercise Benefits for KOA:

A comprehensive review on exercise’s effects on knee osteoarthritis highlighted the benefits of both strengthening and aerobic exercises. Programs involving Pilates, aerobic workouts, and strengthening exercises, conducted 3 to 5 times weekly for 8 to 12 weeks, were highly effective. These exercises, whether aquatic or land-based, consistently improved pain management, physical function, and overall quality of life for those with KOA.

The Knee-Saving Workout Routine

Let’s dive right into the exercises that will be your allies in the battle against knee pain. But before we jump in, remember to start with a 5-10 minute warm-up to get those muscles primed. Consider some light cardio, like brisk walking or cycling, followed by dynamic stretches for your lower body.

Wall Sits

  1. Begin by positioning your back against a wall, with your feet shoulder-width apart, about two to three feet away from the wall.
  2. Now, here’s the tricky part. Slowly glide your back down the wall, using your hands for balance if needed, until your legs form a perfect 90-degree angle, with your thighs parallel to the ground.
  3. Keep that back snug against the wall, and make sure your feet and legs stay parallel throughout.
  4. The next move? Brace your back against the wall and maintain that squat position, with your hands resting in front of you, for a solid one to two minutes.
  5. For a well-rounded workout, aim to complete two to three sets of this exercise.

Side-Lying Straight-Leg Hip Abduction

Straight Leg Raise

  1. Begin by lying flat on your back, preferably on a comfortable mat or the floor.
  2. Keep one leg straight while bending the other at the knee.
  3. Maintain contact between your lower back and the ground throughout the exercise.
  4. Lift your straight leg, raising it to about a 45-degree angle. Ensure that your knee and toes are pointing towards the ceiling during this motion.
  5. Hold this position for a slow count of three.
  6. Gently return to the starting position.
  7. Repeat this movement at least 8 times on each side to complete one set.
  8. Challenge yourself with two sets for an extra dose of strength and stability.


Sit to Stand

  1. Find a sturdy chair and sit down with your feet flat on the floor. Place a small ball or pillow between your knees for added support.
  2. Ensure that your hips and knees both create right angles when seated.
  3. Now, here’s the move: Lean slightly forward, and steadily rise to a standing position.
  4. Once standing tall, lower yourself back down to the chair in a controlled manner.
  5. If you find this version challenging, don’t worry! You can make it easier by using your arms to assist you.
  6. Keep in mind that the height of the chair can make a difference—the lower the chair, the more challenging the exercise.
  7. Aim for at least 12 repetitions to complete one set, and go for two sets in total.


  1. Begin by positioning yourself on your right side. It’s helpful to have your back against a wall for support.
  2. Bend your hips and knees to approximately 45 degrees, keeping your legs stacked on top of each other.
  3. Place a resistance band just below your knees and ensure your feet stay in contact with each other.
  4. Now, here’s the challenge: Lift your left knee as high as you can without allowing your pelvis to move. Hold for a brief moment at the top.
  5. Slowly lower your left knee back to the starting position.
  6. Repeat this movement 16 to 20 times on one side before switching to the other.


Finish your workout on a relaxed note with a 5-10 minute cool-down. Focus on static stretches for your major muscle groups, including the quadriceps, hamstrings, calves, and hip flexors. These stretches will help keep you flexible and promote recovery. Great job today!

Here are some my favorite routines.

Post 1

Post 2

Post 3

Recommended :