Keep Your Knees Happy By Doing These Simple Things

How do you save your knees while exercising?  Your knees are the life line to your fitness, since using your legs is the best way to increase total energy expenditure when working out and is completely necessary to perform full body functional exercises, as well as cardio. So I thought it would be a good idea to take a look at your knee and see how common problems arise and how we can prevent them.

First, let’s take a look at the anatomy of the joint.  The knee joint is a hinge joint, it’s where the thigh bone (femur) meets the shin bone (tibia), but unlike a door hinge where the movement occurs in just one plane of motion, your knees have a little rotational component to it at full extension.  To make matters more interesting the knee is actually comprised of two joints the tibio-femoral joint where your thigh (femur) meets the shin bone (tibia) and the patello-femoral joint where the knee cap (patella) meets the thigh bone (femur).  And the patello-femoral joint, is not a hinge joint, it’s a gliding joint where the knee cap glides along the thigh bone (femur) as you bend and straighten your knee.  Two joints for the price of one! (...beat that Walmart!)

But more is not necessarily better, having two joints in one, also means more possible complications. Unlike most other hinge joints that only have one force acting on the joint, the knee has two forces acting on it, a compressive force and a shearing force.  So now your knee has to be able to withstand two types of forces as it goes through it’s range of motion. As your knee bends, the compressive force increases, reaching it’s peak at 90 degrees, but as it passes 90, the compressive force on the patello-femoral and the tibio-femoral joint actually lessens. However, the shearing force within the tibio-femoral joint keeps increasing as you bend your knees reaching it’s highest force when the knee is in full flexion. 

Load is another factor that affects your knees.  The greater the load the more compressive and shearing force that acts on your knees.  However, these forces can be offset by applying proper technique when performing such exercises like squats and lunges that requires deep knee flexion.  Without getting too deep into what seems like a bottomless pit of complex anatomy and physics of the knee joint,  the most important factors affecting the health of your knees are proper technique, strength and flexibility.  So without any further ado let’s take a look at what you should be doing to keep your knees healthy.

First and foremost good technique! Technique or form is something that I’ve always been a real stickler about, and it may seem like a real pain in the butt initially, but when you understand the importance of it, I think you’ll agree that dealing with a little nuisance in the beginning will pay off greatly in the long run.  One of the reasons why technique and form is overlooked I think is because these exercises are movements that we can easily do and have been doing for a long time.  It’s not like we’re learning how to do a 720 McTwist with fries on the side on our snowboard.  It’s human nature to overlook things that are easy. 

Take a look at squatting for instance… we can all squat right?  I mean, we squat up and down all day long.  But when I ask people to squat in front of me, 9 out of 10 times they do it incorrectly.  That means they’ve been squatting hundreds of times a day… incorrectly!  And the worst part is, bad habits get ingrained in your brain.  So now, you have to erase all the bad habits first, which by the way isn’t always as easy as it sounds, and then re-learn one of the most basic human movements from scratch!

So let’s take a look at some easy tips to remember that’ll help you improve your form and save your knees. 

When your doing squats or lunges, try and keep your knees from traveling too far forward.  This helps greatly reduce both compressive and shearing forces on your knees.  A good point of reference is you toes, if your find that your knees are easily passing over your toes, your not squatting or lunging correctly.  When your squatting try sticking your butt back as if your sitting down on a low chair, this will help reduce the angle of your tibia (shin) and stops your knee from traveling forward as much. 

When your lunging, try taking bigger steps and emphasize shifting your body weight down with each lunge instead of forward.  A good drill to do is to stand in a split stance position. Take a pretty wide split stance, so that when you go down into a split squat, the angle of your front knee is about 90 degrees.  Now take a stick and hold it behind you so that the stick is running up and down along your spine.  Make sure that the back of your head, your upper back and lower back are all touching the stick.  Slide the stick down so that the bottom of the stick touches the floor.  Now descend down into a split squat position, while sliding down the stick, the stick should not move forward or change it’s angle, it should stay straight.  Descend all the way down and then come up and repeat.  This is a good way to learn how to lunge properly without leaning forward.  Try this drill out a few times before you lunge and see if you can tell the difference.  If you’ve been lunging wrong, you should immediately feel less pressure on your knees. 

Another common mistake I see is the buckling in of your knees when doing squats or even lunges.  This is usually an indication of a lack of gluteal strength.  This is also known as the valgus knee, where the knee tends to bow in during flexion from doing exercises like squats and lunges.  This causes excessive strain on your knees (especially the ACL), and compromises the patello-femoral joint by not allowing the knee cap to track properly.  Strengthening your glutes, especially the gluteus medius (side of your butt) have shown to help your knees stay in a more neutral position when squatting and lunging. 

A common phenomenon that occurs from sitting too long and too often is the “butt amneisa”...  yes that’s right your “behind” has lost all it’s memory and can’t remember what it is or what to do.  But there’s a simple solution to waking your butt up… literally.  Bridges.  It’s simple and effective and can be done pretty much anywhere you can lie down on the floor.  Start by lying down on your back, with your knees bent around 90 degrees and place your feet on the floor about shoulder width apart in a slight pigeon toed position.  Raise your hips up off the floor until your hips and torso are in straight alignment.  Squeeze your glutes at the top and bring your hips down and repeat. 

For added difficultly and benefit, you can do one legged bridges.  Just bring one knee up towards you chest and perform the bridge with the other leg.  These are simple but very effective exercises that you can do just prior to doing the squats or lunges to wake your “butt” up. 

Another great exercise to activate your gluteus medius is the crab walk.  You need a rubber band for this exercise.  Wrap the rubber band around both knees or ankles depending in how strong you are, stand in a semi-squat position with your knees bent about 20 degrees, with your low back straight, butt back and chest up.  Take small steps to the side, much like a crab walking… and no you don’t have to do the claw thing with your hands, unless your exercising and entertaining kids at the same time.  Go about 10 yards and return until you feel your gluteus medius firing!  If you’ve never done this before, trust me it doesn’t take very long until you feel like your butts on fire.  Do this before your squats and lunges and you’ll have your gluteus medius primed for action! 

Last but certainly not least… flexibility.  Flexibility of your ankles and hips are especially important in saving your knees.  Having the proper flexibility in those joints greatly enhances the ability of all the right muscles to be activated when doing exercises that heavily involve you knees, and also enables you to perform the exercises correctly.

That’s sort of the quick and dirty version on how to save your knees.  Of course there may be many other factors involved that may be causing your knee issues… but proper form, proper strength of your glutes and proper flexibility of your hips and ankles will take you a long way in helping minimize unnecessary strain put on your knees.  Whether you have knee issues or not make sure to incorporate some of the things I pointed out and give your knees a healthy break.

About The Author

Shin Ohtake is a widely recognized strength coach and fitness & fat-loss expert. His unconventional, no-nonsense approach to getting fit has made him the go-to source for fitness enthusiasts and trainers alike. Shin is also the author of the world famous, MAX Workouts book, which has transformed and reshaped the bodies of thousands of people across the globe - without requiring hours in the gym. To learn more about how MAX Workouts can help you achieve your fitness goals, visit maxworkouts.com.
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14 Comments

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Zara says: 02/04 07:51 AM

I guess the next thing then would be to ask what do you do when you already have knee issues. I used to play sports and dance, and eventually wreaked havoc on both my knees. Two things were recommended (besides topical creams). The first was to wear a knee braces for up to five hours per day, but not while exercising (the brace doesn’t allow the muscle to be strengthened). The second is to lie flat on my back and place my feet bent at 90 degrees (I placed my feet on the couch) for about an hour. This of course helps to relax the spine too. I don’t recall anything else, but suggestions are always welcome.

Sara Kallioinen says: 02/04 08:55 AM

I too highly emphasize proper technique when doing the exercises you have described above.
But I have always emphasized that when doing leg stretches or any kind of stretch that involves the legs, inner thighs, etc that you do not put your upper body wt on your knees.  I encourage them to place their hands on the mid thigh area.  I am having a hard time getting people to change that habit.  I believe this releases the pressure from the knee.  I teach in a senior community and many do have existing knee issues already.  Your thoughts?

Monish says: 02/04 10:54 AM

What is good nutrition for the knee?
Are any types of shoes recommended for tennis?
I do some yoga after a 4 mile run and that helps me get rid of fatigue and weariness around the knee.

Also, I’ve noticed that drinking excessive soda drinks tends to bring acheness to my knee so I avoid them.

Zara says: 02/04 11:17 AM

I have also been told not to place my hand on my knees, so usually I try to balance or place them on my hip.

As for nutrition, I was once introduced to chondroitin and glucosamine, for which supplements should be available in the vitamin section of your pharmacy. You have to be careful though if you have an allergy to shellfish (which stops me from taking it)

Shin Ohtake says: 02/04 12:03 PM

Zara,

It’s hard to say what you need without knowing a little more about your knee injuries.  If you can give me a little more detail I may be able to help you out.

I agree with your Glucosamine recommendation. However, I have found that chondroitin is not nearly as effective since it’s absorption rate is poor. But I do know many that have greatly benefitted from taking glucosamine.

Great to know about the shellfish. Had no idea!

Shin Ohtake says: 02/04 12:10 PM

Sara,

I completely agree. That would put too much pressure on their knees for sure.  You want to minimize the shearing force acting on your knees while getting the benefits of stretching your legs.  I also find mobilization exercises to be very beneficial for those that lack proper flexibility.  Gentle hip and ankle mobilization exercises may be helpful for your group who suffer from knee pain.

Zara says: 02/04 12:15 PM

My knees injuries were caused by years of playing badminton on a concrete court, and then dancing for eight years. The physiotherapist diagnosed it as broken cartilage at the patella tendon area (does that sound right?) in the right leg, and then overcompensation was the cause of the pain in the left leg, about 5 years ago. So far there is no more severe pain, and when I do squat lunges etc I switch legs or exercises at a certain pinch point. I was also encouraged to strengthen the adductors, abductors, and quads in order to compensate for some of the weight bearing (I think that was the reasoning)

Shin Ohtake says: 02/04 12:21 PM

Monish,

Any type of foods that promote anti-inflammatory processes will be recommended.  Eg. Omega 3 oils, fish oils, salmon, leafy green veggies, berries, whole grains (high fiber) etc.
Glad to hear your avoiding soda drinks, the sugar in the soda drinks definitely increases your inflammatory process.

Shin Ohtake says: 02/04 02:08 PM

Zara,

Thanks for the info.
I would also start strengthening your glutes and hamstrings to help with your compensation. You can do some of the exercises I suggested on the article to start.  I think it’s really good of you to listen to your body and modify accordingly!

George says: 02/04 03:47 PM

Thanks for the excellent article and comments!
It seems there is a good science behind the use of hydrolized Gelatin (colagen protein) in rebuilding cartilage.
Also the use of tight tapes below the knee cap can help especially on descents.
Most important seems the weight loss. The joints experince 3 - 6 times the body weight. This, together with the nonlinear relationship weight - muscle force reserve, made me refocus my training towards weight loss, instead of muscle build or endurance. My hobby is high altitude mountaineering.
Any comments or more tips?

Gonçalo Garcia says: 02/04 03:58 PM

Hey Shin,

Fantastic article. One think that I think it is important too is to stretch the anterior chain. Sometimes during squat Quads and Psoas pull you in front. Normaly I do with my clients an active psoas stretch before starting to squat and they can descend better. What do you think abput it?
Other thing that can help squating back and also as an protector efect on the knees is squating with the heels over a weigth, won’t you agree.
There are more techniques. I hope to wrigth some my blog….but in spanish!!!
Regards,
GRG
http://www.bcntrainingzone.com

Shin Ohtake says: 02/05 12:11 PM

George,

Thanks for the hydolyzed gelatin tip. I’l have to look into that myself. I definitely think you’re on the right track with your shift in training for weight loss. Try incorporating high intensity training performed in circuit training and interval training formats, this will not only help you lose weight but it’ll also increase your power output levels. Combine that with endurance training more specific to high mountaineering such as high altitude bike rides and runs, I think you have a recipe for good training.

Shin Ohtake says: 02/05 12:16 PM

GRG,

Great tip! Putting a small weights under your heels is a great way to teach someone without proper ankle flexibility to squat with better form.

SHRI JOSHI says: 09/17 08:42 AM

I have to lift my right leg every 15-20 minutes and on lifting it gives a crack sound of bones and I get comfort by that. Why this happens and cure? I request some expert orthopaedic to answer. If some one else also had this and recovered, I would welcome his/her advice. Thanks.
Shri Joshi
sept. 17, 2009

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