Who Is At Risk For Pfs
PFS often impacts athletes and those who engage in running, basketball, and other sports. Women are especially vulnerable to PFS, particularly at a younger age. This thought to be partially due to the greater likelihood of patellar malalignment in females, in addition to muscular imbalances.
PFS is most symptomatic during positions when the knee is flexed, such as after sitting for a prolonged period time, exercises that required deep squatting, or, most commonly, climbing stairs. Strengthening the muscles around your hips and quadriceps and stretching your iliotibial band, hamstrings, and quadriceps can help relieve strain on your knee.
Best Wall Squats Technique
If you are recovering from a knee injury, have arthritis or find you are still getting knee pain when squatting, try these wall squats instead. The wall provides some support which helps to reduce the forces going through the knees, and makes it easier to balance and stay in good alignment.
To perform wall squats correctly:
- Stand With Your Back Against a Wall: Your heels should be around 18 inches from the wall, feet hip width apart as described above
- Take A Breath In and As You Exhale, Gently Slide Down The Wall: keep your back and buttocks in contact with the wall
- Make Sure Your Knees Dont Drop Inwards: remember to keep them in-line with your second toe have a quick peek down to make sure you can still see your big toe
- Lower Down As Far As Feels Comfortable: Dont let your buttocks drop lower than your knees and if you can, try and hold the squat position for a couple of seconds
- To Come Back Up: breathe in, draw in your abdominal muscles, push down through your heels, clench you buttock muscles and slowly slide back up the wall
- Start With One Set of 10 repetitions: once you are happy with that, try increasing to 2 sets of 10 reps, and finally build up to 3 sets of 10 reps
Choose A Different Squat Variation
If you struggle with knee pain during squats, try a different squat variation .
While front-loaded squats put more stress on your quads and knees, they also use a pretty upright posture that some people prefer. Meanwhile, backloaded squats take some pressure off of the knees, but require you to hinge more at the hips and move your knees farther over your toes.
In the end, everyone is a bit different in what works for them. So test out the variations and stick with the ones that feel most comfortable on your knees. Over time, as you build strength and mobility in your legs, you may be able to expand your squat repertoire.
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Common Questions About Squats
1. What Are The Benefits Of Squatting? There are a whole host of benefits of squatting:
- Improves Muscle Strength & Function: in the calves, hamstrings, quadriceps, abdominals and back muscles
- Improves Balance: particularly helpful as you get older
- Help Prevent Injuries: by improving strength, flexibility, balance and joint health
- Improves Bone Strength: Weight-bearing exercises help improve bone density
- Improves Health & Fitness: Performing fast sets of squats, especially if using weights, can help to improve fitness levels, burn calories and reduce body weight
- Improves Posture: Another benefit of squatting is that it increases core stability which in turns helps to improve overall body posture
- Makes Daily Activities Easier: such as getting in and out of a chair or bed
2. Why Do My Knees Crack When Squatting? There are a number of possible reasons why knees crack when squatting. If the cracking noise is accompanied by knee pain, it is most likely due to a cartilage injury or arthritis.
Often knees crack when squatting without there being any pain, which is usually due to gas bubbles in the joint popping. Visit the knee pain and popping section to find out more.
Knee pain after squatting could also be the result of a minor injury inside the knee such as a small cartilage tear. Performing squats may be irritating the joint slightly causing a slow build of inflammation that continues to build once after youve finished squatting, resulting in delayed onset knee pain.
Knee Pain When Bending Or Squatting

Wear and tear of your knee over time can cause pain when bending your knee due to damage to the bones, ligaments, muscles and/or tendons in and around your knee joint.
For roughly every 500g of body weight, about 3kg of pressure is applied to your knees when they are bearing weight eg when bending, running, squatting or walking.
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Have You Ever Wondered Why Do My Knees Hurt When I Stand Up From Sitting
If so you’re not alone.
Having knee pain when standing up from a sitting position is a common problem as people age, especially if you’ve been sitting for a long time or if you’re standing up from sitting on a low couch or chair.
Many people with knee arthritis also get knee pain when standing up from the toilet, which is when the problem really starts to hit home.
Have no fear though. There is hope to be able to stand up from sitting again comfortably.
Chronic Degeneration Of The Meniscus
The meniscus is a rubbery c-shaped piece of cartilage that cushions the knee. When the meniscus is torn abruptly it can cause your leg to lock up and impact your ability to walk, but more often than not the cartilage in your knee is damaged over time due to wear and tear. This is when standing knee pain can become a problem.
Chronic degeneration of the meniscus can occur from excessive standing or running. Acute meniscus tears are usually from sudden pivoting or twisting as seen in basketball or football. A torn meniscus normally produces localized pain that is worse during twisting and squatting motions.
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First Aid For Knee Injuries In The First 48 To 72 Hours
- Stop your activity immediately. Dont work through the pain.
- Rest the joint at first.
- Reduce pain, swelling and internal bleeding with icepacks, applied for 15 minutes every couple of hours.
- Bandage the knee firmly and extend the wrapping down the lower leg.
- Elevate the injured leg.
- Dont apply heat to the joint.
- Avoid alcohol, as this encourages bleeding and swelling.
- Dont massage the joint, as this encourages bleeding and swelling.
Knee Pain When Squatting Three Common Fixes
Aug 13, 2022 | Knee Pain
Fortunately, it is possible to dramatically improve joint mobility in just one short stretching session. The bad news is that these mobility changes will disappear quickly if not maintained through consistent exercise. Getting into a proper routine is essential. Below are the key areas to focus on and simple exercises to try at home!
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What Causes Patellofemoral Pain Syndrome
In a healthy, pain-free knee, the patella glides up and down through a groove in your thigh bone as you bend and straighten your knee. As the knee bends, the pressure between your kneecap and the groove increases. This is why activities involving deep knee bends like squats and lunges are two of the more common complaints by people suffering from patellofemoral pain.
The patellofemoral joint pressure is further increased if the patella doesnt track in an ideal fashion, meaning it glides in a non-ideal alignment and rubs against the femur . When this occurs pain is often more severe and debilitating and may be felt even when resting or sitting.
The most common causes of patellar mal-alignment are an increased spike in loading including hills or speed work, abnormal muscle imbalance and poor biomechanical control. We see this on assessment when the knee wants to collapse inwards during activities such as a single leg squat, with wasting of the inner quadriceps muscle on observation, or poor pelvic alignment and control on tasks including squatting, lunging and jumping.
What Causes Pfp Syndrome
Patellofemoral pain syndrome is an overuse disorder. These happen when someone does the same movements that stress the knee over and over again.
In PFP syndrome, repeated bending and straightening the knee stresses the kneecap. It’s most common in athletes.
Some people with PFP syndrome have a kneecap that is out of line with the thighbone . The kneecap can get out of line, or wiggle as it moves along the thighbone, because of muscle weakness, trauma, or another problem. If this happens, the kneecap doesn’t glide smoothly over the thighbone when the knee bends and straightens. The kneecap gets injured and this causes the pain of PFP syndrome.
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Arthritis Of The Knee
Arthritis causes the joints to become painful and inflamed. Different types of arthritis can affect almost any of the joints in the body, including the knee.
Cartilage is the flexible, firm tissue that surrounds the joints and enables them to move smoothly. Osteoarthritis develops if this cartilage breaks down.
People with knee osteoarthritis may experience pain and swelling around the knee and feel as though the joint is stiff.
Osteoarthritis is most common in people over the age of 65 years.
Rheumatoid arthritis is an autoimmune condition that affects joints all over the body. The immune system attacks healthy tissue surrounding the joints, causing pain, swelling, and stiffness.
Post-traumatic arthritis can happen after an injury to the knee that damages the joints or ligaments. If an infection spreads to the knee, it can cause infectious arthritis of this joint.
Diagnosis Of Inner Knee Pain

Your doctor will ask you about your symptoms and when they started, as well as your medical history. They will also carry out a physical examination of your knee to check for swelling and instability, as well as to assess the range of movement in your knee.
They may then recommend imaging tests such as an X-ray or MRI scan to more closely examine the bones and tissues of your knee. They may also recommend blood tests to check for conditions such as rheumatoid arthritis and infections.
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Causes And Risk Factors
Several different risk factors can make you more likely to develop chondromalacia patella. These include:
- Having excess weight
- People with less muscle mass
- Those with a previous knee injury
Chondromalacia patella is also more frequently seen in individuals who participate in endurance sports like running or biking. In this situation, muscular imbalances cause the kneecap to track improperly in the femoral groove, leading to repetitive rubbing and irritation.
Try Box Squats And Sumo Squats
Rather than traditional squats, you can try the slightly modified forms, either box squats or sumo squats to help take stress off of your knees. For box squats, you’ll add a plyometric box behind you during your squat exercise: Slowly lower your body until you’re sitting on the box at the bottom of each squat. “Remember to sit back towards the box,” Hadley advises to minimize knee pain.
Sumo squats, on the other hand, place more focus on your glutes than your quads and hamstrings. “Sumo squats are a variation of a normal squat that are a good alternative,” says Isaac Robertson, cofounder at Total Shape. “Unlike a normal squat, your legs are placed wide apart in a sumo position. Keeping your back straight, sit and go down like a normal squat.”
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Reason #: Meniscus Problems
Problems with the meniscus in your knee joint are a common cause of knee pain from squatting. In fact, Iâve experienced this type of knee pain from squats.
This pain is usually caused by small tears in the meniscus, a disc of cartilage that sits between your femur and tibia and absorbs shock and pressure in the knee .
A major meniscus tear can be a serious problem that requires surgery, but a minor or microtear can simply cause pain and irritation during certain movements like say, during squats.
The pain is typically felt on the medial side of your knee, and often it feels like your knee joint suddenly locks or catches with pain as you squat.
I have a slight meniscus tear and find the pain comes and goes randomly. I find my knee will just âclickâ into place and then I wonât have any problems for months until something âclicksâ back out of place.
One exercise that helps keep meniscus issues from causing me pain and interrupting my squats are SB Leg Curls.
This technique will help provide stability to the knee by strengthening the hamstrings as they flex at the knee and extend at the hip. Youâll feel stronger and more stable at the knee joint by incorporating this move into your routine, especially since the hamstrings are often weak relative to the quads.
SB Leg Curls
Use These Tips To Help You Stand Up From A Sitting Position Without Knee Pain
Scoot to the front edge of the chair.
Bend your knees to get your feet underneath of you.
Lean forward to bring your center of gravity over your feet. Your bottom should almost naturally starts to rise up as your head goes forward.
Straighten your knees and allow your pelvis to roll under you pushing your hips forward. This allows you to stand from a sitting position using the strong muscles in your hips rather than your quadriceps muscles in your thighs. Using too much force from the “quads” can cause compression of your kneecap on your thigh bone, causing pain on the front of the knee standing from a sitting position.
Make sure not to let your knees buckle inwards. Keep your knees aligned over your toes, or even slightly turned out if needed. Sometimes I even tell clients to put their elbows between their knees as a reminder. This helps you prevent pain on the inside of the knee or outside of the knee when standing from a sitting position.
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Wear A Supportive Garment Or Knee Brace For Knee Pain When Squatting
If you feel like you dont have enough time for exercise, then in this situation, a knee sleeve or brace can be a good solution to decrease your knee pain when squatting.
According to both the anecdotal evidence and the scientific research,
Knee sleeves reduces the pain. They actually provide compression around joint controlling the swelling and inflammation.
Knee braces go a few steps farther via offloading and stabilizing the knee joint.
Most traditional hard shell knee braces help in keeping up the knee aligned laterally.
Offloader knee braces offload parts of, or your entire knee joints.
These brace are favored by individuals suffering from knee arthritis.
Offloader braces with tri-compartment offloading technology includes potential of reducing pressure and knee pain when squatting.
So, this was all about how to fix Knee Pain When Squatting.
Now coming to preventing tips how you can prevent knee pain when squatting.
Reason #: Poor Hip Flexion Mobility & Technique
Issues with hip flexion mobility and technique can also lead to knee pain in squats. This is the other type of squat knee pain Iâve experienced.
This pain happens to me when I jump into working sets of squats without a sufficient warm-up, especially after a long time spent immobile and sitting.
I donât want to sound like a broken record, but there is no getting around it the knee doesnât operate in isolation.
If your hips are either chronically tight or temporarily tight due to an insufficient warmup and you tell your body to assume a squat position, requiring deep flexion at both the hip and knee, your body is going to fudge it and make up for that hip tightness elsewhere.
One place your body will look is your spine â your lumbar spine will flex and this could lead to injuring a disc or ligament and low back pain.
This often leads to overactive quadriceps that step in to make up for underactive glutes and hamstrings. An overactivity of the quadriceps along the front of your leg puts excess stress on your patella and your patellar tendon. And that spells â you guessed it â knee pain.
To avoid this type of knee pain, youâll want to spend some time devoted to improving your hip mobility and encouraging proper activation of the muscles that work your hips.
You should start to see reduced squat pain, meaning you can workout the way you want to and start to progress those squats.
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Causes Of Inner Knee Pain
There are several things that can cause inner knee pain. These include:
- injury such as a blow to the outside of your knee, which pushes your knee inwards
- activities that involve sudden twisting or pivoting of your knees for example, skiing or playing rugby
- activities where you have to use your knee a lot for example, cycling, gymnastics or swimming breaststroke
- getting older and your knee joint becoming worn down
Prevention And How To Squat

Warming up properly before exercising can help prevent injury. Warming up the body is especially important in older adults, as muscles become less flexible and can tear more easily as people age.
To warm up, use movements that mobilize the joints and increase the flow of blood and oxygen to the muscles, such as marching on the spot. Stretching the legs before and after exercise can also help lower the risk of injury or strains.
To squat correctly:
- start in a standing position
- keep the feet shoulder-width apart
- while exhaling, bend the knees and lower the buttocks as though going to sit down
- hold the arms out to maintain balance
- ensure that the heels remain planted on the floor
- keep the buttocks above knee level and only go as low as is possible without causing discomfort
- keep the thighs parallel to the floor
- keep the back in a straight, neutral position
- make sure that the hips, knees, and toes are all pointing forward
- inhale and return to a standing position by pushing down into the heels and keeping the buttocks tight
The Arthritis Foundation recommend that people who are experiencing pain when squatting do squats against a wall. Using the wall for support can help people strengthen weak or injured muscles and reduce pain over time.
People can do squats against a wall using the following steps:
People can use the R.I.C.E method for relieving pain in the knee. The R.I.C.E method involves:
Over-the-counter drugs, such as ibuprofen, can help reduce pain and swelling.
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