Knee Pain Running Treatment
BraceAbility offers a wide selection of Knee Injury Treatments, including treatments for general knee pain and treatments for jumper’s knee or runner’s knee. You can likely infer a number of the knee pain treatment and preventative steps from the descriptions of the risk factors for developing runners knee pain. First, it is important not to muscle through knee pain. Pain is a red flag that something is wrong. Heed it and seek the help of a professional.
Most instances of knee pain and running can be remedied by conservative treatments. The first line of defense is often engaging in the steps of RICErest, ice, compression and elevationpossibly with the use of an over-the-counter anti-inflammatory medication. A doctor can recommend a number of knee injury stretches and exercises to strengthen and improve the flexibility of key leg muscles.
When one gets back to running, it is important to always stretch and warm-up before a run. The use of proper running shoes for knee pain avoidance is also important. This includes wearing shoes that are supportive and suited to your foot and gait.
Wearing an appropriate amount of clothing for the weather is also important for preventing sore or tight muscles. Use of a knee brace for runners or a runner’s knee band may also provide some useful extra support and a boost in circulation that can promote healing as one eases back into training.
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Additional Treatment For Runner’s Knee
It may also be a good idea to take part in a strengthening and motor retraining program, or physical therapy and exercises to fortify your knees as well as other parts of your body. Orthotics, taping, and manual therapy such as massage, myofascial release and trigger point therapy may also help.
Lateral Collateral Ligament Strain Or Tear
A lateral collateral ligament injury can occur from trauma such as a fall or awkward twist of the knee, or less commonly by repetitive overload. An LCL tear or sprain will feel localised pain to the outside of the knee but can be slightly above and below the joint line. Swelling can occur, more swelling in acute cases, and will be more focused to the outside of the knee. It can be painful to bend and straighten the knee and in severe cases the knee might feel unstable. Read more about this injury in our related article: LCL Injury.
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Types Of Outer Knee Pain
There are several health conditions that may cause outer knee pain.
Iliotibial band syndrome develops if a band of connective tissue rubs on the outside of your knee. The iliotibial band is a thick band of fibrous tissue that runs from your hip to below your knee on the outside of your leg. If you bend and straighten your leg a lot, it can cause this tissue to become sore and inflamed where it passes over the bottom of your thigh bone and meets your knee. This type of problem is most common in runners and cyclists.
Lateral collateral ligament injury is caused by a blow to the inside of your knee, which stretches the outside of your knee and injures the ligament. A ligament is a band of tissue that connects one bone to another. The lateral collateral ligament runs down the outer side of your knee.
Meniscal injury is damage to the meniscal cartilages inside your knee. These cartilages act like shock absorbers and may tear when you twist your knee with your foot still on the ground. This type of injury is common in sports where you have to change direction suddenly for example, football and skiing. It can also happen in jobs that involve lifting and twisting for example, construction or manual labour. The meniscus can tear without any particular injury as you get older because of wear and tear.
How Can I Treat Runners Knee

- At the midway point of your ITBS treatment, youll be doing fascia training with targeted strength exercises for the muscles that stabilize your pelvis and hips. Important to know: you should relax the tensor fasciae latae muscle, which is often overly tense, and the hip flexors to help you get your hips back into their correct, natural position. The BLACKROLL® products can serve you well here.
- Your ability to control the stabilizing muscles in your buttocks and core are important for running healthily in the long term. As weve mentioned, the foundation for keeping your knee and leg position stable is healthy foot pronation where the foot doesnt tip inward too much. The simplest kind of exercise for the muscles that stabilize your foot is barefoot running, along with training the muscle in the big toe that lets it spread outward and draw inward .
- Good to know: based on what we understand so far, the iliotibial band itself doesnt become inflamed. That means anti-inflammatory medicines and painkillers wont work.
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How Long Should I Rest/take A Break
This is a call to all ambitious runners and athletes: its crucial that you rest throughout the time when youre doing corrective exercises. If you keep irritating the area again, it will unnecessarily delay your long-term healing and can undo any work youve done. Bear in mind that it was uneven weight distribution while running that gave you ITBS in the first place. If you go back to running too soon and undo the work from your corrective exercises, you wont make progress. Give your body time to regain the right balance so that runners knee and pain dont become a chronic problem.
You Could Be Experiencing Osteoarthritis
If you notice pain, swelling and stiffness in your knee, not just after running but during everyday activities â and especially after waking up â and you’re over 50, you may have osteoarthritis, according to the Arthritis Foundation.
Osteoarthritis, one of the most common forms of arthritis, happens as joints degenerate with age or with a history of injury to the area. Cartilage typically facilitates smooth joint movement, but as the cartilage becomes damaged with OA, repetitive movement can lead to inflammation and pain. Osteoarthritis is more common with age and can happen in the knee whether you run or not, Dr. Logan says.
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Symptoms Of Runners Knee
The main symptom of runners knee is dull ache felt around the kneecap. The pain develops slowly over time.6 You may feel some discomfort immediately after running. The symptoms may also intensify if youre climbing stairs or squatting. Sitting for a long time, for instance, during a movie or long flight, makes the knee pain worse. The area of the kneecap may be tender to touch.1,3
Another symptom of runners knee is a clicking, grinding, or rubbing sound when youre bending and straightening your knee.If your runners knee is due to IT band syndrome, the pain will most likely be present on the outer side of the knee. In that case, the pain will typically occur during running, and vanish as soon as you stop.
It is worth noting that non-athletes can develop runners knee as well. The pain and stiffness associated with runners knee can make it difficult to do everyday activities like kneeling and climbing stairs.2
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Common Knee Injuries From Running
When most people think of running, they view it in the light of something that is beneficial for your body. While that is true in that it can improve your heart health, help with weight loss and provide a boost in mood or self-esteem, there is also a downside to running. Namely, the repetitive motions and impact of pounding the pavement can take a toll on the body.
For this reason, it is important to pay attention to any foot, hip or knee pain from running and to take steps to address any such pain. It is also important to engage in safe practices, if you will, relative to running. I will go into more detail on how to relieve knee pain from running and how to ward off future injuries momentarily. But first, I will detail a few common running knee injuries.
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Common Running Knee Injuries And How To Treat Themthursday 13 April 2017
Running is on the rise. According to Sport Englands Active People Survey results over 2 million people a week participate in running and, its the second most popular activity for people doing 30 minutes exercise at a moderate intensity at least once a week.
So why are we a nation that loves to run? There are many reasons. Running is inclusive, cheap and accessible without the need to arrange a court or organise a team. Some people run to lose weight, to get fit, to keep healthy, to beat their personal best time or to have time out to think and once weve been for a run we experience runners high with the release of feel good chemicals.
But no matter whether you are a beginner whose muscles are not used to running or a highly experienced runner training for the upcoming London Marathon on 23rd April when youll join up to 50,000 other runners as they pound the streets to finish the 26.2 mile run, anyone can be affected by a running injury.
Common knee injuries due to running
The knee is the most commonly injured joint among runners. Damage to the structures inside and outside your knee joint can result in fractures, dislocations, sprains, and tears. Knee components susceptible to running injuries include:
– Articular cartilage – covers the ends of your shin bone, thigh bone and the back of your kneecap .
– Ligaments there are four ligaments including your anterior cruciate ligament and posterior cruciate ligament in your knee that connect your bones together.
How Is Iliotibial Band Syndrome Treated
Your healthcare provider might suggest several different treatment strategies to help ease your symptoms. These might include:
- Limiting activities that make your knee pain worse for a while , and returning to these activities slowly
- Icing the outside of your knee
- Taking over-the-counter pain medicines
- Getting corticosteroid shots to decrease inflammation
- Making changes to your activity, like lowering your bicycle seat for cycling or improving your running form
- Practicing special exercises to stretch and strengthen the muscles around your hip and your knee
You may find it helpful to work with a physical therapist as well.
These changes help most people with iliotibial band syndrome. Your healthcare provider might advise surgery if you still have significant symptoms after 6 months of trying these other therapies. Several different surgical choices exist, including one that removes the part of the iliotibial band that moves over the femur. You can discuss all your surgical choices with your healthcare provider.
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Could I Just Have Arthritis
Sure, especially if youre an older runner over the age of 55. Typical arthritis is due to wear and tear and you may be at a higher risk of developing arthritis if youve experienced a traumatic injury to the knee in the past.
Visit your doctor and get an x-ray to confirm the diagnosis. But dont worry, just because you have some arthritis doesnt necessarily mean youre experiencing any pain. Degeneration of cartilage in the knee doesnt always cause pain while running.
Defer to your doctors prescribed treatment of arthritis, as it will be different from PFPS.
Lean Forwards Slightly As You Run

Okay, lets take a slightly different approach and think about your running technique for a moment.
Researchers looking at patellofemoral joint stress in running have identified that a slight forward trunk lean when running can reduce peak patellofemoral joint stress by more than 10%.
Admittedly, it was a small study with only 24 participants, but it strengthens the concept that how you run will influence the stress and strain that joints and tissues experience as you run. Your running technique matters!
Running with a slight forward lean is certainly something that most elite runners have mastered, and helps to prevent you from over striding, by moving your centre of mass forwards, closer to over your point of initial contact.
Heres a video I made to help you work on your forward leaning running technique:
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Heres How You Can Prevent Runners Knee :
Of course, the best thing to do is to prevent runners knee in the first place. You can do this if you optimize your running style and incorporate more three-dimensional movements into your exercise, such as side steps, cross-steps, running backward and running on different surfaces. You should also make sure you have the right shoes and enough recovery time. By doing the right exercises using BLACKROLL® products, you can prevent myofascial imbalances in good time.
What Are The Symptoms Of Itb Syndrome
There are varying degrees of severity of ITB Friction Syndrome. The most common symptoms include:
Sharp or burning pain just above the outer part of the knee
Pain that worsens with continuance of running or other repetitive activities
Swelling over the outside of the knee.
Pain during early knee bending
Gradual onset of symptoms which if they persist for greater than 4 weeks can cause major sport or activity interference.
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What Is A Runners Knee
The wide, tough band of fascia known as the iliotibial band plays an important role when running as it helps stabilize the hips and knees. It goes from the top of the pelvis , down the side of the thigh and across the outside of the knee, all the way to the top outside part of the calf bone , below the knee. It also connects the gluteal muscles with a muscle called the tensor fasciae latae. The reciprocal action of these muscles in turn helps stabilize your leg alignment.
However, if the way these muscles interact gets confused, the forces involved become imbalanced and can cause problems. With runners knee, this means there is excessive strain on the thigh bone where it protrudes outward. This is what causes the unpleasant pain on the outside of the knee associated with runners knee.
However, if the way these muscles interact gets confused, the forces involved become imbalanced and can cause problems. With runners knee, this means there is excessive strain on the thigh bone where it protrudes outward. This is what causes the unpleasant pain on the outside of the knee associated with runners knee.
What Causes Outer Knee Pain While Running
Your knees sustain an impact from each running stride you take. You can help keep your knees healthy by building your mileage over time and knowing when to rest. If your knees start to hurt, it’s important to know what’s causing your pain so you can properly treat it. Iliotibial Band syndrome, or IT band syndrome, is a common cause of outer knee pain for runners.
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Outer Knee Pain Treatment
The best course of treatment for lateral knee pain will depend on the underlying cause of the outer knee pain. It will usually include a combination of exercises, physical therapy and rest from aggravating activities and may also include knee injections and surgery.
To find out more about these common causes of pain on outside of knee and how to treat them, use the links above.
If you would like some help working out what is causing your outer knee pain using other specific symptoms, how the pain started or thespecific location of the pain, visit the knee pain diagnosissection and learnwhat you can do about it. Remember, any new incidence of lateral knee pain should always be assessed by your doctor.
Page Last Updated: 11/02/21
What Is Iliotibial Band Syndrome
Iliotibial band syndrome is often called IT band syndrome. It’s a health problem that causes pain on the outside of the knee. It most commonly happens in athletes, especially distance runners, or those new to exercise.
The bones of your knee joint are your thighbone , your shinbone , and your kneecap . Your iliotibial band is a strong, thick band of tissue that runs down the outside of your thigh. It extends all the way from your hip bones to the top of your shinbone.
When you bend and extend your leg, this band moves over the outer lower edge of your thighbone. With repeated bending and extending of the knee, this movement of the iliotibial band may irritate nearby tissues, causing pain.
Anyone can develop iliotibial band syndrome. But it’s fairly common in distance runners.
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Hit The Trails And Get Off Road
Just a moment ago, I mentioned the repetitive nature of running. In fact its exactly this type of repetitive pounding that our knees get when running that can cause injuries.
Running is a load-bearing activity, and obviously harder on our knees than swimming or cycling, and that fact isnt going to change!
But the thing we can change is the repetitive nature of the lading. If youre only ever running on concrete, pounding the pavements, there wont be a huge amount variation in the loading your knees experience from stride to stride. However, if you start mixing in other types of less predictable terrain, like trail running, your whole body will get much more of a varied workout.
In fact, in my many years of treating injured runners, Ive met far fewer trail runners with the types of repetitive overuse injuries, like Runners Knee, than I have road runners.
Perhaps set yourself a goal of making at least one of your runs each week predominantly off-road?
How Can You Make Your Knees Stronger For Running

Bodyweight exercises like squats and lunges are great for strengthening the major muscle groups around your knees, to make your knees stronger for running. Single leg exercises that work your glutes and challenge your balance will also help to protect your knees.
I cant believe Ive made it this far into the article without talking specifically about exercises to strengthen your knees for running.
As I described in the warm up section above, its vital to work on stability of the joints above and below the your knees, to allow you to maintain proper knee alignment and control as you run.
That said, you also need to strengthen the muscle groups that cross the knee it self and influence the patellofemoral joint. So we definitely also need to strengthen your quads, hamstrings, adductors and calf muscles!
Heres a great selection of exercises you can use to strengthen your knees to prevent knee pain when running:
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