Knee pain is the most common form of pain that any runner will likely experience even if at varying degrees.
The knee is a delicate and complex joint that requires a lot of awareness if you want it to continue to work well for you. Neglect it and a running injury is almost guaranteed! Don’t become too discouraged if you find yourself having to take a break from running due to a knee injury. Pretty much every runner at some point in his life will be stuck on the couch wishing he could be outside running to his heart’s content. But be patient!
One of the most frustrating things of coping with a running injury is to watch a perfectly healthy runner go leaping past you as if taunting you to follow suit. Just remember though that if you wait out your running injury you will come back better and stronger and more motivated (the one benefit of becoming injured!).
Understanding the Knee
The knee is a joint composed of the patella (kneecap) and ligaments that connect the joint to the femur (upper leg) and the tibia and fibula (lower leg). The knee is also affected by the quadriceps (the muscle of your upper thigh) and the Iliotibial band which supports the knee and runs along your outer thigh.
Each of these bones, muscles and ligaments is vitally important for the condition of your knee. Your knee can be incredibly self-willed and refuse to operate if one component of it is weak. It will force you to have to build stronger knees which can ultimately be a very good thing and injury proof your running.
The Bones that Make Up the Knee
The Muscles Involved at the Knee Joint
Common Types of Knee Pain
(or Patellofemoral pain syndrome) is the most common form of knee pain.
Runners Knee exhibits itself as a pain inside and around the general
area of the knee. The pain can be sharp, dull, sudden or long lasting
and can come and go while running or resting.
this common running injury is sometimes traced back to biomechanical
issues (overpronation of the leg will lead to the kneecap wearing out
the cartilage in the knee) but is more commonly associated with weak
quadriceps and tight hamstrings. As a runner your calves and hamstrings
develop at faster rates than your quads. If your quads aren’t strong
though then they can’t give support to the patella (kneecap) and so it
throws it out of alignment. If your hamstrings are tight they will put
unnecessary pressure on the knees.
Work in some stretching (to relieve tight hamstrings) and strengthening
routines (to build quad strength). If you are looking to rebuild
cartilage that has been worn away it may be a good idea to apply some hyaluronic acid which helps to ease
pain, reduce inflammation and cushion joints.
Tendonitis (Patellar Tendonitis) is pain
that is in the tendon that connects the kneecap to the shinbone. The
pain can either be felt on the inside or outside of the knee.
is due to a direct injury to the tendon or from overuse of the tendon.
Running tends to create small tears in the tendon and if you increase
your mileage too rapidly your body finds it harder to repair.
Add squats which will strengthen the tendon. Stretch out your quads and
hamstrings after runs. Don’t increase weekly mileage too rapidly. Also
keep off excess pounds as this will put added stress on the tendon.
Iliotibial Band Injury (ITB) is caused by
the inflammation of the IT band which is a T-shaped band that runs along
the outside of the knee . It is made out of soft tissue that covers the
part of the leg fascia.This injury is also generally referred to as "Runner's Knee".
weight will put more pressure on the iliotibial band so those who aren’t
at healthy BMI’s are at a higher risk. Other factors include increasing
mileage too fast, pronation of the foot, too long of a stride and even
repeatedly running in the same direction on a circular track.
Add strength training routines that will strengthen your IT band
(walking sideways with resistance ankle weights will do the trick) and
side stretches. Focus on your stride length and don’t over pronounce it.
Patellofemoral Pain Syndrome is a condition where you feel pain and/or stiffness in and around the patella (kneecap).
Patella is thrown out of alignment. Women are particularly vulnerable
to this syndrome since their joints are more flexible and are more prone
to fall out of alignment. Those who have high arches or flat feet are
also at a greater risk for developing this syndrome.
Add strength training routines that focus on your quads and hamstrings.
Squats and lunges are highly effective as they can increase the ability
of the patella to act as a stabilizer.
This is a general guide to knee pain. Knee injuries can be highly
complex and it may be a good idea to see a physician if you are
undergoing a lot of discomfort and especially if it hurts even when you
walk. The knee is the joint that always needs a high level of TLC so be
Click on the above links to see more information on the various knee pain injuries, strengthening exercises, flexibility exercises and how to get back into a running routine.
*Disclaimer: While the information on this site is taken mostly from research journals and scientifically based texts it is not meant to replace a doctor or medical professional.