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Best Strengthening Exercises for Knee Pain Relief: Quads or Glutes?

If you have knee pain, you might wonder which exercises are best to relieve it.

Traditionally, many knee rehab programs focused on quadriceps strengthening exercises.

Recently though, there's been a transition to emphasize glute strengthening exercises. Some experts even suggest that focusing on your quads could make knee pain worse.

So, which is best for knee pain relief—quad or glute strengthening exercises?

The answer isn’t black and white.

In this post, I’ll break down the benefits of both and show you 5 strengthening exercises for knee pain relief.

Knee Pain Guide by Knee Pain Specialist Dr. Dave Candy. More 4 Life, St. Louis, Manchester, Ballwin, Chesterfield, Des Peres, Ellisville, MO Learn to relieve: knee pain when going up and down stairs, knee pain when sitting, knee pain when walking, and more!

Quad vs. Glute Strengthening for Knee Pain

When you’re dealing with knee pain, it’s important to strengthen the muscles that support your knee joint. Both the quadriceps (front thigh muscles) and the glutes (buttock muscles) play a critical role in stabilizing and supporting the knee during movement.

The 4 heads of the quadriceps include the vastus medialis, vastus lateralis, vastus intermedius, and rectus femorisgluteus maximus, medius, and minimus

But which muscle group should you focus on for knee pain relief?

Why Quadriceps Strengthening is Important

Quad strengthening exercises for knee pain have long been the cornerstone of most knee rehab programs. The quads are crucial for controlling knee movements, especially during activities like walking, running, and squatting. Strong quads help absorb shock and reduce the load on the knee joint, which can help alleviate knee pain.

Why Glute Strengthening is Important

Recently, there’s been a shift toward emphasizing glute strengthening exercises for knee pain. The glutes play a big role in stabilizing the pelvis and controlling hip and knee alignment. Weak glutes can lead to poor movement patterns, which can increase the strain on your knees. Strengthening your glutes helps improve overall lower body mechanics, reducing stress on your knees.

Exercise 1: Squats for Knee Pain Relief

Squats are one of the best strengthening exercises for knee pain because they target both the quads and the glutes.

squats for core strengthening

How to Perform a Squat:

  • Stand with your feet shoulder-width apart.
  • Engage your core and lower yourself slowly as if sitting in a chair. Your knees should not go past your toes.
  • Push through your heels as you return to the starting position.
  • Keep your spine in a neutral position.

To Emphasize Your Quads:

Lean slightly forward during the squat, keeping your torso more upright, and focus on pushing through the balls of your feet as you rise. This places more load on the quadriceps.

To Emphasize Your Glutes:

Push through your heels and squeeze your glutes at the top of the movement. This will help you activate the glutes more during each rep.

Exercise 2: Lunges for Knee Pain Relief

Lunges are another great exercise for strengthening the quads and glutes. They also help improve balance and coordination.

How to Perform a Lunge:

  • Step forward with one leg and lower your body until your back knee almost touches the floor.
  • Keep your front knee aligned with your toes and your torso upright.
  • Push through your front heel to return to standing.

To Emphasize Your Quads:

forward lunge for quad strengthening

Take a shorter step forward and keep your torso more upright. This will shift more of the workload onto the quadriceps of your front leg.

To Emphasize Your Glutes:

split squat / split lunge exercise for glute strengthening. This version may be better if you have knee pain.

Take a longer step forward and focus on pushing through your front heel. This will activate the glutes more during the movement.

Exercise 3: Single Leg Balance

Single leg balance exercises help improve the stability and strength of the muscles around your knee. This exercise engages both the quads and glutes while also improving balance.

Single leg balance exercise for knee pain helps strengthen glutes

How to Perform a Single Leg Balance:

  • Stand on one leg and hold your balance for as long as possible.
  • If you’re comfortable, add small movements like bending your knee or reaching your arms in different directions to increase the challenge.

Exercise 4: Step Ups to Strengthen Quads and Glutes

Step ups are a simple but effective way to strengthen both the quads and glutes. This exercise mimics real-life movements like climbing stairs and helps build strength in the muscles that support your knees.

isometric step up exercise for quad and glute strengthening

How to Perform a Step Up:

  • Find a step or platform about knee height.
  • Step up with one leg, engaging your quads and glutes as you rise.
  • Step back down with control and repeat on the other leg.

To Emphasize Your Quads:

Focus on pushing through the balls of your feet as you step up. Keep your torso upright and try not to lean forward too much.

To Emphasize Your Glutes:

Step up by driving through your heel, and squeeze your glutes as you stand on top of the step. A slight forward lean can help activate the glutes more.

Exercise 5: Step Downs for Controlled Knee Strengthening

Step downs are great for developing controlled knee strength. This exercise helps improve knee stability and strength while reducing knee pain.

step down exercise for eccentric quad strengthening

How to Perform a Step Down:

  • Stand on a step and slowly lower one leg off the step, bending your knee and engaging your quads and glutes to control the descent.
  • Once your foot touches the floor, push back up using the leg on the step.
  • Repeat for the other leg.

To Emphasize Your Quads:

Focus on controlling the descent and engaging your quadriceps as you lower yourself. The slower you go, the more your quads will work.

To Emphasize Your Glutes:

leaning forward can decrease pain under knee cap going down stairs

As you step down, drive your hip backward slightly to engage your glutes. On the way back up, push through your heel to activate the glutes more.

Conclusion

Both quad strengthening exercises for knee pain and glute strengthening exercises are important for knee pain relief.

However, strength alone doesn't fix all knee problems.

You also need to use that strength properly in real-life activities so that you can get back to the things than you need and want to do.

Need Help For Knee Pain?

If you live in the St. Louis area and want to learn how to rid of knee pain fast, plus keep it from coming back in the future, tap the button below to request an appointment with one of our specialist physical therapists.

 

 

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