Pain in the front of the knee is a very common problem. This anterior knee pain may also be referred to as patellofemoral pain syndrome, runner’s knee, jumper’s knee, or patellar tendinitis. This pain is usually a dull ache, which is worse with running, jumping, squatting, getting up from a chair, or walking stairs. Swelling and a sensation of instability may or may not be present.
Occasionally, an acute injury or direct trauma to the knee can cause anterior knee pain, but usually it is caused by cumulative overload. This cumulative overload may occur for two different reasons: long-term overuse with an inefficiency of movement, or long-term underuse (chronic inactivity).
Your doctor at Cole Pain Therapy Group will perform an examination to diagnose your knee pain. If your pain is acute (new), ice and/or anti-inflammatory medication may be helpful. This is a good time to apply R.I.C.E. After the inflammation has subsided, a functional examination can uncover “weak links” in the biomechanical chain.
While there are thousands of different exercises to strengthen the knee and surrounding joints, most people don’t want to do thousands of exercises. I have found it best to give no more than three corrective exercises as homework. Here are the “big three of knee exercises” that serve as the first step in addressing anterior knee pain from altered knee biomechanics.
1. Pillow Push
Simply push the back of your knee into the pillow and hold it there for 5 to 6 seconds. Then release. Repeat 8-10 times. Perform twice a day.

2. Terminal Knee Extension
Without pushing hard into the pillow, extend your knee until it is as straight as possible. Hold this for about 3 seconds. Then relax your leg. Perform twice a day.

3. Heel Slide
Lie down with your legs straight. Slowly drag one heel back towards the buttock as the knee bends. Then reverse, and slowly push the heel out until your leg is straight. Repeat 10 times. Perform twice a day.

Only perform these exercises after consulting with your doctor of chiropractic. If any of these exercises are painful or your anterior knee pain is worsening, please be sure to again consult your doctor.
While the exercises outlined above are essential for managing and overcoming anterior knee pain, there are other lifestyle adjustments and strategies that can further improve your recovery and prevent future injuries.
One of the most important factors in alleviating knee pain is ensuring proper body alignment. Poor posture, whether standing or sitting, can cause unnecessary stress on the knee joint and lead to imbalances that exacerbate pain.
When doing exercises for knee pain, it’s important to gradually progress to avoid overstraining the knee. Starting with basic movements and gradually increasing the difficulty over time will allow the muscles around the knee to strengthen safely without causing further irritation.
Consistency is key to recovery—try to incorporate these exercises into your routine 3–4 times a week for optimal results. Progressively increase repetitions, hold times, and set durations as your knee strength improves.
If your anterior knee pain is more severe or you’re participating in physical activities, consider using a knee brace or knee sleeve. These supportive devices can provide additional stability and reduce strain on the joint, making it easier to perform exercises and daily activities.
While knee supports are helpful, they should not be used as a long-term solution. They are intended to provide extra support during recovery or physical exertion, not as a substitute for strengthening the knee.
Incorporating ice and heat therapy can speed up recovery and reduce discomfort in the knee. Ice is ideal for reducing swelling and inflammation, especially in the initial stages of pain or injury, while heat helps to increase blood flow and relax tight muscles.
Maintaining an active lifestyle and managing a healthy weight can significantly reduce the risk of knee pain and help with faster recovery. Carrying excess weight puts additional strain on your knees, which can aggravate pain and slow down recovery.
Incorporate low-impact activities like walking, swimming, or cycling into your routine to maintain strength and mobility without stressing the knees. These activities are joint-friendly and can help keep the muscles surrounding the knee strong, which is essential for long-term pain relief.
Certain supplements may help reduce inflammation and promote joint health, which can be especially beneficial if you’re dealing with knee pain. Here are a few supplements that support joint recovery:
Always consult with your healthcare provider before starting any new supplements to ensure they’re appropriate for your specific condition.
If your anterior knee pain persists despite performing these exercises and making lifestyle changes, it’s essential to seek professional advice. Chiropractors, physical therapists, and orthopedic specialists can assess the underlying cause of your knee pain and create a more personalized treatment plan to address your specific needs.
In some cases, if conservative treatments are not enough, further interventions such as joint injections, physical therapy, or even surgical options may be necessary.
Overcoming anterior knee pain requires a combination of targeted exercises, lifestyle adjustments, and consistent effort. By focusing on strengthening the muscles around the knee, improving flexibility, and making the right lifestyle changes, you can alleviate pain, improve mobility, and avoid future injuries.
Remember, the recovery process may take time, but with patience and consistency, you can significantly improve the health of your knee. If you need additional support or have specific concerns about your condition, don’t hesitate to reach out to Cole Pain Therapy Group. Our team is here to help you with personalized treatment plans, expert guidance, and the tools you need to live a pain-free, active life.
Contact us today to schedule an evaluation and begin your journey to better knee health.
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2845 Summer Oaks Dr, Memphis, TN 38134
(901) 377-2340
Life Shouldn't Hurt!
You Deserve To Feel Great. We Can Help!
Your go-to Chiropractor in Memphis, TN

Richard L. Cole, DC, DACNB, DAIPM, FIACN, FICC
Jeffrey D. Luebbe, DC, CCRD, CCSP
W. Steven Vollmer, DC, DAAPM
Bradford J. Cole, DC, MS, CSCS
J. Colby Poston, DC
Daniel H. Smith, DC
2845 Summer Oaks Dr., Memphis, TN 38134
(901) 377-2340
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