Knee strengthening exercises are one of the best ways to cure knee pain and stop it from coming back.
People who do knee strengthening exercises have less pain, recover quicker from injuries, function better, have less recurrences of pain.
Whenever there is weakness in the leg muscles, it means the knee joint is less well supported, resulting in more weight going through the bones, therefore making knee problems much more likely. Knee strengthening exercises help to combat that1.
There are so many different knee strengthening exercises out there, it can be hard to know where to start. The best exercises to strengthen knees should include:
1. Quads Strengthening Exercises: For the front of thigh muscles, important for getting up from a chair, going upstairs, walking & running
2. Hamstring Strengthening Exercises: For the back of the thigh, important for running and twisting the knee
3. Glutes Strengthening Exercises: Strengthen the buttock muscles - weak glutes are one of the most common contributors to knee pain
4. Calf Muscle Strengthening Exercises: Target muscles on the back of the calf, important for controlling foot/ankle movement, standing on tiptoes
5. Balance & Stability Training Exercises: Really important for ensuring good control at the knee and preventing knee injuries
6. Vastus Medialis Strengthening Exercises: Strengthen the kneecap muscles, really important for knee stability and control
7. Combination Knee Strengthening: Work multiple muscle groups at the same time
All the exercises here are easy to perform, quick, effective and suitable for most people, whether you are looking for knee strengthening exercises for runners, after injury, with osteoarthritis or almost any knee problem.
But remember, you should always check with your doctor before starting a new exercise programme, particularly if you have injured your knee, to ensure they are safe to do.
Pick and choose a couple from each group, opting for the knee strengthening exercises that you find challenging but not painful. Once they are too easy for you, move on to the Intermediate and Advanced knee strengthening exercise sections.
The quadriceps are the muscles at the front of the thigh that straighten the knee. Weak quads is one of the most common causes of knee pain making quads knee strengthening exercises an important part of any rehab programme. If you are looking for knee strengthening exercises after injury, these are a good place to start.
Purpose: Maintain and strengthen the Quads without moving the knee, enable full straightening of the knee. Ideal in the early stages following an injury or surgery
Starting position: Lying flat on your back or sitting up. Leg and knee straight
Action: Tighten the muscle on the front of the thigh by pushing your knee down. You should feel your thigh muscles clench. Hold for 3 secs
Repetition: Repeat 10-20x every 3-4 hours
Variations: If you are struggling to get your knee to straighten fully, place a rolled up towel underneath the ankle so that your leg is lifted slightly on the bed. Then do the exercise as described. Lifting the knee up slightly lets gravity help the knee to straighten
Purpose: Strengthen the quads muscles without much knee movement. Helps improve strength and control
Starting position: Lying flat on your back or sitting up with your leg horizontal on a flat surface such as a bed. Place a rolled up towel (approx 10cm diameter) under the knee.
Action: Pull your toes towards you and clench you thigh muscles. Slowly lift your foot up off the bed until your knee is straight (keep your knee resting on the towel). Hold for 3-5 secs and slowly lower
Repetition: repeat 10-20 times, 3x daily
Progression: 1) Increase the size of the towel under the knee 2) Add a weight e.g. by wearing a shoe, or using a light ankle weight. Progress further by using a heavier weight
Purpose: Strengthen the Quads muscles without bending the knee NB Do not do this if you have a history of back problems
Starting position: Lying flat on your back. Leg and knee to be worked straight, other leg bent
Action: Pull your toes towards you and tighten/clench the muscle on the front of the thigh, locking your knee straight. Lift your foot up about 6 inches off the bed. Hold for 3-5 secs and slowly lower. Ensure your knee stays straight the whole time
Repetition: repeat 10-20 times, 2x daily
Progression: 1) Add a weight e.g. by wearing a shoe
Purpose: Strengthen quads, increase knee mobility, great to do anytime sitting for prolonged periods (30mins+) to stop the knee getting stiff
Starting position: Sitting on a firm chair with your knee bent and your foot on the floor
Action: Lift your foot up and straighten your knee as much as possible. Hold for 3-5 secs and slowly lower
Repetition: 5-20 times, 3xdaily
Progression: Strengthen further by adding an ankle weight
Purpose: Increase quads strength without putting weight through the knee joint. Good in the early stages of recovery
Starting Position: Sit in a chair with your feet on the floor
Action: March your legs up and down one at a time. Lift your knee and foot up and then back down
Repetition: Repeat for about 1 minute, 2x daily and any time you are sitting for more than 20 minutes to stop your knee getting stiff
Progression: Add a weight
The hamstrings are the muscles on the back of the thigh that bend the knee. You need a good combination of strength and length in these muscles. These hamstring exercises are particularly useful knee strengthening exercises for runners.
Purpose: Strengthen the hamstrings muscles without having to move the knee - perfect after an injury or surgery
Starting Position: Sit in a chair with your heel against the leg of the chair and your feet firmly on the floor
Action: Press your heel firmly backwards into the chair leg feeling the back of your thigh tightening/clenching. Hold for 3-5 secs
Repetition: Do 10-20x, 2x daily
Note: The foot shouldn’t move during this exercise
Purpose: Strengthen hamstrings without any weight going through the knee joint, increase knee mobility (flexion), aid circulation
Starting position: Lie on your tummy (on the floor or bed) with your legs straight
Action: Lift your foot off the floor and bring it towards your bottom as far as you can. Slowly return to the starting position
Repetition: Repeat 10-25x, 3x daily
Notes: 1) You are aiming to get your heel all the way to your bottom 2) Make the exercise easier by hooking your good leg underneath the bad and using it to help lift the bad leg up
Progression: Add a weight e.g. a shoe or ankle weight
Purpose: Improve the strength of hamstrings and mobility of the knee
Starting Position: Stand up straight holding on to something stable e.g. chair or table
Action: Lift your foot up as far as you can towards your bottom, bending the knee. Hold for 3-5 secs
Repetition: Do 5-25 times, 2x daily
Progression: Add a weight e.g. shoe or ankle weight
Note: 1) Don’t bend forwards - keep your body upright 2) keep your knees in line with each other- don’t let your thigh come forwards
The glutes are the buttock muscles, and they play a vital role in ensuring the forces go through the knee evenly. The glutes are often forgotten about in knee strengthening exercises. Virtually everyone who suffers from knee pain has weak glutes, so they are well worth doing. Indeed studies have shown that strengthening glute medius reduces pain and improves functional recovery following knee surgery2.
Purpose: Maintain and strengthen the Glutes without the knee moving - the perfect place to start
Starting position: Lying down or sitting up.
Action: Clench your buttocks together as tightly as you can and hold for 3 seconds. You should feel yourself rise up from the chair slightly
Repetition: Repeat 10-20x every 3-4 hours
Variation: If you find this uncomfortable, try doing this exercise lying down, either with your legs out straight or your knees bent
Purpose: Strengthen the glutes to help support the knee and prevent excessive weight going through the inner side of the knee – a must for anyone with knee pain!
Starting position: Lie on your side with your hip and knees bent approx 90°, feet together.
Action: Keeping your feet together, lift the top knee up as high as you can. Hold for 3 seconds and slowly lower
Repetition: Repeat 10-25x on each side, 2x daily
Note: Do not let your top hip roll backwards
Progression: Squeeze your heels together while doing the exercise to work the glutes harder
The calf muscles can be found on the back of the leg between the knee and the ankle. They move the foot and ankle, and help support the knee so should always been included with knee strengthening exercises.
Purpose: Strengthen the calf muscles to help support the knee, helps with walking and running
Starting position: Stand with your feet slightly apart,
weight equally distributed, holding onto something solid for balance if needed such as a chair or the wall
Action: Rise up onto your toes lifting your heels as high as possible. Keep your body upright as you do this, don’t bend forwards. Hold for 3-5 secs and slowly lower
Repetition: Repeat 10-30 times, 2x daily
Top Tips: Try and push up equally through each leg
Here you will find knee strengthening exercises that work two or three muscle groups at the same time - it's like buy one get one (or two) free!
Purpose: improve knee mobility, strengthen quads and glutes, improve general fitness
Starting position: Sit in a firm chair, feet on the floor
Action: Lean forwards, lift your bottom and stand up straight and then sit back down
Repetition: Repeat 10-30x
Notes: 1) You can make this exercise easier by pushing up through your arms too 2) The higher the chair, the easier the exercise
Progression: 1) Don’t use your arms 2) Use a lower chair 3) Increase the speed you do knee strengthening exercises at 4) Hold a heavy weight – e.g. bag of books during the exercise
Purpose: Excellent knee strengthening exercises for the hamstrings, quads and buttock muscles
Starting Position: Lie on your back with both knees bent about 90° and your feet on the floor/bed
Action: Clench your buttocks and lift your bottom off the bed as high as you can without arching your back. Hold for 3-5 seconds and slowly lower
Repetitions: Repeat 10-25 times, 1-2x daily
Note: 1) Keep your back straight – don’t let it arch as you lift up, it should be your bottom doing the work 2) Don’t hold your breath – keep breathing normally
Balance / proprioception is really important to prevent knee injuries. A quick way to tell whether you should be doing balance exercises as part of your knee strengthening exercises programme is to try standing on one leg with your eyes closed.
If you can’t do it for one minute, you should do some balance exercises. This exercise helps your body learn the subtle adjustments needed for good balance.
Starting position: Standing near a wall or chair for support
Action: Lift up your good leg and stand on one leg for as long as you can. It is normal to wobble a bit
Repetition: Spend 5 minutes doing this 2x daily e.g. when brushing your teeth
Progression: 1) Close your eyes and perform the exercise as above - you'll be surprised how much harder it is
2) Try Stage 2
View printer friendly version of all these exercises
As your muscles get stronger, you will be able to increase the number of repetitions of each of these knee strengthening exercises.
You will probably need to do knee strengthening exercises at least four times a week for about a month before you notice much change in your knee pain at which point you may also want to add in some knee stretches -it's important to have enough strength before you start stretching else you can make things wors).
Page Last Updated: 19/03/19
Next Review Due: 19/03/21
1. Deconditioned Knee: The Effectiveness of a Rehabilitation Program that Restores Normal Knee Motion to Improve Symptoms and Function: K. Shelbourne, A. Biggs & T. Gray. North American Journal of Sports Physical Therapy, May 2007
2. The effect of gluteus medius strengthening on the knee joint function score and pain in meniscal surgery patients: Eun-Kyung Kim, PT, PhD. Journal of Physical Therapy Science, October 2016