Discover Why Your Knees Hurt When You Run

Discover Why Your Knees Hurt When You Run

April 19, 20243 min read

Ever wondered why your knees hurt during or after a run?

Running is a fantastic way to stay fit and active. However, it can often come with the downside of knee pain. Whether you experience discomfort at the start, during, or after your run, understanding the common causes of this knee pain can help you prevent injuries and enjoy your runs pain-free.

In this podcast episode, we’ll explore the reasons behind knee pain in runners and provide some practical tips to keep your knees healthy.

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Episode Video


Causes of Knee Pain When Running

Knee pain when running

Misalignment and Maltracking

One of the most common causes of knee pain among runners is related to how the kneecap (patella) aligns and moves over the knee joint. Issues often arise when the kneecap does not track properly within its groove on the thigh bone (femur). This misalignment can be due to several factors such as muscle imbalances, structural peculiarities like a wider Q-angle (the angle between the hips and knees), or flat feet. Such maltracking can lead to conditions like patellofemoral pain syndrome (PFPS) or runner's knee, characterized by inflammation and discomfort around the kneecap.

Patellar Tendon Issues

Another significant source of knee pain is inflammation of the patellar tendon, a condition known as tendinopathy. This can lead to fluid buildup and pain, which might not only affect your running but also make it painful to climb stairs.

The symptoms include a grinding sensation, popping, or clicking sounds in the knee. Overuse of the knee, inadequate warm-up, or insufficient stretching of the quadriceps and hamstrings before running can contribute to this issue.

Iliotibial Band Syndrome

The iliotibial (IT) band, a thick band of fascia that runs from the hip to the shin, can also be a culprit in running-related knee pain. Tightness in the IT band can cause pain that feels like a stretching or tightening along the side of the knee. This issue is often exacerbated by tight hamstrings and glutes, lack of proper warm-ups, and inadequate stretching. Regularly rolling out the IT band and addressing trigger points can help alleviate this pain.

Biomechanical Factors

Improper running mechanics or changes in body mechanics due to weight gain or aging can also lead to knee pain. For example, a significant Q-angle, particularly in women as they age, can increase stress on the inner side of the knee. Adjusting your running form and addressing biomechanical imbalances is crucial for reducing stress on the knees.


Preventing Knee Pain from Running

Warm-Ups and Stretching

To prevent knee pain, start with proper warm-ups and stretching before you run. Focus on the quadriceps, hamstrings, and calf muscles to ensure they are sufficiently warmed up. This preparation helps in reducing the risk of patellar tendon issues and PFPS.

Proper Footwear and Insoles

Invest in good-quality running shoes that provide adequate support and cushioning. Consider replacing worn-out insoles to maintain proper alignment and reduce the risk of maltracking. Sometimes, specialized insoles might be necessary, especially for those with flat feet.

Strength Training and Conditioning

Incorporating strength training exercises can help correct muscle imbalances and improve the stability of your knees. Focus on strengthening both the medial and lateral quadriceps to ensure they are balanced, which can help with proper kneecap tracking.

Consultation with Professionals

If knee pain persists, it might be beneficial to consult with a physical therapist or a personal trainer. They can provide targeted exercises and treatments to stabilize the muscles around the knee and address any specific issues contributing to the pain.


Final Thoughts

Understanding the underlying causes of knee pain when running is crucial for effective prevention and treatment. By taking proactive steps such as warming up, wearing the right footwear, and strengthening the muscles around the knee, you can enhance your running experience and keep knee pain at bay.


Additional Resources

Ready to say goodbye to knee pain? Download my FREE PDF guide, "5 Things to do NOW to Reduce Your Knee Pain in 1 Week" at https://kneeboostnow.com/. Start your journey to a pain-free life today!

Tammy Penhollow, DO, is an experienced pain management and regenerative medicine specialist practicing at Precision Regenerative Medicine, located in Scottsdale, Arizona. She is skilled in image-guided joint and spine injections and regenerative aesthetic procedures. 

Dr. Penhollow graduated from Kirksville College of Osteopathic Medicine (now known as AT Still University). She completed her transitional year internship at Sacred Heart Medical Center in Spokane, Washington, and began her US Navy career deployed to Kosovo as the solo physician for a 720 person US Naval Mobile Construction Battalion.
Following that, she completed a second General Medical Officer assignment for three years as an instructor for the Navy’s Independent Duty Corpsman school, where she taught physical diagnosis and medical diagnosis and treatment to the Navy’s advanced corpsmen who were assigned to forward deployed marine units, submarines and special forces units.

Dr. Tammy Penhollow

Tammy Penhollow, DO, is an experienced pain management and regenerative medicine specialist practicing at Precision Regenerative Medicine, located in Scottsdale, Arizona. She is skilled in image-guided joint and spine injections and regenerative aesthetic procedures. Dr. Penhollow graduated from Kirksville College of Osteopathic Medicine (now known as AT Still University). She completed her transitional year internship at Sacred Heart Medical Center in Spokane, Washington, and began her US Navy career deployed to Kosovo as the solo physician for a 720 person US Naval Mobile Construction Battalion. Following that, she completed a second General Medical Officer assignment for three years as an instructor for the Navy’s Independent Duty Corpsman school, where she taught physical diagnosis and medical diagnosis and treatment to the Navy’s advanced corpsmen who were assigned to forward deployed marine units, submarines and special forces units.

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