26/03/2026
What most people get wrong about training with bad knees.
If I had a pound for every time someone told me they can't train because of their knees, I'd have retired by now.
I'm not making light of it. Knee pain is miserable. It affects everything. Walking, stairs, sitting down, standing up. I get it.
But here's what I keep seeing. Someone gets knee pain. They go to the GP or a physio. They're told to rest, or do some gentle exercises, or avoid certain movements.
So they stop squatting. They stop lunging. They stop going up stairs with any purpose. And gradually they stop doing anything that challenges their legs at all.
Two years later, their knees are worse. Not better. Worse.
And when they come to me and I assess their legs, the problem is painfully obvious. Their quads are weak. Their glutes aren't firing properly. Their calves are tight. And their knees are bearing the load of every weakness above and below them.
Their knees weren't the problem. Their knees were the victim.
Your knee is a hinge joint. It does what the hip above it and the ankle below it allow it to do.
If your hips are weak, your knees compensate. If your ankles are stiff, your knees compensate.
If your quads can't control the load, your knee joint takes the stress.
The answer to most chronic knee pain in over 40s isn't to protect the knee.
It's to strengthen everything around it. Progressively. Intelligently. With someone who can assess the whole chain, not just the bit that hurts.
Avoiding leg training because of knee pain is one of the most counterproductive things you can do.
And yet it's the advice most people receive.
If you've got "bad knees," here's what I'd want you to consider:
-Get a proper assessment that looks at the whole leg, not just the knee. Hip strength, ankle mobility, quad control, glute activation. The knee is usually the messenger, not the cause.
-Start strengthening your quads with exercises you can do pain-free. Leg extensions at a controlled tempo, wall sits, step downs from a low step. Build from there.
-Don't avoid bending your knees. Gradually introduce more range of motion under control. The less you use it, the less your body trusts it.
Progress slowly but progress consistently. Small improvements week on week add up to massive changes over months.
If you've been avoiding training because of your knees, comment KNEES and I'll send you a simple guide on where to start.