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Intermediate Patellofemoral Pain Routine

Low-impact strength + control work to support the kneecap and reduce anterior knee pain in ~25 minutes.

Warm-Up

Increase blood flow and gently prep hips, quads, and knees without impact. 5 minutes.

March in Place
March in Place2 min
How to

A standing knee-lift move that warms up your hips, legs, and core.

  1. Stand tall with your feet hip-width apart and arms at your sides.
  2. Lift one knee toward hip height as the opposite arm swings forward.
  3. Lower that foot under control.
  4. Repeat on the other side and keep alternating.
  5. Move at a steady pace and stay tall.
Form cues
  • Keep your chest up
  • Land softly each step
Common mistakes
  • Leaning back as your knee lifts
  • Stomping your feet down
Hamstring Sweep
Hamstring Sweep1 min
How to

A dynamic stretch that sweeps toward your front foot to warm up your hamstrings and calves.

  1. Stand tall with one heel slightly forward and toes lifted.
  2. Hinge at your hips and sweep both hands down toward your foot.
  3. Keep your front leg mostly straight as you reach.
  4. Return to standing and repeat for your reps.
  5. Switch legs and repeat on the other side.
Form cues
  • Keep your back long
  • Move with control
Common mistakes
  • Rounding your back to reach lower
  • Locking your knee hard
Standing Quad Stretch
Standing Quad Stretch1 min
How to

A standing thigh stretch that targets the front of your hip and quad on one leg.

  1. Stand tall and hold a wall or chair for balance if needed.
  2. Bend one knee and hold your ankle or foot behind you.
  3. Keep your knees close and gently draw your heel toward your glute.
  4. Hold the stretch and breathe slowly.
  5. Release with control, then switch legs.
Form cues
  • Stand tall through your chest
  • Keep your knees close
Common mistakes
  • Arching your lower back
  • Pulling the knee out to the side
Wall Sit (Pain-Free Range)
Wall Sit (Pain-Free Range)1 min
How to

An isometric squat hold against a wall that trains your quads, glutes, and endurance.

  1. Stand with your back against a wall and feet hip-width apart.
  2. Walk your feet forward and slide down until your thighs are near parallel.
  3. Keep your back on the wall and knees over your ankles.
  4. Hold the position and breathe steadily.
  5. Stand up by pressing through your feet when finished.
Form cues
  • Keep your chest tall
  • Press your back into the wall
Common mistakes
  • Letting your knees cave inward
  • Holding your breath

Circuit A

Focus on glute activation and hip control. Keep pelvis steady. — Hips and glutes.

Clamshell
Clamshell12x each side
How to

A side-lying hip exercise that trains your glutes and outer hips.

  1. Lie on your side with knees bent and feet stacked.
  2. Brace your core and keep your hips stacked.
  3. Lift your top knee while keeping your feet together.
  4. Lower your knee with control to the start.
  5. Finish your reps, then switch sides.
Form cues
  • Keep your hips stacked
  • Move slow and controlled
Common mistakes
  • Rolling your hips back as you lift
  • Letting your feet separate
Side-Lying Hip Abduction
Side-Lying Hip Abduction12x each side
How to

A side-lying leg lift that trains your outer hips and glutes.

  1. Lie on your side with your legs straight and hips stacked.
  2. Brace your core and point your top foot straight ahead.
  3. Lift your top leg up without rolling your hips back.
  4. Lower with control to the start position.
  5. Finish your reps, then switch sides.
Form cues
  • Keep your hips stacked.
  • Lead with your heel.
Common mistakes
  • Rolling your top hip back as you lift.
  • Swinging the leg instead of controlling it.
Glute Bridge
Glute Bridge12x
How to

A floor hip lift that trains your glutes and hamstrings with both feet planted.

  1. Lie on your back with knees bent and feet flat, hip-width apart.
  2. Brace your core and press your arms lightly into the floor.
  3. Drive through your heels and lift your hips until your body forms a straight line.
  4. Squeeze your glutes at the top, then lower with control.
  5. Repeat for your reps.
Form cues
  • Keep your ribs down
  • Drive through your heels
Common mistakes
  • Arching your lower back at the top
  • Pushing through your toes
2 rounds · 15 sec rest
1 min rest

Circuit B

Stay in a pain-free range. Prioritize alignment and slow lowering. — Knee-friendly quads.

Terminal Knee Extension (Band)
Terminal Knee Extension (Band)15x each side
How to

A knee extension drill that trains your quads and control near a straight knee.

  1. Anchor a band behind one knee and step back to add light tension.
  2. Stand tall with that foot flat and your knee slightly bent.
  3. Straighten your knee by tightening your thigh.
  4. Pause briefly, then bend your knee with control.
  5. Finish your reps, then switch legs.
Form cues
  • Keep your foot flat
  • Move from the knee, not the hips
Common mistakes
  • Letting your heel lift off the floor
  • Snapping the knee back too fast
Step-Down (Low Step)
Step-Down (Low Step)8x each side
How to

A controlled step from a raised surface that trains your quads, glutes, and balance.

  1. Stand on a step with one foot near the edge.
  2. Let the other foot hover off the front of the step.
  3. Bend your standing knee and lower your free heel toward the floor.
  4. Tap lightly, then press through your standing foot to return to the top.
  5. Finish your reps, then switch legs.
Form cues
  • Keep your knee tracking over your toes.
  • Move slowly and stay tall.
Common mistakes
  • Dropping your free foot hard to the floor.
  • Letting your standing knee cave inward.
Sit-to-Stand
Sit-to-Stand10x
How to

A chair-based squat pattern that trains your thighs and glutes for standing strength.

  1. Sit near the front of a chair with feet flat and hip-width apart.
  2. Lean slightly forward and brace your core.
  3. Press through both feet and stand tall.
  4. Push your hips back and sit down with control.
Form cues
  • Keep your knees tracking over your toes
  • Stand tall at the top
Common mistakes
  • Letting your knees cave inward
  • Dropping hard onto the chair
2 rounds · 15 sec rest
1 min rest

Finisher

Keep it steady; stop short of knee pain. — Calves and isometric.

Calf Raise
Calf Raise15x
How to

A standing lower-leg move that trains your calves by lifting and lowering your heels.

  1. Stand tall with both feet hip-width apart.
  2. Press through the balls of your feet and lift your heels.
  3. Pause briefly at the top with control.
  4. Lower your heels slowly back to the floor.
  5. Repeat for your reps.
Form cues
  • Keep your ankles tracking straight.
  • Move up and down with control.
Common mistakes
  • Rocking onto the outside edges of your feet.
  • Bouncing at the bottom of each rep.
Wall Sit (Pain-Free Range)
Wall Sit (Pain-Free Range)45 sec
How to

An isometric squat hold against a wall that trains your quads, glutes, and endurance.

  1. Stand with your back against a wall and feet hip-width apart.
  2. Walk your feet forward and slide down until your thighs are near parallel.
  3. Keep your back on the wall and knees over your ankles.
  4. Hold the position and breathe steadily.
  5. Stand up by pressing through your feet when finished.
Form cues
  • Keep your chest tall
  • Press your back into the wall
Common mistakes
  • Letting your knees cave inward
  • Holding your breath

Cool-Down

Downshift and restore comfort in hips and thighs. 3 minutes.

Figure-4 Stretch
Figure-4 Stretch45 sec each side
How to

A seated or lying hip stretch that targets your glutes and outer hip on one side.

  1. Lie on your back with both knees bent and feet flat.
  2. Cross one ankle over the opposite thigh, making a figure four.
  3. Pull the uncrossed thigh toward your chest until you feel a stretch.
  4. Hold and breathe, keeping your shoulders relaxed.
  5. Release slowly, then switch sides.
Form cues
  • Keep your lower back relaxed
  • Flex the crossed foot
Common mistakes
  • Forcing the knee down with your hand
  • Holding your breath
Kneeling Hip Flexor Stretch
Kneeling Hip Flexor Stretch45 sec each side
How to

A kneeling stretch for the front of your hip. It targets the hip flexors on one side at a time.

  1. Kneel with one knee down and the other foot in front.
  2. Tuck your pelvis slightly and keep your chest tall.
  3. Shift your hips forward until you feel a gentle stretch.
  4. Hold the position and breathe steadily.
  5. Finish the hold, then switch sides.
Form cues
  • Squeeze the glute on the back leg
  • Keep your ribs stacked over your hips
Common mistakes
  • Arching your lower back to get deeper
  • Letting the front knee cave inward
VMO & Hip Control: The PFP Fix

VMO & Hip Control: The PFP Fix

Terminal knee extension and step-downs directly target the vastus medialis oblique, the quad fiber most responsible for pulling the kneecap into proper tracking. Clamshells and hip abduction strengthen the glute medius, correcting the femoral internal rotation that forces the patella laterally under load.

Why PFP Isn't Actually a Knee Problem

Why PFP Isn't Actually a Knee Problem

Patellofemoral pain is a contact-stress condition — the kneecap compresses against the femur when hip weakness allows the thigh to collapse inward. The glute bridge and sit-to-stand train the posterior chain to absorb force that would otherwise concentrate at the patellofemoral joint during every step and stair.

Pain-Free Range as Your Training Variable

Pain-Free Range as Your Training Variable

The wall sit's "pain-free range" instruction reflects the principle of load management — building quad endurance and joint tolerance without provoking the compression angles that aggravate the cartilage. Progress this routine by gradually increasing wall sit depth and step-down step height as symptoms allow, using pain as your periodization signal.

Intermediate Patellofemoral Pain Routine | Mighty Nimble | Mighty Nimble