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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
Hamstring Sweep
Hamstring Sweep1 min
Standing Quad Stretch
Standing Quad Stretch1 min
Wall Sit (Pain-Free Range)
Wall Sit (Pain-Free Range)1 min

Circuit A

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

Clamshell
Clamshell12x each side
Side-Lying Hip Abduction
Side-Lying Hip Abduction12x each side
Glute Bridge
Glute Bridge12x
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
Step-Down (Low Step)
Step-Down (Low Step)8x each side
Sit-to-Stand
Sit-to-Stand10x
2 rounds · 15 sec rest
1 min rest

Finisher

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

Calf Raise
Calf Raise15x
Wall Sit (Pain-Free Range)
Wall Sit (Pain-Free Range)45 sec

Cool-Down

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

Figure-4 Stretch
Figure-4 Stretch45 sec each side
Kneeling Hip Flexor Stretch
Kneeling Hip Flexor Stretch45 sec each side
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