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Knee Pain and Running: A Guide for Active Dads

knee pain with running. physical therapy

Dealing with Knee Pain?

As an active dad, balancing family life, work, and your running routine can be a challenge. Running is your escape, your “me time,” and perhaps even your way to stay in shape to keep up with your kids. But what happens when knee pain starts to creep in and threatens to sideline you? Whether it’s a dull ache after a long run or sharp pain that flares up during your jogs, knee pain is a common issue for runners.

The good news? Physical therapy can be a game-changer for getting you back on track (or trail) and keeping your knees healthy. This blog will dive into the causes of knee pain, how physical therapy can help, and practical tips to keep your knees strong so you can keep running—and keep up with your kids.


Why Runners Experience Knee Pain

Runners are particularly prone to knee pain due to the repetitive impact forces involved in the activity. Every stride you take puts stress on your knees, and over time, this can lead to irritation or injury if the underlying mechanics aren’t ideal. Here are some common culprits behind knee pain in runners:

1. Runner’s Knee (Patellofemoral Pain Syndrome)

Runner’s knee is one of the most common issues for runners. It’s characterized by pain around or behind the kneecap, often exacerbated by activities like running, squatting, or climbing stairs. Poor tracking of the kneecap, muscle imbalances, or overuse are frequent causes.

2. IT Band Syndrome

The iliotibial (IT) band is a thick strip of connective tissue that runs along the outside of your thigh. When tight, it can rub against the outer part of the knee, causing pain. IT band syndrome is often caused by overtraining, weak hip muscles, or poor running form.

3. Tendonitis

Inflammation in the tendons around the knee—most commonly the patellar tendon—can result from overuse, repetitive stress, or improper warm-up routines.

4. Osteoarthritis

For some active dads, knee pain may be related to early signs of arthritis, especially if you’ve had previous knee injuries. Wear and tear over time can lead to cartilage breakdown, causing pain and stiffness.

5. Meniscus Tears

A meniscus tear—a common injury among runners—can occur suddenly during a twist or gradually from wear and tear. This injury often results in swelling, pain, and difficulty fully bending or straightening the knee.


How Physical Therapy Can Help with Knee Pain

If you’re experiencing knee pain, physical therapy should be your first line of defense. Physical therapists specialize in identifying the root cause of pain and developing personalized treatment plans to address it. Here’s how physical therapy can help:

1. Accurate Diagnosis

A physical therapist will evaluate your knee, gait, and biomechanics to pinpoint the cause of your pain. Understanding whether your knee pain stems from weak muscles, improper alignment, or overuse is key to effective treatment.

2. Targeted Exercises

Physical therapy focuses on strengthening the muscles around your knee—such as the quadriceps, hamstrings, and glutes—to improve stability and reduce stress on the joint.

3. Gait Analysis and Form Correction

If your running mechanics are contributing to your knee pain, a physical therapist can assess your gait and recommend adjustments to improve your form and efficiency.

4. Pain Management

Techniques such as manual therapy, ice, heat, or modalities like ultrasound can help reduce inflammation and pain, allowing you to move more comfortably.

5. Injury Prevention

Physical therapy doesn’t just address current knee pain; it also focuses on preventing future injuries. With a tailored plan, you’ll build resilience and ensure your knees stay healthy for the long haul.


Practical Tips to Protect Your Knees

In addition to physical therapy, there are steps you can take to reduce your risk of knee pain and improve your running performance:

1. Warm Up and Stretch

Before heading out for a run, spend 5–10 minutes warming up with dynamic movements like lunges or leg swings. Afterward, stretch your quadriceps, hamstrings, calves, and IT band to maintain flexibility.

2. Strength Train Regularly

Strong legs and a stable core are essential for reducing knee stress. Include exercises like squats, lunges, and planks in your routine to build balanced strength.

3. Increase Mileage Gradually

Avoid the “too much, too soon” trap. Increase your weekly mileage by no more than 10% to give your body time to adapt.

4. Wear Proper Running Shoes

The right shoes can make a world of difference. Visit a specialty running store to get fitted for shoes that match your gait and provide proper support.

5. Listen to Your Body

Don’t ignore early signs of knee injuries. Taking a few days off or modifying your routine can prevent minor issues from escalating into more serious injuries.


When to Seek Help for Knee Pain

Knee pain that doesn’t improve with rest or persists for more than a week warrants professional attention. Don’t wait until the pain becomes debilitating—early intervention through physical therapy can save you from prolonged downtime.


Take Action: Get a Free Injury Consult

At Rehab 2 Perform, we understand the challenges of balancing an active lifestyle with family life. Don’t let knee pain hold you back from being the best version of yourself.

We’re offering a complimentary injury consult to help active dads like you address knee pain and get back to doing what you love. Our experienced physical therapists will evaluate your condition, answer your questions, and create a plan to keep you running strong.

Click HERE to schedule your free consult today!


Top 3 FAQs About Knee Injuries in Runners

1. What can I do to prevent knee injuries when running?
Preventing knee injuries starts with proper training. Gradually increase mileage, strengthen your lower body, and ensure your running shoes provide adequate support. Regularly incorporating mobility and flexibility exercises can also help reduce strain on your knees.

2. Should I stop running if I experience knee pain?
If the pain is mild, you might not need to stop entirely but should consider reducing your mileage or intensity. Persistent or sharp pain is a sign to stop running and seek professional advice. Physical therapy can help determine the underlying cause and guide your recovery.

3. Can knee pain from running be treated without surgery?
Yes, most cases of knee pain in runners can be effectively treated with non-surgical methods like physical therapy. By addressing the root cause of pain through targeted exercises, manual therapy, and gait correction, many runners can recover fully and avoid surgery.


Don’t let knee issues derail your running goals—or your ability to keep up with your kids. With the right strategies and support from a skilled physical therapist, you can overcome pain, prevent future injuries, and stay on track for years to come.


About Rehab 2 Perform

Rehab 2 Perform is a leading physical therapy and sports rehabilitation company dedicated to helping clients achieve optimal performance in their daily lives, whether they are athletes, weekend warriors, or individuals recovering from injury. With a team of highly skilled professionals across 10 state-of-the-art locations (soon to be 12), Rehab 2 Perform offers a personalized, evidence-based approach that emphasizes active rehabilitation and functional fitness. Find a Location near you, or Schedule Here.

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