Knee Pain With Exercise (SURPRISING CAUSE and HOW TO FIX IT!)


What’s up, guys? Jeff Cavaliere, ATHLEANX.COM. Let’s talk today about knee pain. If you’ve been lifting for any length of time,
likely you’ve had some sort of knee pain or might have knee pain in the future if you’re
not doing the right things. Guys, knee pain can debilitate your leg workouts.
I know. I’ve suffered from it, and I know what it can do to your legs when you’re trying
to squat and especially squat heavy. So, what I want to do today is first of all
cover a couple of the reasons what might be causing your knee pain because that’s going to be important to understand
the difference, and then show you one that I think is really common especially for guys
that train and lift weights. So, if we look here, we’ve got our boy Raymond,
and we’ve got our skeleton, so what you’ll see is that in the knee we’ve got a lot of
different sources of pain. Now you guys have probably heard about ACL
pain and MCL pain and LCL, right. Well we’re talking about tears really because those are ligaments that get injured
sports most often. The ACL and PCL are inside the knee. The LCL and MCL are going to be on the inside
and outside of the knee, and basically, that’s just one source of injury but we’ve also got
osteoarthritic changes that can happen where you actually get degenerative changes
on the bone, the bone on bone area, or on the underside of the patella here that grinds
up against the femur. We could talk about that in a second. We also
have meniscus issues. Guys talk about that. It’s the cushion between the two bones here,
the tibia and the femur, that gives us that space between the joint
that can wear down or tear. But I find that the most common injury that we get when we
train, our inflammatory conditions from overuse of
the patellar tendon. So, the patellar tendon, this is what you’re seeing right here,ok. And what it does is, it runs over the patella,
here it holds it in place, and you can get inflammation of this a lot of times causing
patellofemoral issues, we’ve heard that before, and it impacts the
tracking of the patella when your knee goes into flexion extension. So, as we flex the knee and extend the knee,
you want normal mechanics of the patella so you get this glide. And it glides right in this groove right here.
You can see that it’s supposed to glide right in this groove. But what will happen is, it starts to get
out of position. Well, guess what? This isn’t a knee issue. I’ve talked about this before,
this is not a knee issue. The knee is a train, and this is its track.
Here, and here. So guess what happens when the track gets twisted? The knee in the train goes flying off the
track. So, when you start looking and focusing all your efforts on the knee pain and trying
to, you know, cure the patellofemoral issues, or try to cure your patellar tendonitis, and
you’re not paying any attention to the track, you’re way off track. So, what you want to do is, you want to start
looking for the source and the cause of your knee pain because most often, 99 percent of
the time, the source of that is going to be somewhere
else. And when we look at this, it’s either going to be the track at the bottom, which
is going to be controlled by your ankle and foot, or, the track at the top which is going to
be caused by, or controlled by the muscles in your hip. So, if you look at what goes
on here, if you’re somebody that has flat feet, again,
one of my biggest issues, if you have flat feet, your foot will collapse down and in,
ok. There’s no arch so the arch comes down and
in. That takes the tibia here with it into internal rotation. Well, this stays here, this gets twisted in,
now you’ve got a twisted track. So, now if this thing tries to move on this twisted track, you can see, it’s off the track already. It’s
actually being pulled in, you can see. So, it’s off the track. That’s not going to move
smoothly as we do this. And with every rep of your squat with a flat
foot, that patella is banging up against the side of the track, guess what happens? Inflammation. You can get inflammation on
the underside of the patella. You can get inflammation up through the tendon. We have
issues though, ok. So, now, up at the hip, more common because
you could fix this. You could use an orthotic down here to try to boost up your arch so you can sort of fix the mechanics and reestablish
a straight track. But up here, guys, this is the big issue.
Most guys have weak underdeveloped hips. We’ve talked about that a lot, too. If your hip is underdeveloped and it can’t
control the internal or external rotation here of your femur, the same thing’s going
to happen. This could be all aligned, but if this gets
pulled down and in, you’ve got an issue. If this gets pulled out too much because of tightness
in through your hip, you’ve got an issue. But again, I find the biggest issue here is
glute medius weakness and that’s something that we can actually address too. So, I wanted to show you one of the ways that
you can address that and even test yourself and see. The easiest test, and I know it’s going to
sound embarrassing, especially coming from a strength coach, but lay on your side and
do the Jane Fonda leg raise up and down to the side. Do about 50 of them. Do 50 of them and let
me know in this video below if it burns like hell because I guarantee if you have weak
glute medius, you’re going to feel a real burn that might
feel pretty damn intense, and you might be squatting 350, 400 pounds, it might still
feel like it really burns. So, if that happens to you, you got to get
that stronger. So one of the ways that we do that is with a glute medius Hip Bump. And it’s really pretty simple. What you’re
trying to do is, you’re trying to allow your body to drop, right, in PT we call this Trendelenburg’s
Sign where you just drop down to the side, right. Because you’re letting go of the muscles over
here that keep you upright. So, here in order to get it back, we have to contract our glute
medius which is going to pull our pelvis back and
over to the side over here. So, what we’re doing is, we’re doing a closed chain hip abduction. We’re doing a hip abduction if we’re looking
at the right leg, and it’s just lifting our leg out to the side like that. If we were to try to do that in a closed chain
with our foot connected to the ground, this is what it would look like. I’m just going to let the leg go further away
from my midline as I raise my midline to the right. So, just after doing this a little bit, I
can really feel a burn in that left side glute medius. Maybe it’s not enough for you, all
you’ve got to do is attach a band. Get inside of it, in here. Put it around your
hips. Do the same thing. Get up on your left leg. If you’re trying to work the left hip,
you get up on the left leg, and you face the hip that you’re working inside
towards the source of the band, the point of attachment. You let yourself drop. Just get really lazy.
Let your hips drop. From here, you squeeze it straight over to the side. Let it drop. Squeeze your hips straight over
to the side. This is not an ankle move. This is not a knee move. This is a hip move. All your focus should
be right here. Let it drop. Squeeze your hip lateral, straight over to the side. Hold it for a second, and then come down.
I could already again feel this burning, and obviously working a weak area. We’ve had some top major league athletes that
had extremely weak hips. And you would be surprised because they were strong everywhere
else. This can cause knee pain. This can cause chronic
knee pain, inflammation and everything else that it is you’re feeling. So, just because it’s small and it seems like
kind of a girly exercise, it doesn’t mean that it’s not worthwhile, and something you
should do. So, guys, again, knee pain. The take home
messages here. There’s a lot of different kinds of knee pain. As a trainer, I see guys working out a lot
of times, they’re dealing with a lot of the chronic inflammatory conditions, mostly of
the tendons, patellar tendon namely. You can fix it, but you’ve got to look other
places. You can’t look right at the knee. You’ve got to look up and down. Down at your
ankle. Up at your hip. Find out what the cause is. If it persists
and you are training with much more than knee pain, it might be time guys that you have
to start looking into other solutions. We’ve created the ATHLEAN MECHAN-X Drug supplement
for that very reason. I realize how many guys train in pain. Every
time I put up one of these videos, there’s 50 other requests for shoulders, elbows, wrists,
and neck. People are dealing with pain. We can fix that,
but you’ve got to look in the right places. And if you have to, guys, you can take again,
find ATHLEANRX MECHAN-X over at ATHLEANRX.COM. In the meantime, if you found this helpful,
leave a thumb’s up below, and a comment. Again, I’ll make more of these videos as you
demand them, so just let me know what it is you want to see. Alright, guys, I’ll see you guys back here
again soon.

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