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Physiotherapy Exercises

Knee Strengthening Exercises for Knee Pain

2 August 2026 · By Nhlamulo Khosa, BSc Physiotherapy (UCT)

Strength is the most reliable long term treatment for load related knee pain. This routine progresses from calming an irritable knee through to building genuine capacity.

Stage one: settle the irritation

Isometric holds such as wall sits and static quadriceps contractions often reduce pain while maintaining muscle activity. Use these daily during a flare, alongside a temporary reduction in aggravating activity rather than complete rest.

Stage two: build strength

Progress to controlled movement such as step ups, split squats and leg presses within a comfortable range. Aim for three sets of eight to twelve repetitions at an effort where the last two repetitions are hard but achievable with good technique.

Stage three: return to your sport

Add speed, direction change and impact gradually once strength is comparable between sides. Rushing this stage is the most common reason knee pain returns.

If you're in Centurion or Midrand and want personal guidance, our physiotherapist offers same day appointments in clinic in Eco Park, Centurion, or at your home.

Frequently asked questions

How many times a week should I do knee exercises?+

Two to three strength sessions a week is a common target, with lighter isometric work daily during a flare.

Are squats bad for the knees?+

Squats are not inherently harmful. Depth, load and progression rate determine whether they irritate a sensitive knee.

Should knee exercises hurt?+

Mild discomfort up to about three out of ten that settles within a day is generally acceptable.

Do I need equipment?+

Not to start. Bodyweight, a step and a resistance band cover most early rehab.

Book with N S Physiotherapy

In clinic in Eco Park, Centurion, or home visits across Centurion and Midrand.

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