Knee Rehab Drills

Knee Rehab Exercises: The Drills We Use In Clinic

Most knee rehab starts and ends with strength. Build the quads, add some stability, hope it holds. It is not wrong. It is just not enough.

Your knee rarely hurts because it is weak. It hurts because the load is landing on it, instead of being shared by the calf, hamstrings and glutes behind it. These drills fix that. They get the back of your chain doing its job again, so the front of your knee stops taking the hit.

Do them in order. Keep everything pain free. If you have not worked out what is going on yet, run the knee self-assessment first.

How To Use These

How To Use These Knee Rehab Exercises

Each one earns the next. Two short sessions a week is plenty for most people. Quality over quantity, every time.

  1. 1

    Isometrics

    Wake the tissues up.

  2. 2

    Load Tolerance

    Get them sharing the load.

  3. 3

    Deceleration Tolerance

    Learn to control force on the way down.

Phase 1

Wake It Up

How to do it

Midfoot Foam Roller Bridge

Restores the connection from your foot to your hip, so force transfers cleanly through the whole chain. Your foundation drill. Earn this one before you move on.

How to do itLie on your back with your feet on a foam roller. Position the roller under the ball of your foot, from big toe to little toe. Keep your knees slightly bent, around 5 to 10 degrees. Push through the ball of your foot to bridge your hips slightly off the floor. Shift your hips out to the side, moving just outside the width of your foot. Return your hips to centre. Lower back down. That is one rep. Do 6 to 10 reps per set, for 3 sets.

Do notBridging too high. You only need to lift your hips slightly off the floor. Letting your weight shift back to your heels instead of staying on the ball of the foot. Letting your knees straighten during the movement. Not shifting your hips far enough to challenge the side to side control. Rushing it instead of controlling it. Losing pressure through the ball of the foot as you shift.

You have got it whenYou feel your calf, hamstring and glute working together. The ball of your foot keeps constant pressure into the foam roller. You can control the hip shift without losing the bridge. It challenges your stability but stays controlled. Pressure through the foot stays consistent the whole way. With practice it flows more, but stays controlled.

Full guide to this drill
Phase 2

Share The Load

How to do it

Midfoot Bridge with Hip Shifts

Teaches your soleus, hamstrings and hips to hold load while you add controlled side to side stability.

How to do itLie on your back with your feet flat on the floor. Position your feet as far from your backside as you can while still being able to lift your heels. Push through your midfoot, where your laces would be, down to your toes. Push down and lift your hips just an inch off the floor. Only enough to slide a credit card underneath. Holding that position, shift your hips to one side as far as you can. Shift to the other side, keeping midfoot pressure the whole time. Return to centre before you lower back down. That is one rep.

Do notLifting your hips too high. Stay just an inch off the floor. Losing contact with the ball of your big toe during the shifts. Dropping one hip lower than the other as you shift. Not shifting far enough to each side to challenge your range. Rushing instead of controlling each position. Taking the work into your lower back instead of your lower limb.

You have got it whenYou feel constant tension through your feet and lower legs. Pressure through the ball of your big toe stays steady throughout. You can shift fully to each side without losing control. It feels challenging but controlled. You feel no strain in your lower back. You can finish the reps without cramping.

Full guide to this drill
How to do it

Soleus Slouch

To restore coordination between your soleus, hamstrings and quadriceps by building a co-contraction around the knee joint, so the hip can do more of the work.

How to do itSet up with your feet about one and a half times your foot length apart. Position your back foot in line with your front heel, to shorten your base of support. Start with a slight knee bend, around 15 to 20 degrees. This is your power position. Keep your weight over your midfoot, not your heel. Relax your neck completely. Your shoulders will naturally slouch. Let them. Keep your knee bent at the same angle throughout. Do not let it straighten. Slowly reach your fingertips toward the floor, keeping the pressure through your midfoot. Keep reaching until you feel a stretch in your hamstring. To return, push through your midfoot, not your heel, and keep your neck relaxed. Hold the tension through your midfoot the whole way up. Continue for 6 to 12 reps.

Do notHinging at the hip, bringing your backside back, instead of truly loading the soleus. Letting your knee snap back, especially at the top. Letting your weight drift to your heels instead of staying on your midfoot. Using your neck to lift yourself back up. Rushing it instead of controlling it. Not fully relaxing your neck and shoulders. Looking up at the ceiling instead of keeping your neck relaxed.

You have got it whenYou feel real tension in your calf. As you push through your midfoot to come up, your hip comes forward. It feels challenging, especially holding the knee position. You feel your hamstrings stretch on the way down. You hold the same knee angle the whole way through. With practice it flows more, but stays controlled.

Full guide to this drill
How to do it

Adductor Magnus Bridge with Hip Shift

Brings your inner thigh and lateral hip back into controlling the hip, so the load spreads across more of the chain.

How to do itLie on your back with one leg extended toward a box, couch or chair. Position your foot so the knee is almost straight, around 5 degrees of bend. Bring that hip out to the side, as far as is comfortable. Pull your toes up toward your shin to increase heel pressure. Bring your other knee up toward your chest. Push through your heel to bridge up just an inch off the floor. Shift your hip across, away from the supporting leg, as far as you can. Feel the stretch in your adductor as you reach the end of the range. Return to centre, then lower back down. That is one rep. Do 6 per side, keeping heel pressure throughout.

Do notBridging too high. You only need an inch of clearance. Losing pressure through the heel. Letting the knee bend further through the movement. Not shifting the hip far enough to feel the adductor stretch. Forgetting to return to centre before you lower. Losing tension in the supporting leg as you shift.

You have got it whenYou feel your inner hamstring engage as you push through your heel. You feel a stretch in the adductor as you shift the hip away. The harder you push through the heel, the more movement you have available. The shift feels controlled and stable. It challenges your stability while still allowing controlled movement. You feel the adductor letting go of its protective tone with each rep.

Full guide to this drill
Phase 3

Control It

How to do it

Slouch Walking Lunges

Takes that knee co-contraction into movement, the way real sport demands. This is where the drill becomes something your body can use on the pitch or the road.

How to do itBegin in a slouch position with your neck and shoulders relaxed. Push your knee forward while shifting your weight toward your heel. Descend as far as is comfortable, keeping the upper body relaxed. Stay in the tunnel. Do not rise up between steps. Lift your back leg to check all your weight is on the front leg. Plant that foot forward into a new lunge. Continue the same pattern. Knee forward, weight toward the heel. To come back to standing, push through your midfoot to drive the hip up. Keep alternating legs for the prescribed reps.

Do notStanding up between steps instead of staying in the tunnel. Losing the relaxed neck and upper body. Shifting onto your toes instead of staying midfoot to heel. Rising straight up instead of driving the hip horizontally. Not fully loading the front leg before you step forward. Rushing it instead of controlling it. Using your back to lift rather than pushing through your midfoot.

You have got it whenYou hold the tunnel the whole way through. You feel your soleus, hamstring and glute working together. The movement produces horizontal force, not just lift. You feel your hip driving forward as you push through the midfoot. It feels challenging but controlled. Your neck and shoulders stay relaxed throughout. With practice it flows more, but stays controlled.

Full guide to this drill
How to do it

Single Leg Reverse Plank

Loads the back of the knee, the calf and the hamstring together in high tension, where they have no choice but to work.

How to do itLie on your back with your legs extended away from you, heels a good distance from your body. Pull your toes up toward your shins to increase heel pressure. Lift one leg off the ground. Push through the standing heel to raise your hips about an inch. Hold for 6 seconds, then lower. For more challenge, add hip shifts away from the supporting leg, returning to centre before you lower. Do 6 reps per side.

Do notBridging too high. About an inch of clearance is enough. Losing pressure through the heel. Letting the knee bend more through the movement. Using your arms to lift instead of pushing through the heel. Rushing it instead of controlling it. Forgetting to pull your toes up to increase heel pressure. Feeling like your forearms are too short, which means you are not pushing hard enough through the heel.

You have got it whenYou feel your hamstrings and calves working strongly. It challenges your stability while still allowing controlled movement. You can hold tension through the heel throughout. You may find it surprisingly hard to generate force. Your glutes take on more of the work in the hip thrust progression. As you adapt, the movement becomes more controlled. You feel the hamstrings and calf coordinating more as you go.

Full guide to this drill
Progress

How To Know Your Knee Rehab Is Working

The work shifts to your calf, hamstrings and glutes, and off the front of the knee.

The drills go from stiff to smooth, from rigid to relaxed.

Your breathing stays calm and the movements speed up on their own.

The knee complains less during and after sessions.

Move on

When to progress

When a drill feels easy and clean, move on. Easy is the signal.

Stop guessing

When to get it checked

If pain is not settling after a couple of weeks, or you get swelling, locking, or the knee giving way, stop and get it assessed.

FAQs

Knee Rehab Exercises: Common Questions

What are the best exercises for recurring knee pain?
The ones that fix coordination, not just strength. Midfoot bridges, the soleus slouch, walking slouch lunges and the single leg reverse plank get your calf, hamstrings and glutes sharing the load, so your knee stops carrying work that is not its own.
How often should I do knee rehab exercises?
Two short sessions a week is enough for most people. Quality over quantity. Do them in phase order and only progress when a drill feels easy and clean.
Why does my knee pain keep coming back even after rehab?
Usually because the rehab built strength without fixing the timing. Strong muscles still overload the knee if they are not firing together. These drills retrain the coordination underneath.
Should I stop training if my knee hurts?
Keep everything pain free. A little muscular tension is fine. Sharp pain, swelling, locking, or the knee giving way is not. Those need a professional eye first.