Knee pain after running: Common causes

Knee pain after running often stems from overuse, poor form, or muscle imbalances – but proper prevention and treatment can keep you moving pain-free.

Written by

Shike Virtual Run Team

Published on

December 25, 2023
BlogArticles

Common Causes of Running Knee Pain

CauseSymptomsRisk Factors
Runner’s KneeDull pain around kneecapOverpronation, weak quads
IT Band SyndromeSharp outer knee painHip weakness, sudden mileage increase
Patellar TendinitisPain below kneecapOvertraining, poor flexibility

Prevention Strategies

Proper Running Form

  • ✅ Land with slightly bent knee
  • ✅ Maintain 180+ steps/minute cadence
  • ✅ Avoid overstriding
  • ✅ Keep hips level and stable

Essential Strength Exercises

  1. Single-leg squats: 3×10 per leg
  2. Clamshells: 3×15 per side
  3. Glute bridges: 3×12 with 2-sec hold
  4. Calf raises: 3×15 slow tempo

Treatment Protocol (RICE Method)

  • Rest: 2-3 days complete rest
  • Ice: 15 mins every 2 hours
  • Compression: Knee sleeve during activity
  • Elevation: Above heart when resting

When to See a Doctor

  • ❌ Pain persists >2 weeks
  • ❌ Significant swelling
  • ❌ Locking/clicking sensations
  • ❌ Inability to bear weight

Running Shoe Guidelines

  • Replace every 300-500 miles
  • Get professionally fitted
  • Consider stability shoes if overpronating
  • Rotate between 2+ pairs

Return-to-Running Plan

WeekRunningCross-Training
1Walk/jog intervals (1:2 ratio)Swimming/cycling 3x
2Easy runs (50% normal distance)Yoga/Pilates 2x
375% normal distanceStrength training 2x

Alternative Low-Impact Activities

  • Swimming (freestyle or kickboard)
  • Elliptical training
  • Water running with belt
  • Cycling (proper seat height)
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