Article

Common Causes of Knee Pain During Squats

The knee is a passenger. The hip and ankle drive the movement — and the pain.

Ankle mobility

Restricted dorsiflexion forces the knee forward and inward — the leading cause of anterior knee pain in squats.

Hip mobility

Tight hips force the lumbar spine and knees to compensate, driving valgus (knee cave) and pain.

Glute activation

Weak or dormant glutes let the quads take over, overloading the patella tendon.

The corrective sequence

  • Ankle wall test + drills
  • 90/90 hip mobility
  • Glute activation before squatting
  • Tempo squats to reinforce pattern
  • Progressive loading

Frequently Asked Questions

Rarely. Regress the movement, address the drivers, and rebuild — complete rest often makes it worse.
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