2 Missing Keys & Exercises to Fix Dynamic Knee Valgus (Knock Knees)

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  • Опубліковано 28 лис 2024

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  • @MovewithDrMike
    @MovewithDrMike Рік тому +27

    I work with many patients between the ages of 40-100 who deal with knocked knees which can be managed with the appropriate assessment and treatment. I like that you added addressing the foot because I know one cause of knee collapse could be coming from lack of ankle range of motion. Secondly I’ve found that glute med and abdominal weakness can in fact be another cause which I like that you went over the hip hitch exercise which has high emg activation of the glute medius. Lastly I have found that it could also be a neuromuscular control and coordination problem. Meaning they have the mobility but lack the coordination and control with more demanding activities! Great video and I enjoy your content!

    • @PrecisionMovementCoach
      @PrecisionMovementCoach  Рік тому +1

      Thanks so much for commenting and for sharing your thoughts.
      We love hearing from professionals like you.
      Stop by anytime!
      - Coach Joshua, Team PM

    • @MovewithDrMike
      @MovewithDrMike Рік тому +1

      @@PrecisionMovementCoach absolutely!

    • @MrScofield7
      @MrScofield7 4 місяці тому

      ​@@MovewithDrMikeso we can fix em with exercise

  • @PriceFamily-h5r
    @PriceFamily-h5r Рік тому +4

    Due to recalling your 2018 message about the ABC’s of effective mobility, I recently started focusing on alignment. It really must come first, since most exercises must start with good posture and form must be maintained throughout. Due to knee pain, I tried to function with my valgus right knee aligned properly over my foot using active kinesthetic awareness. I could not keep my focus on this but became aware that certain bunion sandals automatically corrected my alignment. I noticed right away that, with these shoes, I also could walk without lurching. I began to focus on my shoes (I could not go barefoot and understand that I need some padding at my age). I found that my foot had changed a lot with age - they are a lot wider and also bigger. I believe that beginning to take long walks in shoes that were 1/8 of an inch too narrow is what caused my knee pain to return in 2022. My right foot is 4 inches wide in an odd spot due to a bunion on each side, so I am now wearing women’s XXW shoes one size up, not just the bunion sandals. My knee has much better alignment and perhaps my kinesthetic awareness about this is becoming more automatic.
    I am now prepared to return to my Lower Limb Control exercises. I was too aggressive when I started the course in 2018, when I retired. I pulled something in the metatarsal area of my right foot because I did not heed your advice to be careful and start slow. Now that I understand my feet better, I have lost my fear about doing these corrective exercises, which are key.
    My gait is good, except I will have to start exercises to control hip swaying. (They have always swayed, to my knowledge. I now know that is not good.) I would like to see what you have to say about the functional movement of walking. I am confused about where to land and how to prevent hyperextension of the knee joint.
    Thank you for your videos, the research that you disseminate, your targeted courses, your enthusiasm, and for giving us Dr. B. With your help, people do not have to be brushed off as a victim of arthritis or tricked into getting knee surgery, etc., which I believe will not help them in the long term if they do not address root causes. -- Linda Price

    • @PrecisionMovementCoach
      @PrecisionMovementCoach  Рік тому

      Thanks so much for the update and keep us posted on your progress.
      We really appreciate you taking the time to share your story :)
      - Coach Joshua, Team PM

  • @sanfransimo
    @sanfransimo Рік тому +6

    Thanks Eric. I experienced IT band syndrome on account of dynamic knee valgus + running. Years ago, your videos helped me to realize that the root of my specific issue was more foot and ankle than hip. Ninety percent of my ITBS was triggered by running/hiking down hill, but it took information and a kinesthetic awareness to understand what was happening....While descending, reduced ankle dorsiflextion and a collapsing arc in the eccentrically loaded rear leg was causing my rear knee to cross the medial line. First off, strengthening my arc was necessary for me to EVEN BEGIN addressing the dorsiflexion issue. After that, the most important exercise for me has been the Bulgarian split squat performed in front of a mirror while engaging the short foot (not much different than your 1-legged squat in this video). The Bulgarian split squat strengthened my kinetic line from the foot up, but also allowed me to be more reliant on my front leg when going down hilly terrain. I haven't had a flair up in years. Thanks again E.

    • @PrecisionMovementCoach
      @PrecisionMovementCoach  Рік тому

      Hi!
      Thanks for commenting and for following along.
      It's great to read about your progress and I know that you are gong to make more.
      We appreciate you trusting us to help guide your efforts.
      let us know if you have any more questions :)
      - Coach Joshua, Team PM

    • @jonnyo1802
      @jonnyo1802 Рік тому

      Has your knee valgus gone away completely? If so, how long did it take? What is your favorite exercise for ankle dorsiflexion and arch strengthening? Did you continue to run while addressing the valgus issue?

    • @sanfransimo
      @sanfransimo Рік тому +1

      ​@@jonnyo1802
      I don’t know if my valgus has gone away completely, but my knee definitely doesn’t fold in or “rock” the way it used to when running or when walking downhill. My main symptom was severe IT band pain on the outer knee.
      After a series of sharp flair ups, I took an eight-week break completely away from running (and hiking). Shorter breaks only saw fair ups quickly return. During the eight weeks, I cycled quite a bit and did a number of exercises, stretches, and activations that targeted my specific issues (bellow).
      My valgus and IT band issues were fundamentally because of weak and immobile feet. My lack of ankle dorsiflexion too. One must not stretch the calf to the point of pronation, arch collapse, or valgus. It's really dangerous to try using ankle flexibility to compensate compensate for strength imbalances of the foot.
      Here's what I did (and still do) for the feet.
      Everything from the Coach E on “6 Intrinsic Foot Muscle Strengthening Exercises (Fix Pain & Flat Feet)," especially the short foot exercise and active arc exploration
      Posture direct dot com has a great series on “how to fix flat feet.” It has many of the same exercises featured by precision movement, but with some alternate approaches. The "alternate toe lift" was a break through exercise for me but took weeks before I could do it properly. Just a lot of cramping and frustration.
      I could not do the "short foot" exercise until figuring out the "alternate toe lift." When I did finally get it, the short foot also made my foot cramp up for the first week. After that, I kept the short foot engaged while doing the following exercises: Bulgarian split squats, hip hikes, lateral crab walks (with a band around the knees), one-legged bridges and eventually one-legged pistol squats.
      Precision Movement also has a great video for a "Functional Ankle Mobility Drill," that I found very useful.
      My feet/arch gradually became strong enough to support a mild stretch in my lower calf. I would have to roll out my lower calf quite heavily with a lacrosse ball before doing something like the "ankle dorsiflexion mobilization exercises" Coach E links to, but also a simple wall stretch with a bent (not straight) back leg with the short foot engaged (to prevent pronation). After all that rolling a bent-knee wall stretch would cause lots of audible popping in my ankle lower calf and foot. Still, there has never been the same kind of deep stretch feeling that I get with other muscles because I only go as far as my arch can support. It's worth repeating-never stretch the calf to the point of pronation, arch collapse, or valgus.
      I slowly got back into running as my imbalances and became less severe. After two months I started with uphill running only, then some speed training on the flats, with distances and downhill running slowly and cautiously brought back into the mix after another month or so.
      I still don't have wonderful ankle dorsiflexion, but it's plenty good enough to avoid injury. For me personally, it feels like the stronger my feet are, the more ankle dorsiflexion I'm able to achieve. Most of that flexibility has come from the strength and mobility exercises I've described, not from stretching. I have not had an IT band flare up in years.
      Hope that helps!

    • @jonnyo1802
      @jonnyo1802 Рік тому

      @@sanfransimo thanks for the quick and detailed response! I think my valgus might be due to weak adductors, not sure if you know anything about that, if so, let me know. My arch and ankle dorsiflexion are fine and I can manage single leg pistol squats if I turn my feet a few degrees outward. If the the feet is completely straight then my knee valgus is really obvious even when I do my best to externally rotate the knee as I squat. The tendons on the lateral side my leg all get tight, around ankle, knee, hip, and it feels like my adductor isn't work at all. I don't work them out too much lol. The knee valgus hasn't caused any issues with my running yet but I figure it's best to address it now rather than later. Glad you resolved your issues and can run pain free again. Thanks again for responding, I will definitely go through the exercises for flat feet, just to make sure everything is in order. Also I don't know if you do any barefoot running in minimalist shoes or zero drops but for me, it really helped with strengthening my feet and ankles (arch and ankle dorsiflexion as well). Also, Ready To Run by Kelly Starrett has been tremendously helpful on my running journey. Check it out if you get the chance, Happy running!

  • @ImpulsoCreativo9322
    @ImpulsoCreativo9322 Рік тому +1

    you are awesome. THanks for breaking it down, giving us the right videos for each problem and just being so sweet and dedicated!

    • @PrecisionMovementCoach
      @PrecisionMovementCoach  Рік тому +1

      Much appreciated!
      It really makes our day to read comments like this :)
      - Coach Joshua, Team PM

  • @raginald7mars408
    @raginald7mars408 Рік тому

    ... as a German Biologist -
    2 times Marathon Endurance Runner....
    This is SOOOOO Existential!!!!!
    Almost every Amateur Runner has BAD Posture
    Bad Technique
    This is SOOO Essential for everybody!
    Thank YOU!

    • @PrecisionMovementCoach
      @PrecisionMovementCoach  Рік тому

      Thanks for watching and for commenting.
      We really appreciate it :)
      - Coach Joshua, Team PM

  • @brightandcheary
    @brightandcheary Рік тому +2

    Brilliant research and application for this quite common condition. Thank you.

    • @PrecisionMovementCoach
      @PrecisionMovementCoach  Рік тому

      We are so happy that you picked that up :)
      Thanks for watching :)
      - Coach Joshua, Team PM

  • @priorerj
    @priorerj Рік тому +3

    Thanks!

  • @_jenessy
    @_jenessy Рік тому

    So grateful I get to catch your content, thanks Coach

  • @kathyann9169
    @kathyann9169 7 місяців тому +1

    Love you. Thank you for posting your video. It's just what I needed.

  • @pug7
    @pug7 9 місяців тому

    what an excellent video. i noticed my knees just kind of slightly angle inwards because i believe my feet are much stronger than my legs and glutes or something. i believe this will help me get ahead of any complications in the future ahead of time. thank you so much

    • @PrecisionMovementCoach
      @PrecisionMovementCoach  9 місяців тому +1

      You are so welcome and thanks for stopping by.
      What you describe can be addressed with these exercises so keep us posted on your progress :)
      - Coach Joshua, Team PM

  • @JessPFit
    @JessPFit 10 місяців тому

    Excellent video! Thank you!!

  • @himanshukashyap-gm9mi
    @himanshukashyap-gm9mi Рік тому

    Great knowledge. Thank you so much

  • @flyinggeckos
    @flyinggeckos Рік тому +1

    I have right knee valgus. Became more aware of it thanks to this video (but I have been told my knee was caving in lots over the years). Question: trying to do hinge and 1-leg squat, I cannot seem to use my leg muscles alone to line up the knee properly while maintaining middle-metatarsal balance. I can do it if I push one finger against the couch, or if I balance on the outside of my foot. Is it ok to use a finger to keep myself aligned at first?

    • @PrecisionMovementCoach
      @PrecisionMovementCoach  Рік тому +2

      Definitely... keep pushing the knee out, which will come from the feet and hips and as you get stronger, use the wall less and less.

  • @reelestatething
    @reelestatething Рік тому

    Great info here! Thank you!

  • @bruce-le-smith
    @bruce-le-smith Рік тому

    fantastic thank you

  • @theblueprintmethod
    @theblueprintmethod Рік тому

    Well said, thanks!

  • @Qubaiv
    @Qubaiv Рік тому

    I would be interested in the video describing differences for the congenial version of this condition.

  •  Рік тому

    Thank you for the video!

  • @vt3351
    @vt3351 Рік тому

    Thanks for this, really helpful

  • @karolinakniezaite3742
    @karolinakniezaite3742 Рік тому +1

    Great video with wonderful explanation. Thank you for exercises - will start doing them asap with foot and ankle exercises you shown also :) My ankle mobility did increase though I still can't touch the wall with the ankle dorsiflexion test but I'm getting better ! 😅

    • @PrecisionMovementCoach
      @PrecisionMovementCoach  Рік тому

      You are welcome and keep us posted on your progress :)

    • @epictronologs1793
      @epictronologs1793 11 місяців тому

      any updates?

    • @karolinakniezaite3742
      @karolinakniezaite3742 10 місяців тому +1

      @@epictronologs1793 soo.. I couldn't do the dorsiflexion training for some months. But now I am atm doing constantly for 2 months. My dorsiflexion got some 1,5 cm closer to the wall. Happy with that though. This already helped to reduce my pain in hip area where trochanter is, and I noticed my knee tends to go less inwards when I walk the stairs (I need less focus on where my knee is going also). So for now still in dorsiflexion improvement stage before I do the other exercises shown in video.

  • @jordangomes3336
    @jordangomes3336 10 місяців тому +1

    Please make a video about structural knee valgus, i'm from brazil and don't have so much videos in portuguese that give me hope to fix this problem without surgery 😢

    • @PrecisionMovementCoach
      @PrecisionMovementCoach  9 місяців тому

      We can do better than a video. We've got a whole program for that:
      It can help you to assess and address the root cause of your issues:
      www.precisionmovement.coach/knee-pain-solution-yt
      Check it out and let us know what you think :)
      - Coach Joshua, Team PM

  • @elizabethfisher4125
    @elizabethfisher4125 Рік тому

    Hi. I was just pondering this very problem, knees pronating in, despite regular weights and functional fitness workouts. I am tall, 183cm…is there a difference in your exercises if you are shorter versus taller? And you don’t often refer to gym machines - would you stay away from them when trying to fix knees? Thanks I appreciate your integrity and knowledge.

    • @PrecisionMovementCoach
      @PrecisionMovementCoach  Рік тому

      Hi!
      There is no difference in the exercises based on height.
      Machines tend to create/exacerbate imbalances and we typically do not promote their use. There is a time and place for them but they are likely not for you.
      Let us know if you have any questions and thanks for watching/commenting :)
      - Coach Joshua, Team PM

  • @vinapatel8265
    @vinapatel8265 Рік тому

    Thank you for detailed information. I am following you and it helps a lot.

  • @GariGold
    @GariGold Рік тому

    Excellent explanation. Thanks. wondering about the tibia. As a former dancer I have too much tibia movement and wondering if there are escercises that can help with keeping the alignment properly. Thanks Coach E!

    • @PrecisionMovementCoach
      @PrecisionMovementCoach  Рік тому +1

      Glad that you think so.
      Any exercise that challenges your ability to maintain alignment will serve you well.
      These are a good start. Also, check these out:
      www.youtube.com/@PrecisionMovementCoach/search?query=tibia
      :)
      - Coach Joshua, Team PM

    • @GariGold
      @GariGold Рік тому +1

      @@PrecisionMovementCoach 🙏💙

  • @ginacuff1707
    @ginacuff1707 Рік тому +2

    I have mild knock knees and would love you to do a video on exercises for this. 😀

  • @adrianneryan2865
    @adrianneryan2865 Рік тому +1

    I am congenitally knock kneed and have scoliosis. Any tips on these conditions? I’ve been able to perform at a high level despite this but now at 72 I am looking very crooked and I’m worried about long term effects.

    • @PrecisionMovementCoach
      @PrecisionMovementCoach  Рік тому

      Hi and thanks for writing to us.
      Did you try out the exercises and need tips? Let us know more about what you want to know so that we can better assist you :)
      - Coach Joshua, Team PM

    • @adrianneryan2865
      @adrianneryan2865 Рік тому

      I thought you said this exercise would only help if you were functionally , not congenitally knock kneed?

    • @PrecisionMovementCoach
      @PrecisionMovementCoach  Рік тому

      @@adrianneryan2865 These exercises will definitely help you to improve and maintain whatever muscle activation and alignment you can achieve and they are worth doing :)
      - Coach Joshua, Team PM

  • @leonwilliamson5340
    @leonwilliamson5340 Рік тому

    Hey Eric, would you be able to make a video on structural Knee Valgus?

  • @elizabethfraser2996
    @elizabethfraser2996 7 місяців тому

    Hi,
    I have knee Valgus and I also have bunions and a hammerhead toe on my middle toe and Morton's Neuroma. From what you say it seems these are related. Is there hope for me ?
    Thanks

    • @PrecisionMovementCoach
      @PrecisionMovementCoach  7 місяців тому

      Thanks for those details.
      There is hope for you.
      Get started on the exericses and keep us posted on your progress :)
      - Coach Joshua, Team PM

  • @sstanford1331
    @sstanford1331 Рік тому +1

    It's a normal to have it in just 1 leg. I'm not even sure how this happened started at 20 I'm now 22 it slowly got worse but not enough to stop me from doing my activities but it's quite difficult to train my legs with the 2 different leg positions. Half to finally find what its called and a way to fix it

    • @PrecisionMovementCoach
      @PrecisionMovementCoach  Рік тому +1

      That is definitely normal and many people are affected by that. The resources in the video description can help you to address the issue.
      Especially the Hip Pain Solution and Knee Pain Solution programs:
      www.precisionmovement.coach/knee-pain-solution-yt
      www.precisionmovement.coach/hip-pain-solution-yt
      - Coach Joshua, Team PM

  • @epictronologs1793
    @epictronologs1793 11 місяців тому

    hi i have dynamic knee valgus,
    i am definitely going to be incorporating these exercises to my routine. I've only recently started tackling my knee valgus as I want to be more active. I have realised i have both weak knees and poor dorsiflexion so i will do both of these workouts. But alsoi have a question relating to an exercise not mentioned in this video,
    ive been doing the hip flexor leg lift exercises as a way to address my weak hip mobility and notice that i often cramp up in my quads whenever i do them. Is this a sign that my muscles are adapting to this movement and will it get better with more repetitions or should i avoid the exercise for now?
    Thanks for the video.

    • @PrecisionMovementCoach
      @PrecisionMovementCoach  9 місяців тому

      Hey!
      Thanks for trying them out. How are you now?
      Cramping just indicates that the muscle is weak and it will strengthen with time and practice.
      Keep us posted on your progress :)
      - Coach Joshua, Team PM

  • @1Nathoo
    @1Nathoo 4 місяці тому

    How long will me doing these exercise daily see results ?

    • @PrecisionMovementCoach
      @PrecisionMovementCoach  4 місяці тому

      Great question :)
      Please try these exercises 2 - 3 times weekly for four weeks and get back to us with a progress report.
      Talk to you soon :)
      - Coach Joshua, Team PM

  • @edwigcarol4888
    @edwigcarol4888 Рік тому

    My right leg will greatly profit from these additional tips
    But I wonder if women are not more prone to slight valgus knees because of the greater angle their femur make from the hip to the knee ?
    After a visual check of my knees' alignment in an exercise i asked me: are those femur in normal position or is it a slight valgus, how to know? Femur are not along the vertical axis...

    • @PrecisionMovementCoach
      @PrecisionMovementCoach  Рік тому

      Women are definitely prone to valgus knees. Read about the Q-angle to better understand why :)
      - Coach Joshua, Team PM

  • @amieon
    @amieon Рік тому

    I think I got a meniscus tear im not sure but my chiropractor says it’s just because of my muscles that are too tensed. I’ve been using a massage gun on my quads and hamstrings. Feels like something is floating in my knee. my knee is still popping, is there a way to treat this? Can I still do quad, hamstring, and glute exercises(excluding squats)? Are deadlifts, rdls, and hip thrusts okay for possible meniscus tears?

    • @PrecisionMovementCoach
      @PrecisionMovementCoach  Рік тому +1

      Thanks for writing to us!
      This video can help you to better understand if you have a meniscus tear:
      ua-cam.com/video/nEmtxA7aCug/v-deo.html
      Please take a break from any lower body training until you address the root cause of your issue and regain the full function of your knee.
      The Knee Pain Solution program can help:
      www.precisionmovement.coach/knee-pain-solution-yt
      We are here if you ever need more advice or asssitance :)
      - Coach Joshua, Team PM

  • @aleximurphy4275
    @aleximurphy4275 Рік тому

    I have congenital knee valgus and tibial torsion. I already have lateral condyle chondromalacia and pateloformoral syndrome. I'm only 36 so I'm really distraught. Do you have video or program recommendations?

    • @PrecisionMovementCoach
      @PrecisionMovementCoach  Рік тому +1

      Hi!
      Thanks so much for writing to us. We can definitely help you out.
      Check out the Knee Pain Solution program for ideas on how to address your issues:
      www.precisionmovement.coach/knee-pain-solution-yt
      - Coach Joshua, Team PM

    • @aleximurphy4275
      @aleximurphy4275 Рік тому +1

      @@PrecisionMovementCoach thank you and thanks for the videos!!!

  • @dafe3795
    @dafe3795 Рік тому

    Since this addresses the piriformis, could it help with ciatic pain or could it make it worse?

    • @PrecisionMovementCoach
      @PrecisionMovementCoach  Рік тому +1

      Hmmmm...hopefully it makes it better.
      Try it out and let us know how it goes :)
      - Coach Joshua, Team PM

  • @misguasefa
    @misguasefa Рік тому

    Could this be related to my internally rotated hip and will it fix it?

  • @marianneclifford7092
    @marianneclifford7092 8 місяців тому

    Are there exercises for structural Velgus?

  • @Pharmaceuticat
    @Pharmaceuticat Рік тому

    How do I get the active arch? It feels like I'm just curling all my toes instead

    • @PrecisionMovementCoach
      @PrecisionMovementCoach  Рік тому

      You will improve with time and practice.
      Check this out as well:
      ua-cam.com/video/sTifSagCxUM/v-deo.html
      - Coach Joshua, Team PM

  • @CrawfordCauthen
    @CrawfordCauthen Місяць тому

    Please help me, I can’t even keep my right foot straight with out the knee caving in and I can’t perform any of these exercises correctly.

    • @PrecisionMovementCoach
      @PrecisionMovementCoach  26 днів тому

      Hi, we are here for you!
      It's okay if you can't copy the video exactly. If you follow the cues as best you can, you will improve with time and practice.
      Try moving slower and smaller, and let us know how it goes :)
      - Coach Joshua, Team PM

  • @Jay-sk3ty
    @Jay-sk3ty Рік тому

    can you also do bowlegs???

  • @ursulasaqui3683
    @ursulasaqui3683 Рік тому

    Can this result in tarsal tunnel?

  • @ΓιώργοςΚουτσιούλης

    VERY INTERSTING!

  • @jakemusselman8172
    @jakemusselman8172 Рік тому

    So i have severe flat feet (0 arch at all) do these exercises still work for flat feet? Or does having flat feet make these movements unsafe?

    • @PrecisionMovementCoach
      @PrecisionMovementCoach  Рік тому

      These exercises are safe for you.
      However, do these exercises beforehand:
      ua-cam.com/video/xM4E3pc0lQg/v-deo.html
      - Coach Joshua, Team PM

    • @jakemusselman8172
      @jakemusselman8172 Рік тому +1

      @@PrecisionMovementCoach amazing, thank you so much :)

  • @peetos-chan2835
    @peetos-chan2835 Рік тому

    👍👍👍

  • @StephanieHoltz0220
    @StephanieHoltz0220 Рік тому

    Hi, what does it mean if I have knee valgus (from sitting wrong as a child) and really high arches (barbie feet!) Ive been trying yo find anything to help understand this. Usually when I hear people tall about valgus they always expect flat feet.
    Anyways, i will be trying these exercises my next gym visit.

    • @PrecisionMovementCoach
      @PrecisionMovementCoach  Рік тому +1

      Hi!
      That is not uncommon. It just means that your hips are a likely root cause of your valgus knees than your ankles.
      Let us know how the exercises go :)
      - Coach Joshua, Team PM

    • @StephanieHoltz0220
      @StephanieHoltz0220 Рік тому +1

      @@PrecisionMovementCoach thankyou for the response and giving me some insight on my own body mechanics. I will definitely be looking at my hips now.

  • @Andy.mikhail137
    @Andy.mikhail137 Рік тому

    My knees cave out and I have scoliosis

  • @JeseniaRodriguez-lc5or
    @JeseniaRodriguez-lc5or 9 місяців тому

    My flat feet caused this

  • @nikulpatel691
    @nikulpatel691 Рік тому

    Thanks!