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Jogging & Running/Knee pain following sprint workouts


Hello! Question about a problem I'm having with my knee. I am an ultrarunner, and 5 weeks ago, I ran a 100 mile race. I rested for a week, then light running for a week, then started doing some sprint workouts for a short race I had coming up. Somewhere during the high intensity track workouts, my left knee started hurting, but pretty much only when running (any surface) or walking downhill/downstairs. The pain is in the front of the knee, under and on the inside of the kneecap. It does not hurt when doing cycle, elliptical, or anything without impact. I rested it a week, then ran on it. I did a 30 mile run, and it was perfect for 20 miles, and the last 10 I could barely walk. I'm pretty confident this is not an overuse injury, but more of an injury related to the sprint workouts I did when I shouldn't have. What do you think??? I'm 31 years old, male, great shape, never had any other training/racing related injuries. Thanks!!!

Ron, congratulations on doing an ultra! I'm very sorry to hear about your knee pain. I would be surprised if it's not patella femoral pain (aka anterior knee pain). The location of the pain and the types of exercises that cause it make this probable. The way to fix this is by performing these 4 exercises in the following order.

Slow calf raises- 2-5 sets each leg
Side lying hip abduction- 2-6 sets of 10-15 reps each side.
Towel eater exercise: 2-4 sets of 1-2 minutes each foot
Sit to stand- 4-8 sets of 4-6 reps reps

The key to all of these exercises is quality. Don't jog (ephasis on jog) farther than 5 miles a day for the next 7 days. Perform the above exercises 1-2 times a day. Then after the 7 days continue to do the above exercises once per day and increase your mileage. Don't go fro 5 miles to 30 miles, but you could increase to 30 miles again by day 14.

If the above plan doesn't work then let me know and I'll have more suggestions, but this is a relatively easy and quick fix and I'm 85-90% confident it will work. Further, it definitely can't hurt which is another reason why I like this approach.  

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Nick Rainey


I can answer questions about pain and training program. If there is a question about running that I don't know then I'll do some research and make sure I provide you with an answer.


I'm a Doctor of Physical Therapy. I'm a track and cross country coach. I train clients throughout the year. I've helped prepare athletes for their NFL Pro Days. I've written articles on running. Finally, those that I work with have less pain and run faster.

American Physical Therapy Association- Sports Section

The 6 Week Workout Program- I'm the author of this book Research Made Simple for Physical Therapists- I'm the author of this Kindle book

Board Certified Clinical Specialist in Orthopaedic Physical Therapy Doctor of Physical Therapy BS in Exercise Science NSCA- CSCS and CPT USA Weightlifting Level I NPI- Certified Posture Specialist Total Motion Release Level II Certified Dry Needling

Awards and Honors
National Posture Institute's International Perfect Posture of the Year Award 2011 Clinical Excellence Award- Rocky Mountain University of Health Professions Aegis Therapies Scholarship recipient

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