Weight Lifting Advice for someone with bad knees

rebprest
rebprest Posts: 149 Member
edited November 18 in Getting Started
I am just getting back into weight lifting but I have many jobs and a dog, so I need to keep my workouts short. my biggest obstacle is my knees which are messed up (hereditary issue). I can't jump or even bend them too much. During my last very effective fitness effort, the exercises my trainers had me doing would slowly increase pain not due to immediate damage but through repetition.

Given that limitation, It is hard for me to do things like squats, lunges, and jumps. What exercises would you recommend I focus on instead to make the most of my time. I do a little cardio in the way of sprints in between sets on the rower, bike, elliptical and once a week or so on the treadmill, and 30-minute swim-sprints.

Replies

  • erkevin
    erkevin Posts: 4 Member
    One possible suggestion for a leg exercise would be the Romanian Deadlift. Look it up; does not require much/any movement of the knees. Excellent all-over exercise for lower body.
  • Cheesy567
    Cheesy567 Posts: 1,186 Member
    Work with a trainer or physical therapist to ensure you have the proper technique. And if you think you can't afford a trainer, consider how expensive new knees will be.
  • rebprest
    rebprest Posts: 149 Member
    I have actually worked with 3 separate trainers and my form really is not the issue that is damaging my knees. It is hereditary and the less I bend them (repetitively) the better they are.
  • rebprest
    rebprest Posts: 149 Member
    I've actually had trainers (see above) and I have a doctor. I'm just looking for your favorite exercised for upper body and possibly full body so long as there is very little knee bending. Thanks!
  • rebprest
    rebprest Posts: 149 Member
    The bone in my knee is in the wrong place and there isn't cartilage to help with high impact. It dislocates if I turn incorrectly and grinds against itself when I bend my knees. Repeating motion of any kind in the knee area slowly wears it away. In swimming, I use primarily my upper body and core and barely move my legs, and so it is not an issue. With the elliptical there is not shock to the knees. The less I move my knees the less inflamed they are. They don't actually "improve" and I will eventually need a knee replacement. This is not me deciding they won't get better anymore than someone can decide to regrow a limb. I could pretend that I could magically change the position of my bone, but sadly I cannot.

    Form really is not "the issue" which is not to say I have perfect form or that bad form isn't even harder on my knees. No knees is really my best option, and because I have had trainers before my upper body work is at least competent enough that I can do it alone as well as in a group class. Thank you for the feedback, but I really am not looking for someone to tell me to get yet another personal trainer or, indeed, offer any advice aside from their favorite exercises that don't heavily involve knees.
  • Geocitiesuser
    Geocitiesuser Posts: 1,429 Member
    I have "weak" knees from many years of being overweight. So while not as extreme as your situation, mine ache if I do any sort of heavy lifting, and for whatever reason stairs HURT.

    I do almost all cardio very low impact, e.g. cardio bike and elliptical

    Otherwise I do a very standard weight lifting routine. I have a chest day (benches, flies, pull overs), a back day (five billion pull ups, some rows), a shoulder day (shoulder presses, rotator cuff exercises, shrugs), and I work abs almost every single day in addition to cardio and taekwondo almost every day.

    I sort of avoid leg day. I do very light squats. Sometimes just high rep air squats. My squat numbers when using a bar are "embarassing" for a guy my size. My leg day also involves very light leg extensions. I read that light leg extensions can help strengthen the knee.

    I'm not sure if anything I wrote helps, that's just what I do. Basically I follow a normal routine, but kind of shirk away from any heavy leg work.... but i still do what I can. light weight squats, lunges, extensions, leg curls, etc. If I experience pain I lower the weight. I don't care how ridiculous it looks.

    You may want to try some jump rope..... i read that the impact of jump rope can help develop knees. I jump rope as well, but not for extended periods of time. Too soon for me to tell if it's helping my knees or not.

    Then, finally, obviously, the lighter you are, the less pressure on your knees, and the stronger they can heal.
  • rebprest
    rebprest Posts: 149 Member
    Thank you, great advice!
  • Packerjohn
    Packerjohn Posts: 4,855 Member
    rebprest wrote: »
    I've actually had trainers (see above) and I have a doctor. I'm just looking for your favorite exercised for upper body and possibly full body so long as there is very little knee bending. Thanks!

    I would ask your medical doctor to send you to an actual Doctor of Physical Therapy to evaluate what you should and should not do lower body wise.

    If you told the personal trainers you went to about your medical condition they should have referred you out to a DPT for an evaluation and exercise recommendations.
  • rebprest
    rebprest Posts: 149 Member
    No, jumping rope would be the worst thing I could do. Thank you for the suggestions.
  • clicketykeys
    clicketykeys Posts: 6,579 Member
    Are you looking more for cardio or strength training? Or either/both?
  • iancity
    iancity Posts: 26 Member
    I'm in a similar position, bad knees that mean I cant do any sort of squats, lunges etc. I know my glutes are weak and really need strengthening but how to do it without squats or lunges?? - Watching watching this thread with interest ...
  • RaeBeeBaby
    RaeBeeBaby Posts: 4,246 Member
    I do a lot of exercise, including cardio and strength training (with weights) in the swimming pool. It's really easy on the joints, doesn't involve much knee bending, but still a good workout.

    Recently, my mom was told she has a similar issue with her knee (bone out of place, limited cartilage). She was fitted for a special knee brace that is supposed to help, so is hoping that will help with mobility, allow her to continue exercising, and postpone a knee replacement.
  • fitmom4lifemfp
    fitmom4lifemfp Posts: 1,572 Member
    rebprest wrote: »
    The bone in my knee is in the wrong place and there isn't cartilage to help with high impact. It dislocates if I turn incorrectly and grinds against itself when I bend my knees. Repeating motion of any kind in the knee area slowly wears it away. In swimming, I use primarily my upper body and core and barely move my legs, and so it is not an issue. With the elliptical there is not shock to the knees. The less I move my knees the less inflamed they are. They don't actually "improve" and I will eventually need a knee replacement. This is not me deciding they won't get better anymore than someone can decide to regrow a limb. I could pretend that I could magically change the position of my bone, but sadly I cannot.

    Form really is not "the issue" which is not to say I have perfect form or that bad form isn't even harder on my knees. No knees is really my best option, and because I have had trainers before my upper body work is at least competent enough that I can do it alone as well as in a group class. Thank you for the feedback, but I really am not looking for someone to tell me to get yet another personal trainer or, indeed, offer any advice aside from their favorite exercises that don't heavily involve knees.

    It sounds like you need one now. You need a new ortho doc, pronto.
  • fitmom4lifemfp
    fitmom4lifemfp Posts: 1,572 Member
    I have "weak" knees from many years of being overweight. So while not as extreme as your situation, mine ache if I do any sort of heavy lifting, and for whatever reason stairs HURT.

    I do almost all cardio very low impact, e.g. cardio bike and elliptical

    Otherwise I do a very standard weight lifting routine. I have a chest day (benches, flies, pull overs), a back day (five billion pull ups, some rows), a shoulder day (shoulder presses, rotator cuff exercises, shrugs), and I work abs almost every single day in addition to cardio and taekwondo almost every day.

    I sort of avoid leg day. I do very light squats. Sometimes just high rep air squats. My squat numbers when using a bar are "embarassing" for a guy my size. My leg day also involves very light leg extensions. I read that light leg extensions can help strengthen the knee.

    I'm not sure if anything I wrote helps, that's just what I do. Basically I follow a normal routine, but kind of shirk away from any heavy leg work.... but i still do what I can. light weight squats, lunges, extensions, leg curls, etc. If I experience pain I lower the weight. I don't care how ridiculous it looks.

    You may want to try some jump rope..... i read that the impact of jump rope can help develop knees. I jump rope as well, but not for extended periods of time. Too soon for me to tell if it's helping my knees or not.

    Then, finally, obviously, the lighter you are, the less pressure on your knees, and the stronger they can heal.

    There is no unstable knee (which the OP clearly described) that could be improved upon, by jumping rope. Is jumping rope less damaging than running? Yes.
  • DrizztGirl82
    DrizztGirl82 Posts: 85 Member
    I also have very bad knees that only surgery can actually fix. I use the weight machines at the gym for my leg day as squats and lunches hurt my knees way too much to be helping me. I slowly add weights and when my knee is hurting, I take away some weights. I also do karate, but wearing a knee brace helps for that. Good luck with your knees, I know how much knee problems suck!
  • mikaila96
    mikaila96 Posts: 29 Member
    I have chondromalacia and had an ACL reocnstruction/meniscus injury so I feel some of your pain. For lower body, balance exercises and theraband walks might be good for you. Proper form does require the slightest bend to the knees for these but it's maintained throughout, not repetitive. If your balance is poor you can start with just balancing on one leg on the floor, and move up to a bosu ball or balance board (one-legged and two) as your balance improves. Theraband walks require a theraband (naturally ;) ) around your ankles or thighs. You keep your legs far enough apart to keep the theraband just stretched and walk with knees slightly bent. Walk forward, side to side, diagonally, etc. If you can tolerate bridges, I find those effective as well (especially squeezing a small exercise ball between your knees or using the theraband around your thighs).

    These are all exercises that were therapy exercises for me initially, but I've found they're useful for some strength training. Getting a referral to a Doctor of Physical Therapy (rather than a personal trainer) truly may be useful for you, not necessarily for strengthening the joint itself, but for learning some exercises that can build up the strength of your knee's supporting muscles that can also be used as lower impact, less painful/pain free, and effective "workout" exercises.
  • MelissaPhippsFeagins
    MelissaPhippsFeagins Posts: 8,063 Member
    If you absolutely cannot squat then Romanian deadlifts, glute machine and inner and outer thigh machines, and standing Calf raises.

    I do have a question, though. Have you specifically asked your ortho about squats? Mine works out at my gym and listens to/watches my knee when I squat. I think twice in the last 3 years, he has told me to stop. He does recommend that I don't try to do weighted squat below parallel. (I can squat all the way and sit without weight, which I couldn't do before I started lifting.) I have found it has strengthed the muscles around my knees and everything else causes less pain. I have the same issues that you have, by the way. Both of my knees need to be replaced, and I lift weights to stave it off.
  • Muscleflex79
    Muscleflex79 Posts: 1,917 Member
    sounds similar to me - I've had two surgeries in the last two years for patellafemoral pain/chondromalacia patella/patella tracking problems - best things I do without much pain are straight leg deadlifts/RDLs and partial leg press (I can't go down all the way, but can do enough to still work the muscle).
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