How to Fix Runner’s Knee, And Why Stretching Isn’t The Answer

trail runner in Green Bay struggling with runner's knee pain

Still Dealing with Knee Pain After Running?

It might be runner’s knee. You wrap up your run on the Fox River Trail or through the streets of Green Bay, but instead of feeling accomplished, your knees are aching again. It’s that familiar, dull pain just under the kneecap. You’ve Googled it. You’ve iced it. You’ve stretched your quads a dozen different ways. But here you are. This is runner’s knee—technically called patellofemoral pain syndrome. And if stretching was going to fix it, it probably would have by now.

Let’s talk about why most rehab advice for runner’s knee is backward and what you actually need to do to get back to running pain-free.

What Is Runner’s Knee, Really?

Runner’s knee is pain around or behind the kneecap, especially during or after running, squatting, walking stairs, or sitting for long periods. It usually stems from:

  • Poor movement mechanics
  • Muscle imbalances
  • Weakness in the hips, glutes, or quads
  • Training errors (like sudden increases in mileage or intensity)

Here’s the key: runner’s knee isn’t a knee problem—it’s a load management problem. Your knee is the victim, not the criminal.

Why Stretching Runner’s Knee Isn’t the Fix

If you’ve been told to stretch your quads, hamstrings, or calves to relieve the pain, you’re not alone. But here’s the truth: tightness is usually a symptom, not the cause.

Stretching feels good in the moment, sure. But long-term relief? Not likely.

Why?

  • It doesn’t improve your knee’s ability to tolerate force.
  • It doesn’t address strength deficits or motor control.
  • It doesn’t change faulty movement patterns that caused the issue in the first place.

Think of it this way: you wouldn’t fix a sinking boat by bailing water—you’d patch the leak. Stretching is bailing water. Smart strength work is patching the leak.

The Real Solution to Runner’s Knee: Strength Training That Targets the Right Areas

At Total Pursuit Physical Therapy & Performance, we take a strength-first approach to runner’s knee. Not bodybuilding-style lifting, but strategic, runner-specific strengthening that builds durability where it matters most.

Here are the big players:

1. Glute Strengthening Weak glutes are one of the most common causes of faulty knee tracking. When your glutes aren’t doing their job, your knee pays the price.

Try:

2. Hip Stability Stable hips = less wobble at the knee. That means less stress on the patellofemoral joint.

Try:

3. Eccentric Quad Strength Your quads need to control your descent every time your foot hits the ground. We train that control.

Try:

4. Foot and Ankle Control Your foot is your base of support. If it’s unstable, the whole chain above suffers.

Try:

What About Running Volume?

We’re not here to tell you to stop running. In fact, stopping completely is often the worst thing you can do.

Instead, we help you:

  • Adjust your cadence to reduce joint load
  • Modify terrain or pace
  • Create a structured return-to-run progression

This keeps your fitness up without constantly flaring your knee.

Why Total Pursuit Is Different

Most physical therapy clinics are bound by insurance limits and outdated protocols. That means short appointments, generic exercises, and little one-on-one attention.

At Total Pursuit, we do things differently:

  • You work directly with a Doctor of Physical Therapy
  • Every plan is customized to your goals and needs
  • We blend hands-on care with high-level performance rehab
  • We don’t just treat pain—we build you back stronger

And because we’re based right here in Green Bay, we know the demands local runners face—from training through Wisconsin winters to preparing for Bellin Run season.

Success Story: Sidelined From Runner’s Knee, To Stronger Than Ever

One of our clients came in after months of knee pain that sidelined their training. Stretching and rest didn’t help. We assessed their movement, found major strength deficits, and built a plan.

After 6 weeks of targeted rehab, they were running pain-free at their previous mileage. After 10 weeks, they hit a new PR.

That’s the power of treating the cause—not the symptoms.

Final Thoughts: Don’t Wait Until Runner’s Knee Gets Worse

Runner’s knee rarely goes away on its own. And the longer you let it linger, the harder it becomes to fix. But with the right approach, you can:

  • Run pain-free
  • Build strength
  • Improve performance
  • Stay out of the injury cycle for good

If you’re in the Green Bay area and searching for physical therapy near me that actually works, Total Pursuit Physical Therapy & Performance is here to help.

Book Your Running Assessment Today

Ready to stop guessing and start running stronger? Book a free phone consult with us to find out if you’re a good fit for our one-on-one performance physical therapy.

Let’s make knee pain a thing of the past.

Dr. Matt Buch and Family

Get to know

Dr. Matt Buch

PT, DPT, OCS

As a doctor of physical therapy, my role in healthcare is to diagnose and treat injuries of the musculoskeletal system, assess movement, and optimize performance. My passion is to help outdoor enthusiasts maintain and enhance their active lifestyle without unnecessary medications, injections, or surgery.

Whether you are gearing up for the hunt of a lifetime, recovering from a climbing injury, or just trying to keep up with your grandkids, everyone is in pursuit of something.

I am here to help you achieve your goals and return to living the life that you desire.

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Devan Pavlicek
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I saught out a PT after a reaggravated a long term back injury in an attempt to properly address the issue and come out with a long term recovery plan. After working with Matt for the last couple months, I can wholeheartedly say it was the best decision I made and I cannot recommend Matt enough. From day one, we sat down and assessed the injury and came up with a gameplan. I made clear my intentions and what I was looking for and Matt listened and outlined a complete timeline of what he looked to do each session, and summarized the recovery from start to finish. Throughout the process, he was always intently looking to me for feedback to ensure I was getting everything I was looking for and inquiring if I wanted to pivot or tweak the scope of a session. Not only is Matt extremely attentive, he's very communicative and willing to give video feedback in real time and correct form/technique to better serve you in long term recovery. Dont hesitate to give Matt and Total Pursuit a try!
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Aaron Berger
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If you are thinking about going anywhere else, don’t. Dr. Matt is awesome. He will work with you in all aspects of your recovery and get you back to where you want to be and more! I went to Dr. Matt for pre-treatment for my upcoming Shoulder surgery. After only three days, I was at 90% rotation and no pain whatsoever and back on my feet. The work we did previous to my surgery has decreased my recovery by months!
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Clint Reed
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I went to see Dr.Matt after struggling with shoulder and bicep pain in my right arm. I had very limited use of my right arm without pain. Dr. Matt assessed my concern.we came up with a game plan on treatment, and within a couple weeks I regained 90% of the motion back without any pain. I am confident that when our treatment plan wraps up I will have full motion completely pain free.
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Steve Roth
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I’ve had the chance to get to know Dr. Matt Buch through our local networking group, and he’s someone who really stands out for his character and integrity. Matt is the kind of person who is genuine, honest, and always looking to do right by others. He shows up consistently, supports the people around him, and brings a high level of professionalism to everything he does. You can tell he truly cares about helping people and takes pride in his work. Even though I haven’t personally used his services, I wouldn’t hesitate to recommend him based on the way he carries himself and the reputation he’s built. If you’re looking for someone you can trust, Matt and Total Pursuit are a great choice.
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Wes
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I was born with infant torticollis and I had neck and middle back pains along with my hips needing to be adjusted. Been going to the chiropractor for 16 years and I feel way more relief now that I have been seeing Dr. Matt. Even after this huge blizzard we just had, I would normally feel a lot of lower back pain and I had minimal soreness after shoveling and snow blowing the last couple days. Would highly recommend! 👍🏻
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Jonathan Valdez
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I needed help. Had a bad sciatic episode this past winter where walking was a chore. With Dr buch's expertise and the exercises we worked on, I was able to enjoy the latter part of the ice fishing season pain free. A true professional, and a student of his craft, I would highly recommend total pursuit to anyone dealing with musculoskeletal issues. Thank you Matt!
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Kymberly Klimek
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Dr. Matt is an exceptional physical therapist who deeply cares about his patients and their outcomes. Our viewpoints align well because he takes the time to perform thorough evaluations, identify the root cause of injuries, and create personalized treatment plans that help people recover faster, move better, and stay active doing the things they enjoy most. If you’re dealing with pain, recovering from an injury, or looking to improve performance, Dr. Matt will give you his very best to help you get back to doing what you love. Your body will thank you for seeing Dr. Matt and the team at Total Pursuit Physical Therapy & Performance. Highly recommend them!
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Randy Paff
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Matt customized my therapy to really fit my progress and goals. I could not sleep on my shoulder and was in pain with simple tasks such as putting on a jacket or backpack. I am nearly pain free now and my strength is coming back as well. I am 61 and again participating in activities I thought I may have to give up such as bow hunting. Thanks Matt
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Kurt Niska
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Dr Matt is exceptional! I herniated two discs in my lower back and went through 8 months of insurance approved PT through my doctor, including three rounds of steroid treatments (two oral and one spinal). While I certainly had made progress and appreciated the care I received, I had no idea how to avoid injury again or what to do next. After months of searching, I met Dr Matt at a wellness event and booked a consultation. How wonderful to find someone willing to guide an ordinary Joe to strengthen and rehabilitate beyond simply being functional! Dr Matt is patient, responsive, thorough, and clearly explains what we’re doing and how it applies. Thank you, Dr Matt, for helping me get stronger and regain confidence in what my body is capable of doing. I know my journey is not complete but I am grateful to have you and your expertise in my corner.
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Brandon Harrell
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I went to see Dr. Matt after struggling with back issues for years and finding little relief through traditional treatments. From the initial assessment, he took a thorough and thoughtful approach. Instead of just addressing symptoms, he focused on improving strength and stability in the areas surrounding my back that had been neglected due to long-term pain. The results have been tremendous. I’m stronger, more stable, and finally moving in the right direction. I highly recommend Dr. Matt to anyone dealing with ongoing issues.
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