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I have a female client who recently developed clicking knees on the right knee when performing squatting up motions such as full squat, burpees and lunges. It doesn't cause significant pain but she also felt a "tightness" of the joint. I prescribed a rectus femoris stretch along with a lot of foam rolling on the ITB, quads, adductors, and calves, and patella mobilization. The foam rolling got rid of the tightness but the clicking is still there, especially on heavier sets. It doesn't seem to affect her poundages or squat form, but the clicking just concerns me that something is not right.
What can I do to find out what the issue is, and solve it?
I get this somtimes too. I'll usually do some easy stationary bike as a warm up 'till it stops, then lift.
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It happens to me too and it goes away with some dynamic warm up and patella mobilization(all part of her program) but what worked for me doesn't seem to work for her.
I hadn't thought of asking that, but it would be quite hard to put that into layman terms for her to understand. Probably doesn't know the difference between the 2 nor be able to differentiate between the 2 by feel. Took a while for her just to find her own patella for the mobilization.
In any case, what would be the corrective steps in rectifying either problem?
You can feel her patella when she squats to determine where the click is. Or listen with a stethoscope. Sometimes just asking if it feels like it is deep inside versus in the front can pinpoint it for laymen.
If it is tibiofemoral could be a meniscal tear. In which case I would recommend that she see an orthopedist. Likely that it is patellofemoral and that she just needs stabilization ... straight leg raises in all four directions along with lots of gluteal activation stuff helps tremendously. Also quad stretching. Lots of it as women tend to be quad dominant and most have tight quads.
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I don't have a stethoscope, nor do I think I am able to pinpoint the location of the click by feeling her patella, but I'll try asking.
I don't think it's a tear since it doesn't seem to be that painful. Hopefully it's patellofemoral. In any case, she's already doing single leg glute bridges are part of her warmup, but no glute-med work due to lack of bands and stupid gym rules. I might get her to buy a band just to use it at home instead of as warmup. I also added rectus femoris stretch to her warmup, so I guess I'm only lacking the glute-med work.
I have the same problem (have had the clicking sound for I don't remember how long) even when walking sometimes. When doing fire hydrants for example, my left leg is quiet and my right leg is clicky (hip somewhere). No pain or any aches, its only the sound. When I squat, both knees click. Other than that, just the right leg does (the click is in the hip somewhere). Clicking happens in leg kicks too (lying on the ground) as another example.
When I squat down, the clicking is coming from the knees. (squats or one legged squat). When I walk sometimes, clicking comes from the knees as well (right leg). I don't know why its in the right leg and not the left though. Any idea and what I could do to get rid of the clicking? Speaking of straight leg raises... When I do straight leg leg raises (right leg) to feel where the sound is coming from in the hip, I cannot feel the clicking when putting my hands on where I think the clicking is (feels like its coming from the hip flexors). When I am standing up though, I barely ever hear any sound in the hips. Is this good or bad? Hip snapping syndrome? What do you recommend to get rid of it? chiropractor tells me "not to worry about it", same with the knee clicking. Would hip corrections get rid of the knee clicking by the way or/and the hip clicking?
I have a similar question. My knee issue does not involve "Clicking" per se, but is more like the outside-back tendon on my left knee shifts during squat and squat related exercises. This doesn't cause pain yet, and hopefully won't ever, but it feels rather strange during and then for a little while after exercising. Any help would be greatly appreciated. I might try widening my squat position a little bit from slightly wider than should-width with toes at 30ish degrees to a wider stance with toes nearing 45 degrees next time. Thanks!
In any case, she's already doing single leg glute bridges are part of her warmup, but no glute-med work due to lack of bands and stupid gym rules. I might get her to buy a band just to use it at home instead of as warmup. I also added rectus femoris stretch to her warmup, so I guess I'm only lacking the glute-med work.
There are glute medius warm-up drills that don't use a band. I like X-band walks, but they're not your only choice. You could choose side-lying clams or fire hydrants, for example. Lateral lunging mobility drills, especially ones without any reaching movement, can be focused into the glute medius by keeping the feet directly forward and weight on the heels. Any movement that abducts the leg will involve the glute medius. A more advanced and energetic mobility drill for glute medius would be over/under drills (you can use the power rack or even the Smith machine as a bar to high side-step over and low-squat side-step under).
I have a similar question. My knee issue does not involve "Clicking" per se, but is more like the outside-back tendon on my left knee shifts during squat and squat related exercises. This doesn't cause pain yet, and hopefully won't ever, but it feels rather strange during and then for a little while after exercising. Any help would be greatly appreciated. I might try widening my squat position a little bit from slightly wider than should-width with toes at 30ish degrees to a wider stance with toes nearing 45 degrees next time. Thanks!
That's your lateral hamstring tendon most likely. Try doing some stretching. A good one to target that area uses a tie.
Lie on your back with the tie looped over your foot. Extend the other leg out straight as you raise the involved leg as high in the air as you can until you feel a good stretch in your hamstrings. Use your arms to pull it up with the tie, and not your leg muscles to hold it up. Then to target the lateral hamstrings, gently pull that leg across your body.
Hold for 30-60 seconds. Repeat twice (each leg).
It could also be a glute tightness problem ... so stretch that area as well. The pigeon is a particularly good glute stretch IMO. (Search on here ... I've posted pictures before.)
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That's your lateral hamstring tendon most likely. Try doing some stretching. A good one to target that area uses a tie.
Lie on your back with the tie looped over your foot. Extend the other leg out straight as you raise the involved leg as high in the air as you can until you feel a good stretch in your hamstrings. Use your arms to pull it up with the tie, and not your leg muscles to hold it up. Then to target the lateral hamstrings, gently pull that leg across your body.
Hold for 30-60 seconds. Repeat twice (each leg).
It could also be a glute tightness problem ... so stretch that area as well. The pigeon is a particularly good glute stretch IMO. (Search on here ... I've posted pictures before.)
I have a similar problem, in both knees. I guess I need to be more consistent with my stretching.
Clicking knee during squatting motions
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