
Pilates for Knee Pain: 15 Exercises to Reduce Discomfort
Doing Pilates for knee pain is a simple and effective approach to alleviating discomfort. Check out the best exercises and how to do them.
Knee pain can limit movement, disrupt sleep, and reduce efficiency in the workplace. If you want to avoid using medication for persistent knee pain, there are natural, long-term alternatives that can be useful. Incorporating Pilates into your regular fitness program can help relieve pain and improve your overall health. Pilates exercises help to increase flexibility and minimize inflammation. Regular practice can result in a wider range of movement, improved stability, and a significant reduction in pain. You can also do it at home without gym equipment. Check out the benefits of Pilates for knee pain and exercises to follow.
What is Pilates?
Pilates is a type of low-impact movement developed by Joseph Pilates in the early 20th century, and Joseph Pilates originally called it a contrast. Joseph Pilates believed that mental and physical health were closely linked. His exercise focused on strengthening the core muscles while improving flexibility, balance, and overall physical awareness. Pilates highlights controlled movement, accurate alignment, breathing work, and mindful adjustments, as seen in a study published in the Journal Muscles Ligaments Tendons. You can do it on a mat or use special equipment such as Reformers, Cadillacs, Wunda chairs. Unlike impactful workouts, Pilates is joint-friendly and is good for recovering from injuries and dealing with chronic pain such as knee pain. If you’re looking to try Pilates for knee pain, here are some exercises to begin with.

Pilates for knee pain: How does it help?
Doing Pilates for knee pain is beneficial as it helps to strengthen the knee joints, especially the muscles surrounding the quadriceps, hamstrings and glute. This increases stability and support. Pilates also emphasizes proper alignment and core activation, reducing knee stress by distributing weight more evenly. The less impactful nature of Pilates exercises improves flexibility and range of motion while minimizing joint tension. This further reduces pain and improves knee function, as seen in a study published in the journal of the Pakistani Medical Association.
Essentially, Pilates creates a balanced, supportive muscle system that protects and stabilizes the knee, thereby reducing pain. Whether you have chronic knee pain or want to take preventive measures, doing Pilates for knee pain can be a safe and effective technique to reduce discomfort.
Pilates for Knee Pain: 15 Exercises to Try
As suggested by Dr Vajara Shravani, Pilates expert, if you want to try Pilates for knee pain, start with these simple and effective training.
1. Leg circle (stretching one leg)
How to do it: Lie on your back, one leg extending towards the ceiling. Gently circle the legs in both directions.
advantage: It strengthens hip stabilizers and enhances knee control.
2. GluteBridges
How to do it: Lie on your back with your knees bent and your legs flat. Lift your hips off the ground while squeezing the glut.
advantage: It supports knee alignment and strengthens glut and hamstrings.

3. Clamshell
How to do it: Lie down with your knees bent. Keep your feet together and lift your upper knees.
advantage: It stabilizes the pelvis and reduces the knee joint.
4. The wall is sitting
How to do it: Slide down the wall until your knees are at a comfortable angle. Hold for 20-30 seconds.
advantage: Build quadriceps strength without knee involvement.
5. Side leg lift
How to do it: Lie down by your side and slowly lift your upper legs.
advantage: It strengthens hip adduct and promotes knee stability.
6. Heel slide
How to do it: Lie on your back and slowly slide one side towards the glut bone.
advantage: Improves knee mobility and strengthens hamstrings.
7. The rise of four-legged waves (robakick)
How to do it: Lift one foot backwards with your hands and knees without arching your back.
advantage: It strengthens the glut area and reduces pressure in the knee joint.
8. Seat legs expansion
How to do it: Stand upright and stretch one leg at a time.
advantage: It targets the quadriceps, which are essential for knee support.
9. Standing hip aid
How to do it: He’s tall and lifts one foot to the side.
advantage: It strengthens the hip muscles and assists in knee alignment.
10. Calf raises
How to do it: Stand up and slowly lift your heels off the ground before lowering them.
advantage: It helps strengthen the calf muscles and improve ankle and knee support.
11. Step up
How to do it: Step into the lower platform and slowly return.
advantage: Builds knee stability and functional strength.
12. Hamstring curl (using resistance band)
How to do it: Stand up and bend your knees and point your heels towards the glut.
advantage: It strengthens hamstrings, which are essential for balanced knee mechanics.
13. Modified squats
How to do it: Perform shallow squats with shoulders apart.
advantage: Strengthen the quadriceps without deep knee flexion.
14. Knee extension with resistance band
How to do it: Secure the resistance band, loop around the ankle, and extend the knee.
advantage: Strengthen the muscles that support the knee.
15. Pilates Leg Press (Reformer)
How to do it: While lying on the reformer, press the footbar while softening your knees.
advantage: It controls knee movement to build strength in the lower body.

Note: Don’t forget to breathe deeply throughout each exercise and focus on the involvement of the core muscles. Gradually progress and listen to your body.
Side effects of doing pilates for knee pain
Below are some of the potential side effects of doing Pilates for knee pain.
- Overstretching your knees between movements can make your pain worse. Maintain microbends in the knees at all times during exercise.
- Poor shape can accentuate the knee joint. Pilates should be practiced under the guidance of a qualified instructor.
- Progressing quickly without proper muscle strength can lead to further injuries. Start slowly and build gradually.
- People with ligament injuries or severe arthritis should consult a medical professional before starting Pilates.
If you experience any of these side effects, it is important to stop exercise and consult with a healthcare professional.
Related FAQs
Are there any Pilates exercises to avoid for knee pain?
Shocking exercises, deep squats, and pain-producing movements should be avoided. A qualified instructor will help you modify the exercises to suit your individual needs.
Is Pilates better than knee pain yoga?
Both are beneficial. It often depends on the individual. Pilates tends to be highly focused on strengthening the core muscles that support the whole body, where yoga can focus on flexibility. Both have low impact.