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Exercising at Home During COVID-19 (Or Anytime)

“Now more than ever, it is so important to exercise!”

Exercise, better sleep, and vitamin D are the three best ways to boost the immune system, they’re also great ways to keep your mind sharp. On today’s live show, Dr. Nancy demonstrates her step-by-step home exercise program to keep us strong, flexible and pain-free during this stressful time.

Video Highlights

  • 00:06: Introduction
  • 11:53: Backward Lunges
  • 16:17: Curtsy Lunge with a Side Kick
  • 19:07: Squats
  • 21:43: Lateral Squats
  • 23:02: Spidermans
  • 25:14: Bear Planks
  • 27:42: Bicycle Crunches
  • 30:25: Skull Crushers
  • 32:12: Burpee
  • 37:23: Sun Salutation A
  • 43:27: Sun Salutation B
  • 49:28: Additional Yoga Poses
  • 01:02:11: Beyond Exercise: Supplementation
  • 01:05:59: Dr. Nancy’s 8-Part Exercise Series

The COVID-19 pandemic shutdown is really taking its toll on a lot of people. We hope you’re doing all you can to stay well —  washing your hands regularly, and practicing social distancing. We know it’s difficult, but these things are very important at this point in the progression. It also doesn’t look like we’ll have more universal testing very soon, and when it does become more available, they’re still talking about testing only symptomatic people.

That’s a problem. If we look at that Princess cruise ship as a case study, we see that over 50% of those that tested positive did not have symptoms at the time and many only experienced symptoms weeks (not days) later. So we’ve got a lot to still figure out before we’re out of the woods. That means it’s time to start living life again, and making the most out of our home spaces and home time.

Fortunately, many people aren’t letting the Coronavirus stop them from having fun-nights in, and finding ways to connect — Livestream story reading, celebrity home concerts, and virtual game nights are popping up everywhere. Dr. Nancy and her kids decided to participate in a virtual dance party to get their bodies moving!

And that’s what we want to talk to you about today — moving your body! Most of us aren’t leaving the house right now, and the temptation is very strong to sit on the couch and watch TV or bury ourselves in phones and tablets. If you’ve given in to this and been more sedentary over the last few weeks, then maybe you find yourself stiffening up a bit, and maybe some of your old aches and pains have come back — well, don’t be too hard on yourself. You’re not alone, but it’s time to get your body moving. Now more than ever, it is so important to exercise!

If you’re someone who is used to taking fitness classes or a more structured work out at the gym, this might be tough. That’s why in today’s episode, we’re providing a structured program you can do at home — no equipment necessary. It’s all free, and it works! You can get active and even build a killer body right in your own home.

Let’s Work Out!

Some of the most effective exercises you can do require no equipment at all and can be done anywhere. Of course, if you have a set of dumbbells or resistance bands, these are an excellent way to ramp up the intensity on any of the moves we’re about to show you, but they aren’t necessary to get a great workout.

NOTE: Do not overdo it, especially if you’ve been less active lately. Start slowly — you’ve got time to build up your strength and endurance. We aren’t going anywhere any time soon!

Backward Lunges

This classic move is a great way to strengthen your legs and butt. Plus, some find them a little bit easier than forward lunges.

  • Standing nice and tall with the tailbone tucked and the core engaged, step your right foot back so there’s about three feet between your feet.
  • Keep both feet pointing straight ahead and keep the front knee behind the toes — don’t ever let it move beyond them.
  • Place your hands wherever feels comfortable (on your hips, down at your sides, or clasped in front of the heart).
  • Draw your shoulder blades together slightly and your head in line with your spine.
  • Lower your back knee as far as you can before coming back up to standing.
  • Do 8, 10, or 15 reps before repeating on the other side with the left foot forward and the right foot back.

For an extra challenge, place a band around your thighs, just above the knees or hold a dumbbell in each hand, keeping them down at your sides or resting them, one on each shoulder.

If you’re using weights, really keep the core engaged and the shoulders pulled back.

Curtsey Lunge with a Side Kick

  • Stand with your feet hip-distance apart.
  • Step your left foot back, either behind your right foot or even a bit passt it and bend both knees into a lunge.
  • As you come back up to standing, step your left leg out to the side, bringing your left foot off the ground.
  • Repeat on the other side.

If you want to make this more challenging, place a band around your thighs, just above the knee. You can also hold a weight in the same hand as your standing leg. If you want to make this extra challenging – do both! Use the band and hold one weight!

You can also modify this by kicking your leg out to the side when you come up out of the curtsey.

Squats

This is another classic move that’s wonderfully effective and requires no equipment at all.

  • Stand with your feet a little wider than shoulder distance apart and your toes pointing straight ahead.
  • Bend your knees and sink your hips, keeping the back flat, head in line with the spine.
  • Try to keep weight more in your heels, especially as you press yourself back up to standing.
  • Do 10 to 15 reps.
  • Squats are a really versatile movement. You can use dumbbells for this move, too. As with the backward lunges, hold one weight in each hand and either keep them down at your sides or prop one on each shoulder.

Again, you can do these with a band around your thighs — but make sure you focus on pressing the knees out. You don’t want them sickling in, as that can injure your knees. If you find you’re having a hard time keeping the knees pressing out, ditch the band.

Lateral Squats

You can do these with or without the band:

  • Step out to the right and drop into a squat with your feet a little wider than shoulder distance apart.
  • Bring the feet back together, and, if you want lower into a squat with the legs together.
  • Repeat on the left side.
  • Alternate sides for a total of 10 or 16 reps.

Spidermans

Not to be left out, let’s work the upper body a little bit.

  • Begin in high plank, which looks like the top of a push-up. The head should be in line with the spine and you want to keep your gaze 3 to 5 inches out in front of you. Try not to look back at your toes while you do this exercise.
  • Bring your right knee toward your right elbow and step the right foot back.
  • Bring your left knee toward your left elbow and step the left foot back.
  • Alternate sides for a total of 8 to 10 reps.

For more of a challenge, you can place a band around the soles of your sneakers.

For an extra extra challenge, add a push-up as you bring the knee toward the elbow.

Bear Planks

This move works your upper body, your core, and even your quads.

  • Begin in a tabletop position with the hands underneath the shoulders and the knees underneath the hips.
  • Engage the core and lift your knees a few inches off the ground. Keep the back flat and the head in line with the spine. You want to try and keep your torso still throughout this move.
  • Bring your right hand and left knee together. Step back into that original Bear pose.
  • Tap your left hand and your right knee together. Step back into Bear.
  • Repeat, alternating sides, for a total of 10 to 16 reps.

If this hurts your knees, do shoulder taps instead. Alternate tapping your shoulders with your hands, instead of alternating hand-to-knee.

Bicycle Crunches

Start by lying on your back for this core exercise.

  • Bring the hands behind your head with your elbows pointing straight out to the sides.
  • Lift the head, neck, and shoulders off the ground, chin moving away from the chest.
  • Straighten your left leg and draw your right knee in toward your chest, twist your torso so your left elbow moves to meet the right knee at the same time. Keep the core engaged!
  • Alternate sides for a total of 10 to 16 reps.

If this hurts your neck or back, you can work your core out by doing forearm planks instead. Or, try a reverse plank, or a V pose.

Skull Crushers

If you have a set of dumbbells, this is a good tricep exercise.

  • Hold a weight in each hand directly above the torso and engage the core.
  • Bend your elbows, bringing the weights beside your let ear.
  • You want to imagine there’s a bar across your elbows and your bending your arms over it.
  • Do a set of 10 to 16 reps.

Burpee

  • Begin by standing up nice and tall, with feet hip distance apart, shoulder blades drawing together, tailbone tucked, and your core engaged.
  • Lower down into a squat until your hands touch the ground and jump back into a high plank. Make sure your feet are still hip distance apart and your hands are directly under the shoulders. Keep your gaze 3 to 5 inches out in front of you.
  • Jump your feet back up to your hands, and, as you come up, jump up into the air, taking the arms overhead. That’s 1 burpee.
  • If jumping is too intense, just take it out! Still lower into a squat but step back into a plank. Step one foot and then the other back up to meet your hands, and, instead of jumping at the top, rise up onto your toes and take the arms overhead.
  • Try and do 10.

Voila! There’s a total body workout with no equipment necessary that will really get your blood pumping!

Yoga

The above workout will get the joints moving, and your heart rate up, but there is also another type of movement that your body needs these days more now than ever — especially if you find that you’ve gotten stiffer with more aches and pains. It’s called yoga! And you can do it. When it comes to yoga, there’s an option for everyone, from mom’s getting back in shape, to serious athletes and advanced bodybuilders, as well as seniors of all abilities. Just do it at your own pace, to your own ability level.

Yoga is wonderful for strengthening the mind-body connection while also strengthening and toning the muscles of the body. Plus, it challenges your balance and improves flexibility, which is great for keeping your bones and your joints healthy and strong.

First, you want to warm up the body by doing a few Sun Salutations. The only equipment you’ll need is a mat. If you have a block or two, you can use those as well but if you don’t, that’s okay.

Sun Salutation A

  • Begin at the top of your mat in what’s called Mountain Pose. Stand with your feet together, tailbone tucked, shoulders down and back slightly, and the crown of your head lifting toward the sky. Your arms can be down at your sides or palms together in front of your heart.
  • Take about three slow inhales and exhales here. If you’re a more experienced yogi or if your balance is good, feel free to close your eyes.
  • Open your eyes if you closed them and take your arms overhead as you inhale.

  • Exhale and swan dive your hands to the ground and come into a forward fold. If they don’t reach – that’s perfectly okay. You can bring your hands to your shins or let them dangle toward the ground. Relax your head and neck.

  • On your next inhale, come halfway up with a nice flat back. Again, your hands can either be on the shins or you can come up on your fingertips on the ground.

  • Exhale and forward fold.
  • On your next inhale, step back so you’re in Plank Pose. You should look like you’re at the top of a push-up. You want your hands directly under the shoulders, head in line with the spine, feet hip width apart, and your tailbone tucked. You don’t want your hips to high or too low — engage your core to protect your lower back!

  • Now, you have two options here. On an exhale, either lower all the way down onto your stomach, or come halfway down into Chaturanga.

  • Inhale and come up into Cobra or Upward Facing Dog. To come into Cobra, you’ll place the hands underneath the shoulders and just lift the torso off the ground. For Upward Facing Dog, you’ll begin with the hands underneath the shoulders and slide forward a little bit as you lift your torso, hips, and thighs off the mat, pressing just the tops of your feet into the mat.
  • Exhale to Downward Facing Dog. You should look like an upside down ‘V.’ Again, feet should be hip distance apart and your hands should be shoulder-width apart. Press into the mat evenly with all ten fingers, especially the middle knuckle of each hand. Shoulders should be down out of your ears even though you’re bending forward and you want to reach your hips up toward the ceiling.

  • Look up at your hands and on an inhale, walk or step your feet to meet them.

  • Exhale and fold.
  • Inhale all the way up to standing, arms overhead.
  • Exhale your hands down to your sides.

Think you’ve got it? Don’t worry if you didn’t entirely sync your breath with each movement. As you practice more and more, that will come more naturally over time. Repeat Salutation A a few times.

Sun Salutation B

  • Begin in the same position as you did in Sun Salutation A — in Mountain Pose. Inhale the arms overhead and at the same time, bend your knees and sink your hips as if you’re sitting in an invisible chair. Right away, if you feel any pinching in the shoulders, release your arms to more of an angle or even straight out in front of you. Check in with your low back — you don’t want to stick your booty out. Tuck the tailbone so you have a nice flat back.

  • Straighten the legs as you exhale and come release into a forward fold.

  • Inhale halfway up and exhale, stepping back into Plank Pose.
  • Lower all the way or halfway down on an exhale, and inhale up into Cobra or Upward Facing Dog.

  • Exhale to Downward Facing Dog. Breathe here.

    • Up until this point, this has been really similar to a Sun A, right? Well, here’s where it’s a little different. Look up at your hands and step just your right foot forward. Drop your back heel down so your foot is at a 45-degree angle, left toes pointing toward the top left corner of your mat. With the right knee bent and the left leg straight, inhale up to Warrior I pose. Hips should be facing toward the front of the mat and your arms should be overhead.

  • Exhale the hands down to frame your right foot and step back to Downward Facing Dog.

  • On your next inhale, come into Warrior I with the left foot forward the right foot back. Stay here for a breath or two, release the hands and find your way back to Downward Facing Dog.
  • Look up at your hands, and on an inhale, step, walk, or even hop to the top of your mat.
  • Exhale and fold.
  • Inhale all the way up to standing — arms overhead.
  • Exhale your hands to your sides.

After all this you may be feeling tired, so you can always take a rest in Child’s Pose.

Alright, now that you’ve created a little heat within the body and the muscles are all warmed up, let’s move through a short sequence that is both strengthening and calming at the same time.

Warrior II Pose

  • From the top of your mat, step back with your left foot so your feet are about three feet apart. You want your legs to be in the same position as they were in Warrior I pose during Sun Salutation B. The difference here is you want to keep your torso facing to the left. Your shoulders should be directly over the hips, the core should be engaged, and the tailbone should be tucked.
  • Inhale your arms shoulder height and take your gaze out over the middle finger of your right hand. Try and keep the arms plugged into their sockets while you reach out in both directions with your hands. Keep the shoulders down away from your ears.
  • Take 5 even breaths here before straightening the right leg and switching sides, bending into the left leg.

Next, come into Triangle

  • From Warrior II on the left side, straighten your left leg, and at the same time, pull your right hip back slightly. Tip your torso, bringing your left hand anywhere along the left leg — except the knee. Avoid putting any excess pressure on your knee. This is also where that yoga block comes in handy if you have one. Place the block behind the left shin and bring your left hand to rest on it. Extend your right hand toward the sky and either look up at your hand or look down at the floor, especially if you have neck issues.
  • Again, hold for 5 breaths before coming up. To do so, feel as if someone is pulling you up by that right hand.
  • Keeping the arms shoulder height, turn the right toes toward the front of the mat, left foot at a 45-degree angle and find Triangle on this side.

  

Bound Ankle Pose

  • Bring the soles of the feet together and take the hands around the ankles, sitting up nice and tall.
  • Feel free to stay here and breathe. This might be enough for you. You never want to feel pain in yoga – you want to feel what I like to call “the good hurt.”
  • If you’d like to go further, start to hinge forward at the hips, maintaining a nice flat back. You can use your elbows to gently guide the legs open a little more by pressing them into the inner thighs or the calves.
  • Wherever you are – take 5 deep breaths. You can even close your eyes if you’d like.

 

If this is too tough, you can extend your legs out in front of you, and slowly walk your hands forward between your legs.

Bridge Pose

Slowly, come to lie flat on your back.

  • Bend your knees and bring your feet flat on the mat, hip distance apart. Your arms should be down along your sides.
  • In this pose, it’s really important to keep your face turned toward the sky. You don’t want to move your head side to side because you could injure your neck.
  • Inhale and curl the tailbone off the mat, lifting the hips up toward the ceiling. Imagine you have a block between your thighs — keep the knees hugging in toward each other, don’t let them wing out. Engage your glutes and press into the mat with the inner edges of both feet. If you can, gently press the back of your head into the mat.
  • Hold for 5 breaths.

Spinal Twist

Finally, let’s find a nice relaxing Spinal Twist to restore balance to the body before you take rest in Savasana.

  • Extend the legs long and breathe here for a moment, noticing how you feel.
  • Inhale and bring your knees into your chest. Give them a little squeeze.
  • Bring the knees across the body. You can use your left hand to gently press on the outside of the right thigh to deepen this twist a little bit. Or feel free to just rest the hand there.  Extend your right arm out to the right, shoulder height. You can take your gaze toward that right hand.
  • Hold for 5 breaths before rolling onto your back, extending the leg down, and repeating on the left side.

Savasana

At the end of every yoga practice, no matter how short, it’s always a good idea to come into Savasana for a few minutes. This gives the body the opportunity to absorb the wonderful practice you just gave it. All you have to do is simply lie on your mat with your arms down at your sides, palms facing up, and breathe naturally with the eyes closed for anywhere from 2 to 5 minutes. Your body will thank you for it.

Beyond Exercise: Supplementation

Exercise does so many great things for your body, not just your immune system. It can also  reduce inflammation, which probably began to set further in over the past weeks. So in addition exercise, focus more than ever on eating a healthy, more plant-based diet, and consider supplementing with Smarter Curcumin every day to help fight inflammation at its core and help you better deal with stress.

If you don’t know about curcumin, it is the concentrated active ingredient inside turmeric, and the form curcumin Smarter uses is the most bioavailable — meaning it absorbs into your body quickly and completely, so you get the most bang for your buck. Smarter Curcumin is a must for your joints, but it also helps keep your heart healthy, and even boosts the immune system in a different way than vitamin D does.

Speaking of which, you should also be taking Vitamin D3 each day — a full therapeutic dose of 5000 IUs. As Dr. Nancy mentioned in her last show, Vitamin D is a proven nutrient for boosting immunity. Studies even showed that people who regularly take a therapeutic dose of vitamin D daily had 40% fewer respiratory infections than those who take a standard dose (like you get in a multi). That’s something else that we all need right now.

Smarter Vitamin D3 is really different from traditional D3 supplements:

  • It’s 100% plant-based, which you won’t find in most stores
  • It gives you the full therapeutic dose of vitamin D3 — the 5000 IUs
  • It comes in a coconut oil based softgel, since Vitamin D is fat soluble it needs a carrier oil to work best.
  • Plus the added vitamin K2 means extra bone support.

Dr. Nancy’s 8-Part Exercise Series

We know how hard it is to stay motivated to exercise at home, and how helpful it is to have a structured program that’s both challenging and fun to keep you moving.

So we’re making Dr. Nancy’s 8-part “at home” exercise video series and 60-page workout guide available to all of you for free. This will be available very soon so stay tuned for more information!

Stay safe, stay motivated, and stay home.

5 Exercises to Relieve Chondromalacia Patella Knee Pain

“If you’re suffering from knee pain and you think it might be chondromalacia patella, check out these five exercises.”

The condition we’re talking about today is one you may not have heard of, but many people experience its effects. Chondromalacia Patella is a painful disease involving cartilage in the knees. Today Dr. Keller Wortham, MD, will explain more about how the knee works and how this condition can affect it, and demonstrate five easy exercises that can help prevent it or bring relief. If you’re suffering from knee pain or know someone who is, make sure you tune in.

Video Highlights

  • 00:32: Chondromalacia Patella
  • 02:11: Anatomy and Motion of the Knee
  • 04:20: Symptoms of Chondromalacia Patella
  • 05:04: Diagnosis
  • 06:48: Chondromalacia Patella Grades
  • 08:14: Five Strength and Alignment Exercises
  • 15:45: Exercises to Avoid
  • 16:46: Other Knee-Friendly Exercises
  • 17:18: Reducing Inflammation
  • 18:20: Wrap-Up

Chondromalacia Patella

Chondromalacia patella is a disease of the cartilage underneath the kneecap that causes knee pain. The medical word for the kneecap is the “patella”. The term “chondro” refers to the collagen or the cartilage, and “malacia” indicates disease.

Chondromalacia patella causes pain and a burning sensation in the knees, usually in the anterior knee. Unlike the more traditional arthritis, this can happen in younger, and more athletic people. It’s often referred to as “runner’s knee” or “jumper’s knee.” If you play a sport that has a lot of repetitive motion, and creates a lot of stress on the kneecap, you may be at risk of developing this condition.

While chondromalacia patella tends to be an overuse injury, it’s also one that can develop over time. There are a few things that can lead to an increased risk of this particular condition in addition to athletic activities that put pressure on the knees, including some alignment issues that could lead to the kneecap becoming irritated.

Anatomy and Motion of the Knee 

There are several components that make up or surround the knee area: the femur (the upper part of the leg), the tibia (the lower part of the leg), and the kneecap, which is the fulcrum that allows you to get leverage across that joint. At the bottom of the femur, are some smooth mounds encased in cartilage, with a groove in the middle of them called the trochlear groove. The underside of the kneecap has cartilage as well, and it’s supposed to glide in that trochlear groove to give you a nice, smooth range of motion, and the leverage that you need to move your leg.

Unfortunately, some people can start to get poor motion or range of motion of the kneecap in that little groove at the bottom of the femur. Sometimes that can happen because congenitally, they were just born with incorrect alignment, or perhaps the groove is just too shallow, so the kneecap isn’t able to sit snugly in it, and it can rub the sides.

Muscle imbalances can also lead to this. Sometimes people have weak hamstrings or weak quadriceps — the muscles on the anterior and posterior portions of the thigh. An imbalance may also exist in the abductors, which are the muscles that help you open and close your legs. Many of these muscles attach directly to the kneecap, so muscle imbalances can pull the kneecap out of its proper alignment in that groove. So, those are some of the anatomical things that can lead to it, as can repetitive motion from some sports, which can inflame the cartilage on the underside of the kneecap.

Symptoms of Chondromalacia Patella

If that cartilage becomes inflamed, it can get very painful. You might notice a little bit of a burning sensation, or feel a grinding sensation. Often, you might feel pain just sitting, especially for long periods of time, like in a car, or at the theater. That’s because the way your legs are configured in that position puts more tension on the kneecap and holds it more tightly against the femur underneath. You may also notice a decreased range of motion or pain along that range of motion.

Diagnosis

If you start experiencing these symptoms, the best thing to do is get to your doctor for an assessment. Your doctor will likely first do a physical exam — inspect the knee to see if it’s swollen or red. Usually, with this particular condition, you don’t get a lot of swelling or redness, and your range of motion, although  it’s usually a little sore, is not quite so limited. However there is sometimes a grinding or cracking that you can hear and sometimes feel. So, if you put your hand on your knee and extend it, you might hear the sound, or even feel it vibrating under your hand, and your doctor will feel it as well. They might notice some relative weakness in parts of your quadriceps muscle, on the front of your thigh, or an imbalance in the muscles on the interior and exterior part of your thigh. They can also watch the way your kneecap tracks in that groove to see if it appears to pull to one side or another.

If any of these signs are present, you can then move forward and get some imaging to help confirm a diagnosis. Usually, that involves an x-ray to rule out other more serious conditions like arthritis. The best way to evaluate cartilage and inflammation in a joint, is Magnetic Resonance Imaging (MRI). That’s where we can really see what’s happening within the knee itself and specifically what’s happening on the underside of the kneecap where that cartilage is. That imaging will help you determine how severe your chondromalacia patella is.

Chondromalacia Patella Grades

How serious this condition is, can be measured in grades.

  • Grade 1 — there’s a little bit of a softening of the cartilage underneath the kneecap.
  • Grade 2 — In addition to softening, there’s some kind of disruption or change in the texture and smoothness of the cartilage.
  • Grade 3 — the condition is more advanced. Not only is there softening and a rougher texture, you’re also experiencing some cartilage loss or thinning of that protective cartilage.
  • Grade 4 — at this stage, you are actually seeing a bone underneath that cartilage. So, you’ve lost so much cartilage that the bone is now exposed. When it starts to rub on other areas or other bones, that’s when you really start to get into advanced arthritis and pain.

Five Strength and Alignment Exercises

There are some techniques that you can do to help correct for those alignment issues if you have any, and help strengthen some of the muscles that might be weaker. These five exercises can help correct chondromalacia patella and strengthen your legs.

Straight leg lift

  • Start by lying down on the floor or a mat.
  • Keep one leg just bent with your foot flat on the floor
  • Extend the other leg out, keeping the foot flexed
  • Raise the leg at the hip joint, about 45 degrees, and hold for about two or three seconds
  • Lower it back down, keeping your movement controlled
  • Repeat 20 times on each side

This should engage the quadriceps and strengthen the anterior part of your thigh. You don’t want to go fast. That doesn’t really help you. You’re using a lot more energy and getting a lot more strength if you perform this exercise slowly, with control.

Clam Exercise

This movement will really strengthen the adductors and abductors of your legs.

  • Lie on your side to start, with your knees bent
  • Open your legs and raise the upper leg up, keeping the knee bent. Your knee should now be pointing at the ceiling.
  • Hold it there for two or three seconds
  • Slowly go back down, again, with control
  • Repeat 15 times on each side

Roller Leg Lifts

The third exercise is a little bit like the first one, but in this case we’re going to use a roller, or a rolled up towel under your knees. You can do it just under one knee if you don’t have a long one.

  • Lie on your back, legs extended, with the roller or towel under your knees
  • In this exercise, you’re just extending at the leg. So, you’ve got a little bit of a bend in the knee this time and the extension is happening not at the hip but within the quadriceps to raise the lower part of the leg.
  • Hold this for 5 or 10 seconds
  • Lower back down with control
  • Repeat 10 or 20 times per side

You could alternate sides, but you may get more continuous use of the muscle and build more strength by doing all reps on one side before switching to the other.

Wall Slide

  • Find a wall and stand with your back to it. Place your feet about six inches to a foot away from the wall, hip-width apart and your bottom against the wall. You can place your hands against the wall as well.
  • Slide down the wall, until you reach a 45-degree angle. You don’t have to go all the way to 90 degrees, and if you have issues with your kneecaps, definitely don’t go that far.
  • Hold that 5 to 10 seconds, and then push yourself back up the wall slowly
  • Repeat 10 to 15 times, holding 5 to 10 seconds a piece.

Dumbbell Lift

This sixth exercise is a little more intense, so if you do have bad knees or are a little bit worried about form, be a little more cautious with this one.

  • Stand with your feet hip-distance apart, holding a dumbbell in each hand. You can use whatever weight you think is comfortable for you.
  • Bend over at the waist, leaning forward with your chest and head up, making sure that your knees do not go in front of your toes
  • Come back up.
  • Repeat 10 to 15 times

This is not a squat. You don’t want to be sitting back on your heels and going into deep squat. This is leaning your chest forward, bending your knees, again, about 45 degrees, holding it, and then, pushing back up, tightening your core, tightening the small of your back, and your abdomen. If you’re keeping your alignment strong — your knees safely over your second toe and not in front of your toes, holding it, and then you’re pushing back up slowly — this exercise is going to strengthen a lot of those muscles in your thigh, and upper leg, that are going to basically help balance out and protect the alignment of your kneecap.

You can do all five of these easy exercises you can do at home. Most of them take no equipment, and they can help strengthen the muscles of your legs and your thighs to help keep your kneecap in alignment.

Exercises to Avoid

Some things that you definitely don’t want to do if you’re working with knee pain or chondromalacia patella include:

  • Deep squats where you’re going down past 90 degrees. That puts a lot of pressure on your kneecap.
  • If you’re at the gym, be very careful about the leg extension machine. Especially when it’s coming from a very low angle, that’s a lot of fulcrum pressure on your knee that puts a lot of stress on the underside of the kneecap. Some of these machines are adjustable, so if you can position the bar so that you’re only doing the last 10 to 15 degrees, that would be okay.

Other Knee-Friendly Exercises

Other healthy activities include yoga and Pilates. You might have to modify some of the poses, so make sure that you’re working with a teacher who can instruct you there. Swimming is also great for the knees. It’s very low impact and doesn’t put a lot of pressure on the kneecap at all. But you want to avoid things like running, jumping, and sports like volleyball and basketball that put a lot of impact on your knees. You want to make sure that you get the kneecap well balanced and healed before you start putting additional stress on it.

Reducing Inflammation

You can also add some nutritional products to your regimen, to help reduce inflammation and improve joint health:

  • Curcumin, a natural inflammation-fighter, which is the active ingredient in turmeric. Smarter Curcumin is formulated with curcumin in its most active and bioavailable form. This is a great option for people who prefer natural inflammation fighters to NSAIDs, which have some serious side effects.
  • Smarter Joint Food is another natural supplement that can nourish and increase the health of your cartilage, and improve joint mobility.

Wrap-Up

We hope this overview of chondromalacia patella was helpful. If you’re suffering from knee pain and you think it might be chondromalacia patella, check out these five exercises, try them at home, and go see your doctor!