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Try 5 exercises to fix knee pain and offset the damage of sitting all day, according to a physical therapist

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Try 5 exercises to fix knee pain and offset the damage of sitting all day, according to a physical therapist
  • If you get knee pain or injuries in the gym, that could be from sitting all day.
  • Exercises that strengthen and stretch the leg muscles effectively will help protect knees.
  • For healthier joints, aim to move regularly and work on your balance and stability.

Simple exercises can help prevent knee pain from derailing your routine, according to a physical therapist.

Andrey Simeonovski, a physical therapy doctor, recently spent a week in Kathmandu as part of Operation Walk, helping rehabilitate patients who’d had knee replacement surgeries.

He said a major takeaway from the experience is that consistently putting your body through the same motions can cause problems, whether you’re sitting all day or doing repetitive physical tasks.

“It’s a variety of movements that are important for your health in your body,” Simeonovski said.

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Here are some exercises that offer your joints a range of motion to strengthen the surrounding muscles. As always, it’s best to work with a qualified trainer, or talk to a doctor first if you have existing injuries.

Lateral “monster walks” can relieve knee and back pain


A man in a long sleeved shirt and leggings does a low squat lateral step exercise with a resistance band.

Lateral steps with a resistance band help to strength muscles that support the knees.

Milan Markovic/Getty Images



Resistance bands are a great tool for strengthening muscles that help stabilize the knee joint.

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Simeonovski said a common exercise he uses for the knees, hips, and back is the “monster walk,” taking steps from side to side with a band around the legs or feet.

The band provide tension to engage the glutes, which can be underdeveloped from sitting all day, so firing them up helps to stabilize the rest of the body.

“It reduces strain on the low back,” Simeonovski said.

Quad stretches help take pressure off your knees


A woman in workout clothes performing a half kneeling quad stretch outside in an exercise field.

A half-kneeling pose known as the couch stretch can help open your helps and lengthen your quads. It’s typically done with the back foot and shin pressed against a wall. Resting your knee on an elevated surface like a bench can provide more stability.

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Knee pain can often result from tightness in the quads, which then pull on the knee and create problems, according to Simeonovski.

A couch stretch can help lengthen and loosen up the quads while opening up the hip flexors.

Simeonovski typically recommends an elevated version of the stretch, which is easier on the knee:

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Rest one knee on a bench or box near the wall. Bend that knee while moving the shin and top of the foot to rest flat up against the wall.

If it’s painful, ease up on the stretch, especially if you have an injury.

Simeonovski said the best way to avoid injury is pay attention — if something is painful enough that it’s distracting, or if you stop the exercise and the pain persists, don’t continue.

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“Pain that lingers is a red flag,” he said.

Hamstring curls can protect your knees from injury

Simeonovski said the hamstrings, the muscles on the back of the leg, are often overlooked. We tend to focus on the quads on the front of the leg. But that can increase the risk of damaging ligaments in the knee because the quads can put too much pressure on the ACL without the hamstrings to counteract them.

To strengthen the hamstrings, try Nordic hamstring curls.

Start in a kneeling position with your feet secured (you can use a special mat or bench, tuck them under a couch or other furniture, or have someone hold them). Keeping your torso, hips, and shoulders in a straight line, slowly lower yourself to the ground, landing on your hands as if in the bottom of push-up.

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This exercise can be challenging. If you feel like you don’t have control, use a resistance band secured behind you to help offset some of your body weight. That will make the movement easier.

Step-ups strengthen the knee and help fix imbalances


A man doing a step-up exercise at the gym

Step-ups can help address muscle imbalances by focusing on one leg at a time, while also improving lower body strength and stability.

Zinkevych/Getty Images



One of Simeonovski’s go-to exercises for improving lower body strength and joint health is the step-up.

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Stand in front of a stool, bench, box, or stairs, and place one foot on the elevated surface. Pressing through that foot, lift your body up onto the step, and then return to the starting position. Repeat, alternating the starting foot.

Step-ups are low-impact and work the glutes, hamstrings, and quads as well as the core muscles. Alternating sides can also help improve your balance.

Go slow and gradually increase weight, height, or intensity as you get comfortable with the exercise. Squats and lunges offer similar benefits, but may need modifications if you have an existing injury.

Simeonovski said he prefers these movements to exercises like knee extensions, which aren’t necessarily bad for your joints, but don’t offer as much stability.

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Rotational exercise helps to offset damage from sitting


An athlete in leggings and a sports bra performing a side lying twist stretch on a mat in a living room

The open book: Stretching your spine can help improve overall movement and prevent back and hip pain.

SimpleImages/Getty Images



Tightness in one area can cause a chain reaction and create aches and issues elsewhere.

For instance, back problems can worsen strain and pressure on the knees.

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That’s why Simeonovski recommends the open book exercise for patients who have knee pain and spend lots of time sitting. It doesn’t directly involve the knees but can improve overall mobility.

Lie on a mat or the floor with your knees and hips bent at 90 degrees and your arms extended in front of you. Slowly rotate the top arm up and across your body as far as you comfortably can, gently twisting your spine. Return to the starting position and repeat, being sure to perform the exercise on both sides.

You can also do a similar rotation from a half-kneeling position.

Take breaks for movement throughout the day

The key to strengthening and protecting your joints is consistency, especially if you sit all day, according to Simeonovski.

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Find opportunities to get up and move around at regular intervals, setting an alarm if needed to remind yourself to take a stretch break, go for a short walk, or otherwise give your body a rest from repetition.

“Staying in one position is a problem long-term,” he said.

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Fitness

I’ve interviewed yoga teachers, physical therapists and personal trainers—here are the five stretches they’ve recommended that have actually made a difference for me

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I’ve interviewed yoga teachers, physical therapists and personal trainers—here are the five stretches they’ve recommended that have actually made a difference for me

Now I’m hitting my third trimester of pregnancy—and as my energy levels have dropped—I’ve pressed pause on working out, but I’m still doing the same set of stretches to stay mobile and limber.

I work from home most days and whenever I need a screen break, I do a micro sequence of stretches that trainers, yoga instructors and physical therapists have recommended to me during interviews over the years—ones that have genuinely helped.

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Fitness

Nope, not pull-ups — this is the one bodyweight exercise you need to build strength and muscle in your back and biceps without weights

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Nope, not pull-ups — this is the one bodyweight exercise you need to build strength and muscle in your back and biceps without weights

I love pull-ups because they are the epitome of a challenging bodyweight compound exercise, meaning they target multiple muscle groups and joints simultaneously. If you can do them with just your own weight, great, but they are also endlessly scalable using one of the best resistance bands.

Don’t worry if you can’t do pull-ups yet, or you’re just looking for another way to build your back and biceps. All you need to start with is to improve foundational upper-body strength. And you can achieve this using a bodyweight exercise that targets the same muscle groups, but with a horizontal pulling motion rather than a vertical one.

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Fitness

NorthStar Advanced Exercise Science Expands Autonomy v2 Licensing Model for Chiropractic and Wellness Centers

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NorthStar Advanced Exercise Science Expands Autonomy v2 Licensing Model for Chiropractic and Wellness Centers

NorthStar launches Autonomy v2, a cloud-based system for science-driven fitness and business growth.

Irvine, California – November 02, 2025 – NorthStar Advanced Exercise Science has announced the expansion of its Autonomy v2 licensing model, introducing a comprehensive framework for chiropractic and wellness centers seeking to integrate premium fitness services into their practice. The new release includes a Business Handbook and an Intuitive Revenue Worksheet, designed to guide professionals through every phase of licensing and implementation.

Autonomy v2, NorthStar’s flagship cloud-based exercise science system, combines research-driven programming with an adaptable business model that aligns with clinical operations. Using Google Drive and Google Docs for secure program distribution allows wellness centers to deliver structured, science-based strength and conditioning programs without the overhead or complexity of traditional fitness management platforms.

“The new licensing materials make the transition simple and transparent,” said Vanessa Rowe, Sales Director at NorthStar Advanced Exercise Science. “Chiropractors and wellness professionals can now evaluate projected revenue, understand program structure, and begin integrating Autonomy v2 into their service offerings within days.”

The Autonomy v2 Business Handbook outlines operational procedures, revenue structures, and client-facing program models that enable wellness facilities to expand their services while maintaining compliance and clinical credibility. The Business Revenue Worksheet gives potential licensees a clear view of financial potential by mapping out realistic conversion rates, pricing tiers, and scalability options.

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Built on advanced exercise science, Autonomy v2 features proprietary sequencing and pathway-based training models derived from NorthStar’s research in adaptive kinesiology and exercise physiology. Each program is delivered with detailed session manuals and integrated progression systems, providing an intelligent blend of autonomy and professional oversight.

For wellness businesses, the system presents an immediate opportunity to add a new premium revenue stream by offering scientifically validated fitness services directly through their practice. The licensing model is structured to support both single-facility operations and multi-location scalability, with NorthStar providing complete digital setup and support via its cloud infrastructure.

NorthStar continues to expand its ecosystem of professional resources through its digital platforms, ensuring licensees have access to up-to-date documentation, analytics, and consult support. Interested wellness professionals can learn more or begin the licensing process by visiting

www.autonomyv2.com or www.northstar-central.com

About NorthStar Advanced Exercise Science

NorthStar Advanced Exercise Science (NorthStar AES) develops cloud-based fitness and wellness systems that merge physiology, biomechanics, and data analytics into scalable, research-driven programming. Through its flagship platform Autonomy v2, NorthStar equips gyms, chiropractic offices, and wellness centers with advanced exercise science solutions designed to elevate service quality and revenue potential.

For additional information or media inquiries, please contact:

Marketing and Communications Department

George Pierce george@northstar-central.com

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www.northstar-central.com | www.autonomyv2.com

Press Contact

Name: George Pierce

Title: Director of Marketing & Communications

Company: NorthStar Advanced Exercise Science, LLC

Email: george@northstar-central.com

Phone: (800) 878-9438 ext. 6

Company Address

NorthStar Advanced Exercise Science, LLC

4000 Barranca Parkway, Suite 250

Irvine, CA 92604

Main: (800) 878-9438

SMS/MMS: (949) 687-1297

NorthStar Advanced Exercise Science (NorthStar AES) develops cloud-based exercise science systems that combine physiology, biomechanics, and data analytics to create structured, scalable fitness solutions. The company’s flagship platform, Autonomy v2, provides wellness and chiropractic professionals with a premium, research-driven fitness system that integrates seamlessly into existing clinical operations.

Headquartered in Irvine, California, NorthStar AES supports gyms, wellness centers, and healthcare providers throughout the United States by delivering advanced programming, licensing support, and digital infrastructure via its Google Cloud-based network.

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Learn more at www.northstar-central.com and www.autonomyv2.com

This release was published on openPR.

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