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Knees hurt downhill? Here’s why and what to do. Knee pain going downhill comes from high eccentric demand on your quads and increased load on the patellofemoral joint. Essentially, your muscles and tendons are working hard to slow your body, and if they aren’t strong or coordinated enough, the knee absorbs too much stress. ✨ Lunge Isohold Wall Sits: Isometric contractions increase tendon stiffness and muscle endurance, which improves force absorption and protects the knee joint without excessive
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