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In every dojo, there’s the quiet sound of knees suffering, not from combat, but from misunderstanding. It’s the same story everywhere I have been, in Japan, UK, The Americas, and not forgetting the antipodes, I have heard it in every language and every hallway: “My knees are always sore.” “I’ve got bad knees.” “Tengo problemas en las rodillas.” “膝が悪いです。” You see someone rubbing their knee during warm-ups, or wincing as they rise from seiza, or without even trying a technique once, telling you to be careful with them cause they have bad knees, you know what’s coming before they speak. It’s a frustrating reality, one that feels almost universal among martial artists. As a coach and fellow practitioner, I always empathize, but I’m also quietly frustrated. Not because these aches are inevitable, but because, in most cases, they’re self-inflicted and preventable. Despite this, most folks point the finger elsewhere: age, hard mats, deep stances, endless kicking, crouching, rolling, or just the “faults” of the art itself. But if you strip away the noise, the urban myths, the excuses, the “this position ruins knees” complaints, a clearer picture starts emerging. Most knee pain in martial arts isn’t really about the technique at all. It’s about the way we move inside the technique. Before We Go Further: What This Is (and Isn’t) About This article is about non-contact and indirect-contact knee problems. The kind of pain that shows up during stance work, stepping, balancing, dynamic transitions, pivots, or responding to unpredictable movement. It’s not about direct trauma, like a hard strike, a bad fall, or a heel hook. That’s a different category altogether. What we’re talking about are knee issues that develop from the way you move, even when nothing “obvious” has happened. These are the quiet aches martial artists live with for years, and almost always, the root cause is the same: misunderstanding movement. Upstream vs Downstream: The Real Story Behind Knee Pain When beginners and honestly, many advanced students hurt their knees, they blame the moment: “I stepped wrong.” “I landed funny.” “I pivoted and it popped.” But biomechanics tells a different story. Many knee injuries don’t start at the knee, they start upstream, long before the moment of collapse. Upstream: This is your movement literacy (fundamental movement competence), the foundation under every technique. Weak hips, tight ankles, stiff backs, poor balance, bad proprioception, muscular imbalances (quad-hamstring imbalances, a known ACL risk factor), weak external rotators, sluggish neuromuscular timing, years of copying poor postures and techniques, instead of learning the ins and outs of how to move. Physical condition, things like muscle mass, body fat percentage, and overall body composition, are a big part of what you bring upstream. Poor composition or muscular imbalances can load the joints inefficiently, make good technique harder to express, and create hidden risks even if your movement looks 'clean' to the eye. In other words: “what you’re made of” matters as much as “how you move” when it comes to protecting your knees and preventing injury. Research is clear: poor neuromuscular control massively increases risk of ACL injury Hewett, 2000; Hewett et al., 2002; Hewett et al., 2005; McLean et al., 2005; Montalvo et al., 2019). Strength imbalances make things worse (Myer et al., 2004; Arundale et al., 2018; Simonson et al., 2023). Upstream problems → downstream collapse. Intensity doesn’t fix this; intensity exposes it. Downstream: Downstream is what your body does under speed, load, unpredictability, decision-making, fatigue, or reaction. If upstream is solid, downstream looks controlled: hips steady, knees aligned, trunk quiet, foot pressure stable, stance clean. The quality of the downstream is built on the substance of the upstream. If upstream is weak, downstream collapses. Here’s a simple rule about movement: Don’t expect the water to taste good if you piss upstream and drink downstream. What you put in at the start always shows up at the end. The Multi-Planar Collapse Pattern This collapse is documented in countless number of video-verified ACL injuries in elite sport. The pattern is remarkably consistent:
Ichimonji: A Perfect Example of Quiet Collapse You don’t need football or basketball footage to see collapse. Just look at Ichimonji no Kamae. This Kamae is shown only to illustrate leg and trunk alignment clearly as discussed below. A clean Ichimonji has:
In other words: Bad Ichimonji = bad movement literacy → bad neuromuscular control → bad joint alignment → downstream collapse → increased ACL loading. This is not theory. This is exactly what real-world injury footage shows. And it’s not Bujinkan-specific. You see the same thing in:
Different cultures. Different stances Same human joints. Same weaknesses. Same collapse. It’s important to recognize that while each risk factor can be problematic on its own, their effects are rarely isolated in practice. In real movement, these errors tend to accumulate rather than act in isolation. A single technical flaw may not always lead to injury, and context/combination of risks always needs to be considered, but as these deficiencies combine, their impact escalates rapidly, amplifying joint stress and sharply raising injury risk. The more these factors converge, the smaller your margin for error becomes, and the easier it is for something to go wrong. A good ichimonji lives up to its name: everything aligns along one straight line. The head is in profile, the body is bladed, and the shoulders stack directly over the hips. There’s no lateral lean and no trunk flexion, the pelvis stays level, and there’s no “gaijin butt” sticking out. The rear leg is externally rotated, both knees are in line with the toes, and your center of mass is supported over the rear foot, not hanging in the middle between both feet, which would create a movement delay and wasteful exertion. We must understand the connections, pressures and actions our body makes and lets continue looking at just ichimonji no kamae. 1. Lateral trunk flexion (side-lean) When the torso leans toward the stance leg, it shifts your bodyweight toward the inside of the knee. This makes the pelvis drop → which makes the femur rotate inward → which makes the knee drift into valgus. Torso → Pelvis → Femur → Knee. One clean line of bad influence. 2. Trunk flexion (forward lean)Forward flexion moves the centre of mass ahead of the knee. To avoid falling forward, the pelvis dumps back -- the “gaijin butt” position:
Once the knee drifts inward, you create room for:
4. Put together:
Collapse Is a Whole-Chain Injury Pattern When collapse happens, it loads more than the knee. It’s a whole-chain failure:
Where Teaching Fails Most martial arts don’t actually teach movement; they teach shapes, positions, and choreographed sequences, often without understanding the original intent. Rarely do you see practice focused on alignment, force transmission, joint stacking, center-of-mass control, or true integration from neck and shoulders through hips, knees, and feet, let alone load absorption. If you don’t believe me, next time you’re practicing a technique with a partner, give them an unexpected push or pull from a direction they wouldn’t anticipate. Notice how quickly they come undone, how their balance collapses or their ability to apply force vanishes. (We’re not talking about brute strength here; this is about efficient, adaptable structure.) So what happens? Students end up “looking correct” in static posture. But the moment real speed, pressure, or fatigue enter the picture, everything falls apart, just as the injury literature predicts. You can be loyal, hard-working, and disciplined… and still engrain terrible biomechanics. How a Conscientious Practitioner Stops the Cycle The solution starts with awareness, not rote memorization.A good practitioner notices left/right differences, knee drift, foot collapse, hip wobble, when alignment feels “off.” They stop treating kamae as sculpture and start treating it as part of the movement, an instance of time. They build:
I have had many students and training partners who were physically strong and some even extremely flexible. But their strength made them stiff (note, being strong doesn't make you stiff, just the way they practiced being strong), and so flexible they were weak in their end range (length-tension relationship) and couldn't move. Training should build both strength and practical flexibility, teaching where to be strong, where to be flexible, and (crucially) how to integrate them through movement patterns. Martial arts that develop this capacity produce practitioners with resilient, adaptable movement, not just shapes that look good, but movement that holds up under real speed, fatigue, and force. The Art Is Not the Problem People say: “Karate ruins knees.” “Aikido ruins knees.” “Thai Boxing ruins knees.” “Ninjutsu/Taijutsu hurts my knees.” But that’s not the truth. The art itself isn’t the problem. It’s the way you practice the art. The habits and mechanics you bring to every session, to every moment where the art lives.
And then there’s what veteran practitioners often say: “My knees are bad because I trained so hard when I was younger.” But here’s the reality: it usually isn’t because you trained too hard, it’s because you trained the wrong way. Physical toughness without technical intelligence just means practicing your mistakes at full effort. The harder you push with poor mechanics, the faster you run into pain. Intensity isn’t the enemy; ignorance is. When you change how you practice, you don’t just protect your knees, your art reveals deeper lessons it always had to offer. A Final Thought Taking ownership, for how you practiced in the past, and how you move today, is essential. As adults in martial arts, we can’t go around blaming ignorance, misplaced loyalty, “bad genetics,” or whatever excuse is most convenient. The real work is in tackling the problems, even the ones that don’t seem dojo-related on the surface, but inevitably show up downstream.Bodyweight, cardio, strength, flexibility, and posture are just a few of the things you have the power to change. Yes, it takes work, but it’s all modifiable. And to paraphrase an old saying: If you don’t know how, we’ll teach you. If you don’t want to, well… maybe the pain will make you.” Better upstream → safer downstream. Better movement → better knees. Better knees → longer training. Longevity, in the end, is the best test of mastery over your body. Of course, we haven’t covered every possible cause of knee problems, there are direct contact injuries, random accidents, and split-second neurocognitive errors (bad decisions under pressure) to consider, too. But these modifiable factors are where you start. Control what you can, and your future self will thank you. I would like to leave you with something my teacher once said: “If you discover along the way that something isn’t right either with your master, with your art or with you, don’t hesitate to admit it and to change it at once, even if the price for that would be to start over from the beginning.” -Kacem Zoughari Thank you for your time and patience, please like, share and comment if you found it interesting enough. Cheers Gray. References
Arundale, A.J.H., et al. (2018). Exercise-based knee and anterior cruciate ligament injury prevention. J. Orthop. Sports Phys. Ther., 48(9), A1–A42. Gopinatth, V., Smith, M. V., Matava, M. J., Brophy, R. H., & Knapik, D. M. (2025). Most anterior cruciate ligament injuries in professional athletes occur without contact to the injured knee: A systematic review of video analysis studies. Arthroscopy: The Journal of Arthroscopic and Related Surgery, 41(4), 1155–1162.e1 Hewett, T.E. (2000). Neuromuscular and hormonal factors associated with knee injuries in female athletes. Sports Med., 29(5), 313–327. Hewett, T.E., Paterno, M.V., Myer, G.D. (2002). Strategies for enhancing proprioception and neuromuscular control of the knee. Clin. Orthop. Relat. Res., 402, 76–94. Hewett, T.E., et al. (2005). Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes: a prospective study. Koga, H., Nakamae, A., Shima, Y., Iwasa, J., Myklebust, G., & Engebretsen, L. (2010). Mechanisms for noncontact anterior cruciate ligament injuries: Knee joint kinematics in 10 injury situations from female team handball and basketball. The American Journal of Sports Medicine, 38(11), 2218–2225. Am. J. Sports Med., 33(4), 492–501. McLean, S.G., et al. (2005). Evaluation of a two dimensional analysis method as a screening and evaluation tool for anterior cruciate ligament injury. Br. J. Sports Med., 39(6), 355–362. Miralles-Iborra, R., de Oliveira, A.S., Newton, J.L., Esteve, E., Romero-Franco, N., & Bahr, R. (2025). Systematic video analysis of ACL injuries in professional female football players: Injury mechanisms and contributing factors. British Journal of Sports Medicine, 59(2), 123–130. Montalvo, A.M., et al. (2019). “What’s my risk of sustaining an ACL injury while playing sports?” A systematic review with meta-analysis. Br. J. Sports Med., 53(16), 1003–1012. Myer, G.D., Ford, K.R., Hewett, T.E. (2004). Rationale and clinical techniques for anterior cruciate ligament injury prevention among female athletes. J. Athl. Train., 39(4), 352–364 Simonson, R., et al. (2023). Effect of quadriceps and hamstring strength relative to body weight on risk of a second ACL injury: a cohort study of 835 patients who returned to sport after ACL reconstruction. Orthop. J. Sports Med., 11(4), 23259671231157386.
4 Comments
Hello, Gray: Great article and one that resonates with someone who has dabbled in, pursued, and obsessed over martial arts for well over 30 years. In my younger days, while training in karate, the emphasis was on speed, extreme flexibility, “snapping” one’s kicks and punches - the inevitable result was, naturally, pulled muscles/tendonitis/instability and the assorted aches, pains and injuries engendered by a scattershot approach to the whole thing. A really painful and debilitating bout of back-pain led to visiting a chiropractor who taught me a good deal about alignment, muscle-loading, practical training and longevity. Of even greater benefit was his lending me his well-thumbed copy of Pete Egoscue’s first book on postural alignment and a basic understanding of how the human body should operate. What a revelation! I eventually drifted away from karate and invested more of my time and energy in reading and learning about Ninjutsu. I will freely and unabashedly admit that my introduction to Kacem Zoughari and your articles have impressed me with the clarity and profundity of both his and your content and made me wish that I had had access to both in my younger years. At 70 (almost there), I continue to learn and tremendously enjoy learning more each time about how, why and when to use this earth-bound vehicle more sensibly and effectively. Always appreciate your work, Gray.
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11/21/2025 08:27:28 am
Hi Bradley,
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11/21/2025 06:09:32 pm
Absolutely fantastic article! I love the discussion of neurobiomechanics in relation to martial arts and prevention of chronic injury. The pictures and approachable tone are a fantastic addition for the layperson to still engage with the science behind it all. And you listed your references! If I could leave you a 5-star review I totally would!
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11/22/2025 04:17:40 am
G'day Rick
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