{"id":13756,"date":"2026-01-29T06:56:04","date_gmt":"2026-01-29T06:56:04","guid":{"rendered":"https:\/\/worldbodybuildingnews.com\/?p=13756"},"modified":"2026-01-29T06:56:04","modified_gmt":"2026-01-29T06:56:04","slug":"are-leg-extensions-bad-for-your-knees-the-truth-about-quad-growth-acl-stress-and-knee-health","status":"publish","type":"post","link":"https:\/\/worldbodybuildingnews.com\/?p=13756","title":{"rendered":"Are Leg Extensions Bad for Your Knees? The Truth About Quad Growth, ACL Stress, and Knee Health"},"content":{"rendered":"<p><\/p>\n<div>\n<p>When I first started out as a certified trainer, experienced trainers would oftentimes warn me against incorporating leg extensions.<\/p>\n<p>They would say: \u201cBad for your knees,\u201d or \u201cIt puts your knee joint at risk.\u201d<\/p>\n<p>Being inexperienced, I followed their advice and dared not question them. Since then, until now, leg extensions have been public enemy No. 1 for my knees. But you may have heard:<\/p>\n<p>\u201cDon\u2019t do it\u2014they\u2019ll shred your patella.\u201d<\/p>\n<p>\u201cThat machine\u2019s dangerous, just squat instead.\u201d<\/p>\n<p>The belief that leg extensions are dangerous has become a stubborn gym myth that won\u2019t go away. For those who believe it means avoiding an effective tool for quad development, strength, and even post-rehab recovery. After <a href=\"https:\/\/www.instagram.com\/nick_tumminello\/\">Nick Tumminello<\/a>, a strength coach with 27 years in the trenches, tackled this issue in a recent social media post, here\u2019s the real question that should be asked: Are leg extensions a knee-saver or a knee-destroyer?<\/p>\n<p>Here, we\u2019ll provide the answers to this legday dilemma by breaking down the origins of the myth, biomechanics, and how to use leg extensions to build teardrop quads without issues.<\/p>\n<p><div class=\"youtube-embed\" data-video_id=\"tHEKSngJTJ0\"><iframe loading=\"lazy\" title=\"Leg extensions wreck the knees? What the science says\" width=\"696\" height=\"392\" src=\"https:\/\/www.youtube.com\/embed\/tHEKSngJTJ0?feature=oembed&#038;enablejsapi=1\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div>\n<\/p>\n<h2>Why Do People Say Leg Extensions Are Bad for Your Knees?<\/h2>\n<p>This myth of leg extensions didn\u2019t come from lifters; it came from the rehab world. Cautionary tales of leg training trauma were misinterpreted and passed down like a bad game of telephone date back as far the 1960s, according to Tumminello.<\/p>\n<p>\u201cClinicians observed that open-chain knee extension could strain a healing ACL graft, particularly early after surgery,\u201d he says.<\/p>\n<p>Over time, that caution escaped the clinic and morphed into the repeated myth that leg extensions are bad for everyone, all the time.<\/p>\n<p>In the 1990s and early 2000s, physical therapists began limiting leg extensions in early-stage rehab for ACL injuries. The science suggested that when the anterior shear force on the tibia increases, a biomechanical force that pushes the shinbone forward relative to the thigh bone can stress healing tissues in a post-surgical knee.<\/p>\n<p>While this recommendation might be valid for some, it became a blanket warning. Trainers were telling anyone within earshot that leg extensions were bad for your knees, and the warning spread fast and straight into my newbie ears. Combine that with gym bros shouting, \u201cJust squat instead!\u201d and people tossed leg extensions aside.<\/p>\n<h2>Are Leg Extensions Safe for Healthy Knees?<\/h2>\n<p>Machine leg extensions are an open-chain knee extension exercise that isolates the quadriceps while increasing shear force on the anterior knee and the cruciate ligament. These factors, combined with the gym grapevine, are why this exercise has its share of detractors.<\/p>\n<p>Yes, leg extensions do place tensile forces on the ACL, but how much is too much? <a href=\"https:\/\/www.nsca.com\/education\/articles\/ptq\/are-the-seated-leg-extension-leg-curl-and-adduction-machine-exercises-non-functional-or-risky\/#:~:text=Another%20controversial%20single%2Djoint%20exercise,its%20ultimate%20strength%20(11).\" target=\"_blank\" rel=\"noopener\">Research shows that ACL forces during leg extensions range from 158 to 396 newtons<\/a>, even at near-maximal effort. The estimated failure strength of the ACL is around 2,000 newtons. That means leg extensions expose the ligament to less than one-fifth of its failure strength.<\/p>\n<p>So, don\u2019t worry, your knee isn\u2019t going to blow out.<\/p>\n<p>Another criticism is that they produce a forward pull on the tibia without co-contraction of the hamstrings and calves. But multiple biomechanical analyses have shown that:<\/p>\n<ul>\n<li>The hamstrings do activate during leg extensions, but at low to moderate levels. That\u2019s what you\u2019d expect during an open-chain knee extension.<\/li>\n<li>Knee joint reaction forces vary depending on knee angle and exercise parameters. So, the blanket statement that leg extensions are bad for your knees lacks context.<\/li>\n<li>Daily activities such as walking, stair climbing, or running often produce joint reaction forces that are equal to or greater than those from leg extensions.<\/li>\n<li>\u201cSquats and leg presses show greater peak patellofemoral stress at deeper knee flexion angles at 60 to 90 degrees,\u201d says Tumminello. \u201cUsing the same logic, squats would have to be labeled \u201cbad,\u201d too\u2014which is obviously nonsense.\u201d Although concerns about leg extensions arise in rehab settings, a review found that rehabilitation programs use open-kinetic-chain knee extensions safely to restore quadriceps strength and knee function after injury.<\/li>\n<\/ul>\n<p>While leg extensions are great for developing knee and quad strength, they\u2019re not suitable for every circumstance.<\/p>\n<h2>When Leg Extensions Can Actually Hurt Your Knees<\/h2>\n<p>Let\u2019s not pretend leg extensions are bulletproof. Like any exercise, they can cause problems when misapplied, misused, or performed poorly. Here\u2019s when this quad-blasting machine can go sideways:<\/p>\n<h3>Pre-Existing Knee Issues<\/h3>\n<p style=\"padding-left: 40px;\">If you\u2019re dealing with patellar tendonitis, chondromalacia, or chronic anterior knee pain, leg extensions may aggravate your symptoms\u2014especially at the top of the movement, where tension is highest. That\u2019s because open-chain knee extension isolates force on the patellar tendon without full support from the other lower-body muscles.<\/p>\n<p style=\"padding-left: 40px;\"><strong>Fix it:<\/strong> Use shorter ranges (e.g., 90 to 45 degrees), lighten the load, and slow the tempo. Or sub in closed-chain options like step-ups or heel-elevated goblet squats.<\/p>\n<h3>Post-Surgical or Early-Stage ACL Rehab<\/h3>\n<p style=\"padding-left: 40px;\">In the early phases of ACL recovery, open-chain movements between 40 degrees and full extension place more anterior shear on the tibia, which can stress a healing graft. That\u2019s where this myth originated, and it\u2019s valid in that specific context.<\/p>\n<p style=\"padding-left: 40px;\"><strong>Fix it:<\/strong> For post-ACL clients, consult your PT. Many protocols now include leg extensions after the early stage, just not right away.<\/p>\n<h3>Poor Technique<\/h3>\n<p style=\"padding-left: 40px;\">Cranking the weight stack, bouncing the pad, locking out hard at the top, or hyperextending the knees? Yeah, that\u2019s how you tick off your knees. Some pain from performing leg extensions stems from poor reps\u2014not the machine itself.<\/p>\n<p style=\"padding-left: 40px;\"><strong>Fix it:<\/strong> Use a controlled tempo, avoid momentum, and stop short of lockout.<\/p>\n<figure class=\"wp-caption \">\n<div style=\"padding-bottom:55.36519386835%;\" class=\"ratio-based-placeholder\"><\/div><figcaption class=\"wp-caption-text\"><span class=\"credit\"> milan2099 \/ Getty<\/span><\/figcaption><\/figure>\n<h2>Why Leg Extensions Are One of the Best Quad Builders<\/h2>\n<p>They\u2019re not a squat, they\u2019re not a lunge, and they don\u2019t go viral on Instagram unless someone\u2019s using the whole stack while another screams, \u201cIt\u2019s all you, bro.\u201d But if you\u2019ve ditched them because you believe this myth, here\u2019s what you\u2019ll miss out on.<\/p>\n<h3>Laser-Focused Quad Development<\/h3>\n<p style=\"padding-left: 40px;\">Leg extensions are among the best isolation tools available for your quads. Machine leg extensions train the quads with zero hip involvement, perfect for bringing up lagging leg size\u2014or carving definition in a cutting phase, according to Tumminello. \u201cIf you want to maximize quad size, leg extensions deliver a stimulus to the rectus femoris that compound lower-body exercises alone don\u2019t provide,\u201d he says.<\/p>\n<p style=\"padding-left: 40px;\">Compound lifts share the load across the glutes, hamstrings, adductors, and lower back, while leg extensions do not.<\/p>\n<h3>Joint-Friendly Volume<\/h3>\n<p style=\"padding-left: 40px;\">Barbell squats and Bulgarian split squats are great for building quad strength and size\u2014but they put a drain on your nervous system. Leg extensions allow you to add muscle-building volume without spinal compression, balance demands, or high CNS cost.<\/p>\n<h3>Strategic Pre-Exhaust or Finisher<\/h3>\n<p style=\"padding-left: 40px;\">Want to feel your quads during squats? Try 2\u20133 sets of leg extensions before your first working squat set, and it will fix your quad feeling problem. On the flip side, it\u2019s great as a finisher. End your leg day with 3 sets of 20 reps and a 3-second squeeze at the top, then try walking down the gym stairs.<\/p>\n<h3>Post-Rehab Superstar<\/h3>\n<p style=\"padding-left: 40px;\">People often give leg extensions a bad rap in rehab, but many return-to-play protocols rely on them once coaches dial in timing, loading, and knee readiness.<\/p>\n<p style=\"padding-left: 40px;\">\u201cQuad strength loss is a defining issue after knee injury,\u201d explains Tumminello. \u201c Weak quads don\u2019t just limit performance\u2014they change how you move, mess with your gait, and increase the risk of reinjury, especially after ACL reconstruction. If you want resilient knees, restoring quad strength isn\u2019t optional\u2014it\u2019s mandatory.\u201d<\/p>\n<figure class=\"wp-caption \">\n<div style=\"padding-bottom:55.36519386835%;\" class=\"ratio-based-placeholder\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/i0.wp.com\/www.muscleandfitness.com\/wp-content\/uploads\/2026\/01\/Elderly-male-performing-a-leg-extension-exercise-for-healthy-joints.jpg?quality=86&amp;strip=all\" srcset=\"\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" alt=\"Elderly male performing a leg extension exercise for healthy joints\" width=\"1109\" height=\"614\" data-fallback-img=\"https:\/\/i0.wp.com\/www.muscleandfitness.com\/wp-content\/uploads\/2026\/01\/Elderly-male-performing-a-leg-extension-exercise-for-healthy-joints.jpg?quality=86&amp;strip=all\"\/><\/div><figcaption class=\"wp-caption-text\"><span class=\"credit\">SYATRI RAWU\/Adobe Stock<\/span><\/figcaption><\/figure>\n<h2>Best Way to Program Leg Extensions for Muscle and Joint Health<\/h2>\n<p>Here\u2019s how to make this misunderstood machine your secret leg-day weapon without succumbing to the myth hype.<\/p>\n<ul>\n<li>Use them after compound lower body lifts when your joints are warm and your quads are juiced.<\/li>\n<li>Or as a pre-exhaust tool\u2014especially if you struggle to \u201cfeel\u201d your quads during squats. Stimulate and not annihilate before heavy barbell work.<\/li>\n<li>For hypertrophy: 3\u20134 sets of 10\u201315 reps, moderate weight, controlled tempo.<\/li>\n<li>For endurance: 2\u20133 sets of 15\u201320 reps with short rest between sets.<\/li>\n<li>For strength: 3 sets of 8\u201310 reps, heavy weight, focusing on peak contraction and full ROM.<\/li>\n<\/ul>\n<h2>Are Leg Extensions Bad for Your Knees? Final Verdict<\/h2>\n<p>The leg extension machine isn\u2019t ruining your knees; it\u2019s just remains a misunderstood exercise.<\/p>\n<p>Yes, it creates shear forces, isolates the quads, and, if you slam the pad around, can aggravate cranky knees. But if you train smart and follow the advice here, the leg extension is a valuable tool for quad growth and knee rehab.<\/p>\n<ul>\n<li>Leg extensions are safe for healthy knees when done well.<\/li>\n<li>They don\u2019t destroy ACLs.<\/li>\n<li>They\u2019re not a replacement for compound lifts\u2014but they\u2019re a complement.<\/li>\n<li>The problem isn\u2019t the machine, it\u2019s the misuse.<\/li>\n<\/ul>\n<p>No, leg extensions aren\u2019t bad for your knees. Bad form, ego lifting, and poor programming are. Give them the respect they deserve\u2014and your quads and knees will thank you later.<\/p>\n<\/p><\/div>\n<p><script async src=\"\/\/www.instagram.com\/embed.js\"><\/script><\/p>\n<p><a href=\"https:\/\/www.muscleandfitness.com\/workouts\/leg-exercises\/are-leg-extensions-bad-for-your-knees-the-truth-about-quad-growth-acl-stress-and-knee-health\/\">Source link <\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>When I first started out as a certified trainer, experienced trainers would oftentimes warn me against incorporating leg extensions. They would say: \u201cBad for your knees,\u201d or \u201cIt puts your knee joint at risk.\u201d Being inexperienced, I followed their advice and dared not question them. Since then, until now, leg extensions have been public enemy [&hellip;]<\/p>\n","protected":false},"author":236,"featured_media":13757,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"tdm_status":"","tdm_grid_status":"","footnotes":""},"categories":[1],"tags":[],"class_list":{"0":"post-13756","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-news"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Are Leg Extensions Bad for Your Knees? The Truth About Quad Growth, ACL Stress, and Knee Health - World Bodybuilding News<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/worldbodybuildingnews.com\/?p=13756\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Are Leg Extensions Bad for Your Knees? The Truth About Quad Growth, ACL Stress, and Knee Health - World Bodybuilding News\" \/>\n<meta property=\"og:description\" content=\"When I first started out as a certified trainer, experienced trainers would oftentimes warn me against incorporating leg extensions. They would say: \u201cBad for your knees,\u201d or \u201cIt puts your knee joint at risk.\u201d Being inexperienced, I followed their advice and dared not question them. Since then, until now, leg extensions have been public enemy [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/worldbodybuildingnews.com\/?p=13756\" \/>\n<meta property=\"og:site_name\" content=\"World Bodybuilding News\" \/>\n<meta property=\"article:published_time\" content=\"2026-01-29T06:56:04+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/i0.wp.com\/www.muscleandfitness.com\/wp-content\/uploads\/2019\/07\/Man-Blue-SHirt-Leg-Extension.jpg?quality=86&amp;strip=all\" \/>\n<meta name=\"author\" content=\"vkim\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"vkim\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"8 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/worldbodybuildingnews.com\\\/?p=13756#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/worldbodybuildingnews.com\\\/?p=13756\"},\"author\":{\"name\":\"vkim\",\"@id\":\"https:\\\/\\\/worldbodybuildingnews.com\\\/#\\\/schema\\\/person\\\/8488193465311f3bad835ef6ff452e7c\"},\"headline\":\"Are Leg Extensions Bad for Your Knees? 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The Truth About Quad Growth, ACL Stress, and Knee Health - World Bodybuilding News","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/worldbodybuildingnews.com\/?p=13756","og_locale":"en_US","og_type":"article","og_title":"Are Leg Extensions Bad for Your Knees? The Truth About Quad Growth, ACL Stress, and Knee Health - World Bodybuilding News","og_description":"When I first started out as a certified trainer, experienced trainers would oftentimes warn me against incorporating leg extensions. They would say: \u201cBad for your knees,\u201d or \u201cIt puts your knee joint at risk.\u201d Being inexperienced, I followed their advice and dared not question them. Since then, until now, leg extensions have been public enemy [&hellip;]","og_url":"https:\/\/worldbodybuildingnews.com\/?p=13756","og_site_name":"World Bodybuilding News","article_published_time":"2026-01-29T06:56:04+00:00","og_image":[{"url":"https:\/\/i0.wp.com\/www.muscleandfitness.com\/wp-content\/uploads\/2019\/07\/Man-Blue-SHirt-Leg-Extension.jpg?quality=86&amp;strip=all","type":"","width":"","height":""}],"author":"vkim","twitter_card":"summary_large_image","twitter_misc":{"Written by":"vkim","Est. reading time":"8 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/worldbodybuildingnews.com\/?p=13756#article","isPartOf":{"@id":"https:\/\/worldbodybuildingnews.com\/?p=13756"},"author":{"name":"vkim","@id":"https:\/\/worldbodybuildingnews.com\/#\/schema\/person\/8488193465311f3bad835ef6ff452e7c"},"headline":"Are Leg Extensions Bad for Your Knees? 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