top of page

Kettlebell Strength at Home: Kettlebell Exercises for Knee Pain (and Hip Pain Too)

Knee and hip pain are incredibly common — especially for people who want to stay active but don’t always have the time, confidence or desire to train in a gym. Kettlebells are one of the simplest and most accessible ways to build strength at home, but it’s normal to wonder whether they’re safe if you already have joint symptoms.


The evidence over the past two decades is clear: strength training improves pain, confidence and long-term function in both knee and hip conditions, including osteoarthritis. The key is learning how to train in a way that suits your body.


This guide combines physiotherapy reasoning with practical kettlebell coaching principles so you can build strength safely and confidently at home.


Contents

Why This Guide Exists

This guide came about in a surprisingly natural way.

Rob Holton - Personal Trainer in Reigate, Redhill Tadworth & Kingswood

Over time, several people came to see me for knee or hip pain who also happened to be

training with Rob — a personal trainer specialising in home-based strength work. Neither of us realised we were working with the same individuals until they had already improved.

What stood out was how closely Rob’s training approach aligned with the rehabilitation principles I use in clinic. Those people were staying active, getting stronger, adapting exercises when symptoms appeared, and not stopping completely when things felt uncomfortable.


In other words: you can’t go wrong getting strong — and when symptoms occur, you adapt, not abandon.


Once we realised our approaches were remarkably similar, combining perspectives to create a clear, evidence-based guide for home training felt like the logical next step.


Who This Guide Is For

Running Injury Physio - Genuine Physio, Tadworth

This will be particularly helpful if you:

  • have knee or hip pain and want to keep exercising

  • prefer home-based strength training

  • want clearer guidance on safe technique

  • feel unsure whether kettlebells suit your joints

  • are returning after an injury or flare-up

  • are managing osteoarthritis

  • want a simple, structured approach


Why Strength Training Helps Knee and Hip Pain

A large body of research shows that strength training is one of the most effective ways to manage knee and hip pain, including osteoarthritis.


Key points include:

  • Progressive resistance training reduces pain and improves function.

  • Stronger muscles improve joint tolerance and confidence.

  • Exercise is the cornerstone of osteoarthritis management across all major guidelines.

  • Pain does not equal damage; mild discomfort during strengthening is normal and safe.


Strengthening isn’t just about reducing symptoms; it’s about increasing your capacity to do the things that matter to you.


Kettlebells and Joint Safety

When used sensibly, kettlebells are highly adaptable and joint-friendly. They allow natural, functional movements such as hinging, squatting, carrying and rowing. You can adjust load, depth, speed and range easily, making them suitable for sensitive joints.


You’re not locked into a fixed path, and you can work in whichever range feels comfortable. Most kettlebell movements emphasise hips and legs, which often reduces stress at the knee.


Kettlebell strength and conditioning - Genuine Physio, Kingswood.

Choosing the Right Weight

A good starting point is a weight that feels manageable and allows you to focus on technique. There isn’t so much stress about which numbers people are lifting, more so what is comfortable for you!


There are also many factors to take into account before picking a starting weight:

  • Training history – if this is brand new to you, then it’s always wise to start lighter than you might feel you need to. This will decrease the immediate risk of injury that going too heavy too soon poses.

  • Age – those that are older (beyond 50’s) might want to start a tad lighter as well, assuming you don’t have too much weight training history.

  • Injuries – if you are carrying an injury, or a persistent niggle – then starting lighter than

average is also the best way to start. Learn technique first, then add the weight.


However, if we want rough starting numbers, here is a very rough guide to follow:

Typical starting weights:

  • Women: 4–10kg

  • Men: 8–12kg


Use effort (RPE) as a guide:

  • Early sessions: 5–6/10

  • As confidence grows: 7–8/10


If technique changes due to fatigue, reduce reps, rest or shorten the range before switching

exercises.


Joint Friendly Kettlebell Exercises for Knee Pain

These kettlebell exercises for knee pain help build strength safely by focusing on hips and legs while keeping knee load controlled.


Kettlebell Deadlift

Strengthens hips, hamstrings and glutes with minimal knee loading.


Hip Hinge (with or without weight)

Strengthens the posterior chain and reinforces safe movement patterns.


Goblet Squat or Box Squat

Knee Pain Rehabilitation Physiotherapy
Squat with kettlebell

Allows controlled depth and is ideal for sensitive knees.


Kettlebell Row

Builds upper-body strength with minimal lower-limb stress.


Farmer’s Carry

Improves core strength, balance and conditioning while staying joint-friendly.


Kettlebell Swing (if done correctly)

A powerful hip-driven movement. Best added once the hinge feels natural and symptoms are stable.


Prefer a Structured Plan You Can Follow at Home?

If you’d like a progressive kettlebell plan to follow at home — including guidance on weight selection, technique, progression and joint-friendly adjustments — Rob has created a step-by-step course designed for real-life adults who want safe, effective training without guesswork.



Exercises to Modify Early On

These movements aren’t harmful, but they may feel more uncomfortable in the early stages:


  • Deep forward lunges

  • Narrow-stance squats

  • Twisting movements when fatigued

  • High-volume swings early in training


These can usually be reintroduced gradually as strength improves.


Technique Principles for Comfortable Training

A few simple cues can make training more comfortable and effective:


  • Let your legs and hips do the work. Many people try to lift with their arms; your arms hold the weight — the drive comes from your lower body.

  • Keep your feet balanced using the tripod principle (big toe, little toe, heel).

  • Move with control, especially early on.

  • Stay within a comfortable range; depth improves naturally.

  • Use a tempo that suits your joints.

  • Stop before your technique breaks down.


    Kettlebell strengthening for hip pain - Genuine Physio, Tadworth

Training with Osteoarthritis

If you’ve been diagnosed with osteoarthritis, it’s normal to feel cautious about strength training. The reassuring news is that:


  • Exercise is the most effective treatment for osteoarthritis.

  • Strength training is recommended by every major guideline.

  • Flare-ups do not mean harm; they often reflect sensitivity rather than damage.

  • Kettlebells are ideal for osteoarthritis because they’re low impact, scalable and time-efficient.


If you’d like a clear, structured plan for managing osteoarthritis — including strength progressions, flare-up management and long-term confidence — you can find it in the Ultimate OA Guidebook 👈.


When 1-1 Support Might Help


A physiotherapy session may help if you:

Luke Schembri - Advanced Physiotherapist - Kingswood, Tadworth

  • have knee or hip pain and don’t yet have a diagnosis

  • feel unsure what’s causing your symptoms

  • want reassurance before progressing

  • experience repeated flare-ups

  • need a personalised plan


1-1 coaching with Rob may help if you:


  • want guidance on kettlebell technique

  • prefer structured progression

  • want accountability

  • want a clear home strength routine

  • need exercises adapted to your current ability


Many people benefit from a combination of physiotherapy and coaching depending on their goals and symptoms.


Next Steps

References

  • NICE. Osteoarthritis: care and management. 2014–2022.

  • Fransen M. et al. Exercise for osteoarthritis of the knee. Cochrane Review, 2015.

  • Skou ST. Comprehensive exercise therapy for knee OA. Osteoarthritis Cartilage, 2022.

  • Smith BE et al. People with knee pain can exercise into discomfort. BJSM, 2020.

  • OARSI Guidelines for the non-surgical management of knee OA, 2019.

  • McGill SM. Kettlebell swing biomechanics. J Strength Cond Res.


Comments


bottom of page