Numerous studies have shown that female athletes are more likely to get knee injuries, especially anterior cruciate ligament (ACL) tears and chronic pain, than their male counterparts. While previous research has focused on biomechanical differences as the main source of these problems, a new study suggests another distinction that could play a role: changes across the menstrual cycle in nerves that control muscle activity. The finding may eventually lead to new ways to prevent knee problems in female athletes.