Knee problems
Hello, doctor.
I have two questions to ask:
1.
Sitting for long periods, especially on a sofa, causes pain in the coccyx (the tailbone).
What could be the reason for this?
2.
Due to the nature of my work, I need to ride a motorcycle for long hours, stopping and starting frequently, about 20 times every 100 meters.
Is this similar to squatting in a horse stance? By the end of the day, my knees hurt.
What could be the cause of this condition?
Diqiu Ren, 40~49 year old female. Ask Date: 2023/03/26
Dr. Chen Yongxue reply Orthopedics
1.
Prolonged sitting, especially on a sofa, can lead to pain in the coccyx (tailbone) due to localized inflammation resulting from sustained pressure on that area.
2.
If your job requires you to ride a motorcycle for long hours with frequent stops, this could contribute to knee pain, similar to the strain experienced in a horse stance.
It is advisable to seek a clinical evaluation to determine the underlying cause of your knee pain.
Reply Date: 2023/03/26
More Info
Understanding knee pain and tailbone discomfort from prolonged sitting and riding involves recognizing the underlying causes and potential solutions for these common issues.
1. Tailbone Pain from Prolonged Sitting: The discomfort you experience in the tailbone area, particularly after sitting for extended periods, can be attributed to several factors. The coccyx, or tailbone, is a small triangular bone at the base of the spine, and it can become painful due to prolonged pressure, especially when sitting on hard surfaces like sofas. This condition is often referred to as coccydynia.
When you sit for long periods, especially in a slouched or poor posture, the weight of your body can compress the coccyx against the seat, leading to inflammation and pain. Additionally, if you have any underlying conditions such as arthritis or previous injuries to the tailbone, these can exacerbate the discomfort.
To alleviate this pain, consider using a cushion designed for tailbone relief, which can help distribute your weight more evenly and reduce pressure on the coccyx. Regularly changing your position while sitting and taking breaks to stand or walk can also help mitigate discomfort. Stretching exercises that target the lower back and hips may improve flexibility and reduce tension in the surrounding muscles.
2. Knee Pain from Riding a Motorcycle: The knee pain you experience after long hours of riding a motorcycle can be attributed to several factors, including poor posture, repetitive strain, and muscle fatigue. When riding, especially if you are frequently stopping and starting, your knees are subjected to a lot of flexion and extension, which can lead to overuse injuries.
The position you maintain while riding can also contribute to discomfort. If your knees are not aligned properly with your feet and the motorcycle controls, this misalignment can lead to strain on the knee joint and surrounding muscles. Additionally, if you are holding a squat-like position for extended periods, this can put extra stress on your knees, leading to pain and discomfort.
To address this issue, it is essential to ensure that your motorcycle is properly adjusted to fit your body. This includes the seat height and handlebar position, which should allow for a comfortable riding posture. Incorporating regular breaks during long rides to stretch your legs and knees can also help alleviate pain. Strengthening exercises for the quadriceps, hamstrings, and calves can improve the stability of the knee joint and reduce the risk of injury.
In summary, both tailbone pain from prolonged sitting and knee pain from riding a motorcycle can be managed through proper posture, regular movement, and targeted exercises. If these strategies do not alleviate your symptoms, it may be beneficial to consult with a healthcare professional, such as a physical therapist or orthopedic specialist, for a comprehensive evaluation and personalized treatment plan. They can provide specific exercises and interventions tailored to your needs, ensuring a more effective approach to managing your pain.
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