Knee issues
Hello, I am an office worker who occasionally runs (once or twice a week) and started playing badminton in July (once a week).
Since last Thursday, I've been experiencing a tight, achy sensation in my knees after sitting for a long time, similar to the feeling one gets after watching a movie or sitting on a plane for an extended period.
However, there is no pain, and there is no visible swelling.
This sensation has persisted until today.
Now, I find it more comfortable to stand or sit with my legs straight.
I do not experience discomfort during exercise, regular walking, going up and down stairs, or squatting; it’s just the transition from bending to straightening my knees that feels like there is some friction, but it doesn’t produce any popping sounds.
Is this normal? I didn’t have this issue with prolonged sitting in the past.
What could be causing this knee discomfort? How can I improve it? Should I stop exercising? I would appreciate your advice.
Thank you!
Nìmíng, 20~29 year old female. Ask Date: 2024/07/26
Dr. Shi Guozheng reply Orthopedics
It is possible that the cartilage on the joint surface of the patella is inflamed.
When we exercise and bend the knee joint, the joint surfaces of the patella and femur can rub against each other.
If there is inflammation or injury, it can cause discomfort or pain.
It is advisable to consult an orthopedic physician, and you may need to reduce your activity level or temporarily refrain from intense exercise.
Reply Date: 2024/07/26
More Info
Knee discomfort, especially among office workers, can be attributed to various factors, including prolonged sitting, inadequate movement, and the physical demands of certain activities. Your description of tightness and a sensation of pulling in the knee, particularly after sitting for extended periods, suggests that you may be experiencing symptoms related to patellofemoral pain syndrome or other forms of knee strain.
Causes of Knee Discomfort
1. Prolonged Sitting: Sitting for long periods can lead to stiffness in the knee joint and surrounding muscles. The quadriceps and hamstrings may become tight, which can affect knee mobility and lead to discomfort when transitioning from a bent to a straight position.
2. Muscle Imbalance: Engaging in activities like running and playing badminton can sometimes create imbalances in the muscles around the knee. If certain muscles are stronger or tighter than others, it can lead to improper tracking of the kneecap (patella) during movement, causing discomfort.
3. Overuse: Although you mentioned that you only play badminton once a week and run occasionally, any increase in physical activity can lead to overuse injuries, especially if your body is not accustomed to the specific movements involved in those sports.
4. Knee Joint Mechanics: The sensation of friction you feel when straightening your leg could be due to the patella not gliding smoothly over the femur. This can occur due to tight ligaments, muscle imbalances, or even minor structural issues within the knee.
Recommendations for Improvement
1. Stretching and Strengthening: Incorporate a routine that includes stretching the quadriceps, hamstrings, and calves to improve flexibility. Strengthening exercises for the muscles around the knee, particularly the quadriceps, can help stabilize the joint and improve its mechanics.
2. Posture and Ergonomics: Ensure that your workstation is ergonomically set up to promote good posture. Your chair should support your lower back, and your feet should be flat on the ground. Consider using a footrest if necessary.
3. Movement Breaks: Take regular breaks to stand, stretch, and walk around. This can help alleviate stiffness and improve circulation, reducing the tightness you feel in your knees.
4. Ice and Rest: If you experience discomfort after activities, applying ice to the knee can help reduce inflammation. Additionally, ensure you are allowing adequate recovery time between physical activities.
5. Footwear: Pay attention to your footwear, especially during sports. Proper shoes can provide the necessary support and cushioning to reduce stress on the knees.
6. Consult a Professional: If the discomfort persists or worsens, it may be beneficial to consult a healthcare professional, such as a physical therapist or orthopedic specialist. They can provide a thorough assessment and tailored treatment plan.
Should You Stop Exercising?
You do not necessarily need to stop exercising altogether. However, it may be wise to modify your activities temporarily. Focus on low-impact exercises, such as swimming or cycling, which can provide cardiovascular benefits without placing excessive strain on your knees. If you continue to experience discomfort, consider reducing the intensity or frequency of your current activities until you can address the underlying issues.
In summary, while your symptoms may not indicate a serious injury, they do suggest that your knees are responding to the demands placed on them. By incorporating preventive measures and seeking professional advice if necessary, you can manage your knee discomfort effectively and continue to enjoy your active lifestyle.
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