Knee Pain After Prolonged Sitting: Causes and Remedies - Orthopedics

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Knee joint pain


Hello Doctor: After a long bus ride, I noticed that when I stood up from my seat, my knees were very painful.
Since then, whenever I sit for too long or maintain the same position for an extended period, both of my knees hurt, with the left knee being particularly noticeable.
What could be the cause of this condition? Should I see a doctor, or are there any self-care methods I can try? Thank you.

Hsuān, 20~29 year old female. Ask Date: 2008/10/13

Dr. Ye Qingnian reply Orthopedics


Hello, Miss: Thank you for your inquiry.
Here are my responses and suggestions:
1.
It is relatively uncommon for a 23-year-old to experience knee pain, and it is more likely to be due to osteochondritis dissecans.
First, I recommend daily rehabilitation exercises.
Lie flat and perform leg raises with your knee straight, three times a day (morning, noon, and evening), doing 100 repetitions each time.
Additionally, avoid hiking and minimize stair climbing.
Engage in brisk walking on flat surfaces every day.
If the issue persists, I suggest consulting an orthopedic specialist.

Finally, I wish you peace and happiness!

Reply Date: 2008/10/13

More Info


Knee pain after prolonged sitting is a common issue that many individuals experience, and it can be attributed to several underlying causes. When you sit for extended periods, especially in a fixed position, the knee joint and surrounding structures can become stiff and uncomfortable. Here are some potential reasons for your knee pain, along with remedies and self-care strategies.


Causes of Knee Pain After Prolonged Sitting
1. Patellofemoral Pain Syndrome (PFPS): This condition, often referred to as "runner's knee," occurs when the patella (kneecap) does not track properly in the femoral groove. Prolonged sitting can exacerbate this issue, especially if the knees are bent for long periods.

2. Tight Muscles and Tendons: Sitting for long durations can lead to tightness in the hamstrings, quadriceps, and hip flexors. Tight muscles can pull on the knee joint and lead to discomfort.

3. Joint Stiffness: The knee joint may become stiff from inactivity. Synovial fluid, which lubricates the joint, may not circulate effectively when the joint is immobile, leading to stiffness and pain when you attempt to move.

4. Bursitis: Inflammation of the bursae (small fluid-filled sacs that cushion the knee joint) can occur due to prolonged pressure on the knee while sitting, leading to pain.

5. Osteoarthritis: If you have a history of knee injuries or are older, osteoarthritis could be a contributing factor. This degenerative joint disease can cause pain and stiffness, particularly after periods of inactivity.


When to See a Doctor
If your knee pain persists or worsens, it is advisable to consult a healthcare professional. Signs that you should seek medical attention include:
- Swelling or significant pain that does not improve with rest.

- Difficulty in bending or straightening the knee.

- Pain that interferes with daily activities or sleep.

- A history of knee injuries or conditions that could complicate your symptoms.


Self-Care and Remedies
1. Movement and Stretching: Regularly stand up and stretch your legs during long periods of sitting. Simple stretches for your quadriceps, hamstrings, and calves can help alleviate tightness.

2. Strengthening Exercises: Engage in exercises that strengthen the muscles around the knee, such as leg lifts, squats, and lunges. Stronger muscles can provide better support to the knee joint.

3. Ice Therapy: If your knee is swollen or painful, applying ice for 15-20 minutes can help reduce inflammation and numb the pain.

4. Heat Therapy: Using a heating pad can help relax tight muscles and improve blood flow to the area, which may alleviate discomfort.

5. Proper Ergonomics: Ensure that your sitting posture is ergonomic. Use chairs that provide good support, and consider using a footrest to keep your knees at a comfortable angle.

6. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen, can help manage pain and inflammation. However, consult with a healthcare provider before starting any medication.

7. Maintain a Healthy Weight: Excess weight can put additional stress on your knees. Maintaining a healthy weight through diet and exercise can help reduce knee pain.

In conclusion, knee pain after prolonged sitting can stem from various factors, including muscle tightness, joint stiffness, and underlying conditions. While self-care strategies can be effective, it is essential to monitor your symptoms and seek medical advice if they persist or worsen. Taking proactive steps to maintain knee health can significantly improve your comfort and mobility.

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