Why Do My Knees Hurt When Sitting at a Desk?

Knee pain while sitting at a desk is common for those who spend long hours seated. This discomfort can range from a dull ache to sharp pain. Understanding its causes and making simple adjustments can help alleviate this widespread issue.

Understanding Why Knees Ache

Prolonged sitting can contribute to knee pain. When knees remain bent for extended periods, such as at a 90-degree angle or more, pressure on the kneecap (patella) and surrounding tissues increases. This can lead to patellofemoral pain syndrome (PFPS), causing pain in the front of the knee. Constant pressure can irritate the cartilage cushioning the patella and femur.

Extended periods of inactivity also reduce blood flow to the lower extremities, causing stiffness and discomfort. Muscles around the knee, like quadriceps and hamstrings, can become tight and shortened, straining the joint. Muscle imbalances may develop, with supporting muscles weakening while hip flexors and hamstrings tighten, altering knee alignment. Poor posture, such as slouching or sitting with legs crossed, further exacerbates kneecap pressure and contributes to musculoskeletal strain.

Optimizing Your Workspace

Adjusting your workspace can significantly reduce knee pain. Proper chair height is key: your feet should rest flat on the floor or a footrest, with knees bent at a 90-degree angle or slightly open (90-120 degrees). This ensures even weight distribution and reduces pressure. If your feet don’t reach the floor, a footrest provides necessary support, improving circulation and reducing knee strain. Ensure a small gap, about two fingers wide, between the front edge of the seat and the back of your knees to avoid pressure and allow for adequate circulation.

Position your keyboard and mouse close to your body to prevent excessive reaching. Your monitor should be at or slightly below eye level, approximately an arm’s length away. Adjustable standing desks offer flexibility to alternate between sitting and standing, distributing stress on joints and promoting movement.

Movement and Relief Strategies

Incorporating regular movement breaks into your desk routine prevents and relieves knee pain. Aim to stand up, stretch, and walk around every 30 to 60 minutes to promote blood flow and reduce stiffness in the knee joints.

Simple, gentle stretches can be performed at or near your desk to improve flexibility and reduce tension. Seated hamstring stretches involve extending one leg with the heel on the floor and leaning forward from the hips. Quadriceps stretches can be done by bending one knee and bringing the heel towards the buttocks. Simple knee bends or extensions, where you straighten and bend your leg while seated, also help maintain knee flexibility and circulation. Regularly performing these movements prevents muscles from becoming overly tight and joints from stiffening.

Knowing When to Seek Professional Help

While desk-related knee pain often responds to ergonomic adjustments and movement, certain symptoms require professional medical evaluation. Consult a doctor or physical therapist if you experience severe or worsening pain that persists despite self-care. Other concerning signs include swelling, redness, or warmth around the knee joint.

Seek medical attention if you cannot bear weight on the affected leg, or if your knee feels like it is locking, catching, or buckling. Pain that wakes you up at night, or significant difficulty with daily activities due to knee discomfort, also indicate a professional assessment is needed. These symptoms could point to underlying conditions such as arthritis, meniscus tears, or other injuries requiring specific diagnosis and treatment.