Hi Dr
I am having lumbar spondylosis with lordosis and knee osteophytes.. I was advised to not bend and climb stairs.. but due to unavoidable circumstances I was traveling by car 1000+ km and also climbed stairs. Now my right knee is uncomfortable like if I sit on bed and fold leg its ok but when I'm straightening the leg its paining on right end behind side of knee and edge.. sometimes if I am going by car and sitting long distance with leg touching floor then its paining ... backpain is also there as usual
what to do ? Kindly guide
long car journey and repeated stair climbing can temporarily flare up both your knee and lower back symptoms. Pain at the outer or back part of the knee while straightening can come from the knee itself, surrounding muscles or tendons, and sometimes pain from the lumbar spine can also radiate towards the leg. It does not necessarily mean that your spondylosis or osteophytes have suddenly worsened.
Next Steps
For a few days reduce stairs, prolonged sitting and strenuous activity. Gentle walking and normal comfortable movements are better than complete bed rest. Since the exact source of pain cannot be determined without examination, consult an orthopaedic doctor if it persists or increases.
Health Tips
During long journeys take regular breaks and avoid keeping the knee in one position continuously. If you develop significant swelling, locking of the knee, numbness or weakness in the leg, get examined earlier.
Your symptoms sound most consistent with a flare of knee osteoarthritis/soft-tissue irritation after prolonged travel and repeated stair climbing. Pain at the back or outer side of the knee can come from the hamstring/popliteal region, a Baker’s cyst, or the knee joint itself. The long car journey can also aggravate your lumbar spondylosis.
This does not necessarily mean that you have caused permanent damage. For a few days, reduce stairs, squatting, prolonged standing and long-distance travel, but complete bed rest is not advisable.
Next Steps
Use ice over the painful knee for 15–20 minutes, 3–4 times/day for the next 2–3 days. A topical anti-inflammatory gel may help if you can safely use NSAIDs. Once the acute pain settles, quadriceps and hamstring strengthening/physiotherapy are helpful.
If pain persists beyond 1–2 weeks, or there is swelling, locking, giving-way or difficulty walking, please have an orthopaedic examination. A weight-bearing knee X-ray may be needed; ultrasound/MRI is usually reserved for specific findings.
Health Tips
Because you recently travelled more than 1000 km by car and have pain behind the knee, please seek urgent evaluation if there is new calf swelling, warmth/redness, marked tenderness, one leg becoming noticeably larger, chest pain or breathlessness, as a blood clot needs to be excluded.
For future long journeys, stop and walk/stretch every 1–2 hours and avoid keeping the knee bent in the same position for many hours.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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