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Sharp Needle Like Pain in Knee When Kneeling: Tips and Treatment


Are you looking for sharp needle-like pain in the knee when kneeling treatment? The pain you have experienced may have been so severe that it caused you to stop what you were doing. Or perhaps you’ve noticed a dull ache in your knee when kneeling that comes and goes.

You are not alone if you have ever experienced knee pain when kneeling. This is a prevalent condition that affects older people. There are many possible causes of knee pain when kneeling, and the treatment will vary depending on the underlying cause.

In this article, we will look at some of the most common causes of knee pain when kneeling. We will also discuss some treatment options that can help relieve the pain.

Causes of Knee Pain When Kneeling:

Some common causes of knee pain when kneeling include:

Ligament Tears:

The knee is a joint that is held together by ligaments. Ligaments are tough bands of soft tissues that connect the bones. There are four main ligaments in the knee: the anterior cruciate ligament (ACL), the posterior cruciate ligament (PCL), the medial collateral ligament (MCL), and the lateral collateral ligament (LCL).

These ligaments can be torn or stretched if the front of your knee is suddenly forced beyond its normal range of motion. This can happen if you fall awkwardly or twist your knee unexpectedly.

All these ligaments can be torn, either partially or completely. A complete tear is more severe than a partially torn ligament. Ligament tears are often caused by sudden changes in direction or impact (such as a fall). A ligament tear can cause sharp, severe pain and may make it difficult to walk.


Tendons are tough, fibrous tissue bands connecting the muscles to the bones—the tendons inside of the knee help move the lower leg. Patellar tendinitis or jumper’s knee is an inflammation of the tendons below the kneecap. It can be caused by repetitive motions (such as running or jumping). Tendonitis can cause pain and swelling in the knee.


The bursa in the knee joint is a small, fluid-filled sac that cushions between the thigh bone and the tendons. Infrapatellar bursitis is an inflammation of this sac. It can be caused by overuse (such as kneeling for long periods). A direct overuse injury can also cause knee bursitis.



Knee arthritis is a general term for a group of conditions that cause inflammation in the knee joint. There are many different types of arthritis, but the two most common are osteoarthritis and rheumatoid arthritis.

Osteoarthritis is a degenerative joint disease caused by joint wear and meniscus tear over time. Injuries or infections can also cause it. Osteoarthritis can cause patellofemoral pain syndrome, stiffness, and swelling in the joints.

Rheumatoid arthritis is an autoimmune disease that causes inflammation in the joints. It can affect your immune system and cause pain and swelling in the joints depending on your medical history.


Gout is arthritis caused by a buildup of uric acid in the joints. Uric acid is a waste product that is produced by the body. It is usually excreted in the urine.

However, if there is too much uric acid in the body, it can build up in the joints and cause gout. Gout can cause iliotibial band syndrome, redness, and swelling in the affected joint.


Joint infections are relatively rare, but they can occur. Bacteria or viruses usually cause joint infections. Joint infections can be serious and require hospitalization and aggressive treatment with antibiotics.

Sharp Knee Pain Caused by Activity:

Many activities can cause sharp pain in your knee. Some of these activities include:

Sharp Knee Pain When Squatting:

One of the most common activities that can cause a sharp type of pain in your knee is squatting. This generally only occurs if you have a condition that causes the pain. One such condition is chondromalacia patella. This condition is when the cartilage on the underside of your patella wears down.

 Squatting puts pressure on the chondromalacia patella and can cause severe pain. It can also cause tendonitis or prepatellar bursitis.

It is fair to note that unless you have a chondromalacia patella or another specific contraindicated condition, it is extremely beneficial for you to squat.

Sharp Knee Pain when Running:

Another everyday activity that can cause sharp knee pain is running. Running puts a lot of stress on the knee, and can cause the pieces of cartilage to wear down.

Sharp Knee Pain When Climbing Stairs:

Climbing stairs can also cause sharp pain in your knee. This is because climbing or especially descending stairs puts a lot of pressure on the front of the knee. You are also using your body weight to push up the stairs, which can cause pain if you aren’t taking the appropriate steps to strengthen your muscles and overall joints.

Sharp Knee Pain When Walking:

Walking is good for your health, but it can also cause pain in your knees. This is because walking can put a lot of wear and tear on your knees. If you have the incorrect type of shoes, are overweight, or are out of shape, this extended exercise can be difficult for your body initially. If done progressively and strategically you can increase the stamina and durability of your body.

Sharp Knee Pain When Sitting:

Sitting for long periods can also cause sharp knee pain.  This is because when you sit, your knees are in the same position for a long time. This can cause the joints to stiffen causing pain or discomfort.


Sharp Needle Like Pain in Knee When Kneeling Treatments

Several different treatments can be effective for sharp needle-like pain in the knee when kneeling. Some of the most common and effective treatments include:


Rest is the first and most important treatment for sharp knee pain. You should avoid any activity that puts pressure on the knee. This will help to relieve the pain and prevent further damage.


Applying ice to the affected area can help reduce inflammation and pain.  Ice packs should be used for 20 minutes at a time, several times a day. In severe cases, you may apply ice for more extended periods.


When you experience sharp needle-like pain in your knee when kneeling, it is likely due to compression on the nerve that runs down the back of your leg. The best way to treat this is to wear a compression sleeve or brace, which will help to reduce the pressure on the nerve by removing swelling from the area.


Elevating the affected area can also help to reduce pain and swelling. You should elevate the affected area above the level of the heart. You can do this by lying down and propping the affected area on pillows.

Anti-inflammatory Medications

Anti-inflammatory medications such as ibuprofen can help to reduce pain and swelling during a medical emergency or severe knee pain. These medications can be taken orally or applied topically to the affected area. You should take over-the-counter pain relievers after elevation and compression have been applied.

Corticosteroid Injections

In some cases, corticosteroid injections may be necessary to reduce pain and swelling. These injections are usually given by a doctor or other healthcare professional.

Physical Therapy

In some cases, physical therapy may be necessary to help strengthen the muscles and ligaments around the knee.  A physical therapist can also help to improve range of motion and flexibility.


In severe cases, surgery may be necessary to repair the damage to the knee. Arthroscopic surgery is usually only considered when all other treatment options have failed.


Prevention of Sharp Knee Pain

You can do several things to prevent sharp pain in your knee. Some of the best ways to avoid acute knee pain include:

Warm up before the activity

It is essential to warm up before any activity. Warming up before activity will help to loosen the muscles and ligaments around the knee.


It is also essential to stretch before and after any activity. Stretching helps increase flexibility, which in turn can help prevent knee pain. The best way to stretch the muscles around the knee is to do so actively. To do this, it is imperative to slowly weight your stretching allowing you to gain strength through a lengthened position.

Wear proper shoes

It is essential to wear proper shoes when participating in any activity. Wearing the appropriate shoes will help distribute the force evenly and reduce the risk of a knee injury.

Strengthen the Appropriate Muscles

It is also essential to strengthen the muscles around the knee. Strong muscles will help support the knee and reduce the risk of injury.


Sharp knee pain can be a debilitating condition that can make it challenging to participate in activities. There are several different treatment options available, and the best course of treatment will vary depending on the severity of the condition.

In most cases, conservative treatments, such as rest, ice, and anti-inflammatory medications, will be effective. In severe cases, surgery may be necessary. If you are experiencing sharp pain in your knee, it is important to consult a doctor to determine the best treatment plan for you.