This question was answered on Thu 22, Oct 2009 10:01pm by Dr.Kokil Mathur

I get knee pain, after sleeping for 4 hours I awaken by the pain, but when I stand up the pain goes away. What do you think the problem is?

Asked by billyd (Male; 50; cholestoral meds, weight 360 ) on Thu 22, Oct 2009 03:57pm

I get knee pain, after sleeping for 4 hours I awaken by the pain, but when I stand up the pain goes away. What do you think the problem is?

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Answer by Dr.Kokil Mathur  on Thu 22, Oct 2009 10:01pm:

Hi Welcome to the forum! When you lie down the muscles around the joint relax. This causes rubbing of the bones around the joint. This is typically seen in osteoarthritis in initial stages. While standing and walking the muscles keep the knee joint stable. On lying down and especially if the cartilage is wearing off the bones of thigh and calf can rub against each other and cause pain. Being overweight also adds to the strain on knee joint and hastens the wear and tear of cartilage. Since both the knees are affected rheumatoid arthritis too is a possibility. Cholesterol lowering drug cause myalgia or muscle pain hence the voluntary contraction of muscles is more during the day. If this is the case with you, then at night when the voluntary muscle contraction is not there, the pain around knee joint becomes more apparent. Another possibility is ankylosing spondylitis. Though this primarily affects the spine, it can affect the knee joint too. This disease causes pain that is worse on lying down and improves on standing. It is beyond the scope of net to give a confirmed diagnosis. Other symptoms, investigative procedures and clinical examination are a must for confirmed diagnosis. Please consult an orthopedic specialist for this. Please let me know if there is any thing else and do keep me posted. Take care!

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Comment by Dr Bhupinder K, MD on Thu 22, Oct 2009 11:13pm:
Hello, The possibilities and their explanation have been very appropriately explained by Dr Kokil. Since you are having the pain mostly at night which eases when you get up, so it points out towards an inflammatory joint disease. At your age inflammatory arthritis especially osteoarthritis need to be probed thoroughly. Osteoarthritis may be caused by excess stress on the joint from deformity, repeated injury, or excess weight and it most often affects middle-aged and older people. My sincere advice would be to consult a rheumatologist (joint specialist). Investigations like x-ray , MRI knee joint and in rare cases arthroscopy may be needed to confirm the diagnosis. The second possibility is of rheumatoid arthritis which needs to be ruled out. Mostly small joints are affected but large joints can also get involved. Apart from x-ray, rheumatoid factor in blood and anti-citrullinated protein antibodies also need to be evaluated to confirm the presence of rheumatoid arthritis. I hope it helps. Take care and please do keep us posted in case you have any additional doubts. Kind regards.

Comment by Dr. Srivastava on Fri 23, Oct 2009 12:18am:

Comment by Justin on Fri 24, Sep 2010 07:53pm:
I'm 34, 6ft and 84kgs. I have the same problem, sleep for 20-40mins and then awaken by excruciating pain in the knee. I can only stop the pain by getting up and walking around my flat for a few minutes. Back to bed then again the pain comes. This has been happening for 3 or so months now. Blood tests are fine, x-rays are fine, anti-inflammatory is not working. I also play football with no problem, swim and sometimes run all with no pain. Any ideas, could Fibromyalgia be the problem? I'm tired.

Comment by Dr.Kokil Mathur on Sat 25, Sep 2010 06:20am:
Hi! There are two conditions which cause pain while at rest or sleeping. One is arthritis, preferably osteoarthritis and the other is tendonitis. In your case it is most likely arthritis as you have complete movement of the joint and are otherwise active. The various treatments available are ice pack, physical therapy, cortisone injections, stretch exercises etc. You can visit a physiotherapist or a sports injury specialist and see what best can be done as anti-inflammatory are not helping. Knee replacement surgery would be the last choice. Take care!

Comment by on Sun 27, Mar 2011 09:59am:
Pain in knee while sleeping may be due to damaged miniscus, Patellal Tendonitus or you are sleeping in a position to compress a nerve.

Comment by on Fri 27, May 2011 09:19pm:
Knee pain while sleeping can be due to arthritis, bursitis, connective tissue disorders such as lupus or compression of nerves.

Comment by Tanya James on Thu 06, Oct 2011 03:12pm:
My son is 19 years old and has just recently complained of sharp pain in his knees while sleeping. Also a dull ache in lower back, both pains only come on while he is sleeping.

Comment by Bill on Wed 18, Apr 2012 06:29am:
I had arthroscopic surgery on my left knee 4 months ago. Before the surgery the pain was with me all day and night. I am 50 and athletic riding a bike between 100 and 300 miles per week. The day following the surgery my doctor instructed me to get on my bike (on an indoor trainer) for as long as I could take it (45 minutes). Following the surgery I have road or been on my bike at least an hour every day and Saturdays 5 hours or more. My knee never hurts during the day but at night it is a different story. I cannot sleep through the night, which started about two months after surgery. I wake and must move my knee for several minutes before the pain goes away. That is repeated multiple times every night. I can not get a good night's sleep. The Dr said he had to remove 30% of my menicus which was torn very badly. I have tried sleeping with knee wraps, pillows etc. but I continue to wake at night. As soon as I get out of bed and start using it I am completely pain free. Does anyone have a suggestion to help limit or eliminate the pain I experience at night?

Comment by hema on Mon 23, Jul 2012 11:18am:
I am 54 female normal weight having OA knee joints using unloaded brace. I am doing yoga regularly. But for the past 5 days I suffer horrible pain in my both knee joints after 2 hors of sleep at night. not able to sleep. Sitting and typing this at midnight no. Please advice me. I am presently away from my home country. Do I have to go back immediately?

Comment by babygirl123 on Sun 29, Jul 2012 06:47pm:
I am. 21 my knees hurt when I'm laying on the couch with my legs up and at night when I'm sleeping in your bed with me up

Comment by Ellen S. on Mon 01, Oct 2012 12:09am:
Hello and thanks for all the info about OA and knee pain at night it has really helped me. My question is, what can be done about it. Will a knee brace work? I have been taking Ibuprofen 800mg. and it seems to work. But what are the long term side affects? Ellen

Comment by hema on Wed 03, Oct 2012 07:53am:
hi, thanks everybody. My Dr prescribed me Golsoic tabets for 3 months. I ave been using for the past one month and feeling better.

Comment by Peter Collier on Tue 06, Nov 2012 09:17am:
I think that people without issues, such as swelling and discolouration may simply be straining their knees while asleep. Sometimes this can even be extreme, such as a muscular charlie horse. The cause is most likely the need for improved sleeping conditions, such as a new bed... providing better support or removing points of pressure.

Comment by Mahwash on Fri 28, Dec 2012 02:23pm:
thanks.. i found this page quite informative .. i am also experiencing the same problem for few months ... feeling pain in my knees joints while lying in bed with stright legs...most of the time i got up at midnights due to this pain..i feel relief when i liittle fold my legs while laying down!! never experienced this pain while walking !! please tell me what could be the causes?? and how can i get rid of this? any suggestions???

Comment by Avdhesh on Wed 27, Mar 2013 04:31am:
sir, i m avdhesh of age 22. i nor,ly dnt have sch sort of pain xcept vn i go to sleep or only at night you can say. it ll go on for the entire night with the crackling voice(katke). and as soon as i wake frm my bed n start walking it goes off. can you tell me wht is it?

Comment by Sonny Naidoo on Tue 09, Apr 2013 03:36am:
Greetings, I did some walking and a liitle bit of running and then experienced severe cause the pain was so severe,i was advised to see an orthopedic Surgeon. He advised that I have a arthroscopy done,as he can see what is wrong. I did have the scope done,but I am more in pain know then prior the surgery.The doctor suggested that I have a Knee replacement done as Cartilage is non existent. He prescribed Xefo and Tramall,but I dont take the pain killers regularly. Another doc,asked me to have an Xray done and he said that I do not need a knee replacement. Please advise,as the pain is setting me back from my normal activities.Plesae help as I am in severe pain,whilst writing these comments. I ahs the surgery done abt 3 months ago and i am 60 years old.

Comment by Jenn Gilbertson on Wed 10, Jul 2013 09:49am:
My mom suffered for nearly 2 years with the pain you are describing. She had the severe pain nightly and as soon as she would get up and walk, the pain would subside. She had MRIs ran on back, hips, and knee. She had steroid shots into her knee but it never helped. She sees this one doctor who is pretty much a diagnostician. She referred my mom to orthopedic surgery. They scoped her knee and found out that the ligaments were frayed. The surgeon smoothed out the ligaments and smoothed the end of the bone too. She no longer has pain at nigh since the surgery.

Comment by Idahowolf on Thu 11, Jul 2013 04:27pm:
I wake up in the middle of the night with excruciating pain around the patella. My knee is usually bent and I cannot straighten it out. In fact I can't even move because it feels as though someone has taken a hammer and hit my knee. The pain is not every night. Probably about once a month. I am a healthy weight. Does anyone have a solution other than drink more water and take Advil tid?

Comment by mteng20 on Mon 02, Sep 2013 06:45pm:
I HAD the same problem. Started rubbing Activeon on my knees, covered them with a towel and put a heating pad on them for 20-30 minutes. Pain went completely away after 3-4 days of this therapy

Comment by Joel on Thu 05, Sep 2013 01:36pm:
I often have some degree of pain on the outside of my right knee. It often radiates up and down my leg, and I believe it is IT Band Syndrome. It generally seems to be aggravated by exercise. I am a cyclist, hiker and hard core skier and I am well past retirement age. I have no medial meniscus in this knee, but the pain is on the outside of the knee and fits the description of IT Band Syndrome. It tends to be worse after exercise rather than during it. My knee pain seems to be IT Band related. It is often worse when I lie down and will sometimes keep me awake much of the night. Ibuprofen, Naproxim Sodium, and Capsicum all seem to help some but not always. Getting up and walking some times helps as well. Usually the pain will eventually leave, and I will be relatively pain free in the morning. I'm not sure whether the pain leaves because the drugs kick in, or some other reason.

Comment by Hollowell on Sun 15, Sep 2013 09:13am:
My left knee hurts, more to the inside, going up and down steps or a long time standing. Fine walking. At night the only position it doesn't keep me awake is when I lie on my stomach with my leg straight. This causes back pain. Any suggestions of what the knee problem might be?

Comment by VIVEK on Tue 17, Sep 2013 02:06pm:
Hi anyone can suggest ..I was having no knee pain before ,I tried thermoblackx x fat reducing peels for 3 days ,i am 6ft 90 kg and after that I started getting pain in my knees at night after 4 hrs sleep. During day it's not there.i have stopped taking it since last 1 week and I am still having same issue .

Comment by Pankaj Kumar on Wed 02, Oct 2013 03:09pm:
hello sir, my problem is when i get up from bed i get unbearable pain, standing up from toilet seat and standing up from my office seat also very unbearable pain... it get relax when i walk for 15-20 steps and it comes as normal but initial steps are such that i fell i will fell down. This is happening since past 2 3 months. Also pain while moving up/down on stairs.. Please suggest. I have not taken any medicine till now.

Comment by shashi sharan on Fri 29, Nov 2013 03:18am:
i am a 51 yr old woman..i am suffering from knee and ankle joint pain esp before sleeping since the last 34 odd 74yrs old mom is also indicted vt the same problem...plzz help...had all kinda test conducted as suggested by doc's but to no avail

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