Drivers knee is among the most common musculoskeletal conditions affecting professional drivers. It starts as a mild ache on the knee, then gradually turns into a sharp cramp before becoming a persistent stabbing pain that limits knee function.

If you’ve experienced knee pain while driving or after getting out of your vehicle, it could be more than just discomfort. In this guide, we’ll cover the causes and symptoms of “driver’s knee” and offer steps to relieve and prevent it, helping you stay pain-free throughout your truck driving career.

What is Drivers Knee?

Driver’s knee, also called trucker’s or gas pedal knee, is caused by inflammation of the patellar tendon, which connects your kneecap to your shinbone. This leads to knee pain that worsens over time and can eventually make everyday movements like standing, climbing stairs, or driving difficult.

Medically known as patellar tendonitis or patellofemoral pain syndrome, it’s considered a repetitive use injury, meaning the pain builds gradually without a specific incident. Various factors contribute to this condition, but the key is understanding and addressing it early to prevent further discomfort.

Causes of Driver’s Knee

Several factors contribute to the occurrence of jumper’s knee in professional truck drivers, especially long-distance drivers. Some of these include:

• Overuse. Driving for long periods requires repetitive pedal work. Constantly pressing the accelerator and brake can strain the patellar tendons and muscles around your knee, leading to pain and inflammation.

 

• Poor posture. Maintaining a poor posture when driving, such as sitting too close to the wheel or slouching, increases the strain on your knee joints, causing pain.

 

• Limited movement. Sitting behind the steering wheel in the same position for several consecutive hours can reduce blood flow to your legs. This leads to stiffness and pain.

• Lack of exercise. Inadequate physical activity or not performing exercises that strengthen the muscles supporting your knee joints increases your likelihood of developing knee conditions, including drivers knee.

 

• Incorrect driving techniques. Foot positioning while driving is crucial. Repeatedly using your left foot for braking in automatic cars or keeping it on the clutch in manual vehicles can cause knee pain.

 

• Poor footwear. Driving in high-heeled shoes or those without enough support alters pressure distribution when operating the pedals, causing strain on the knees.

 

• Underlying medical conditions. If you have a pre-existing medical condition affecting your knees, such as rheumatoid arthritis, osteoarthritis, or other previous knee injuries, driving for long periods can aggravate the pain.

 

• Vehicle vibrations. Constant exposure to vehicle vibrations, more so in poorly maintained cars, often resonates through the seat, causing strain on your knee joints with time.

Symptoms of Drivers Knee

Because it’s a condition that develops over time, trucker’s knee manifests itself in various ways. Recognizing the symptoms in good time is crucial to its successful treatment. Here are the most common symptoms to watch out for:

• Localized pain. One of the earliest symptoms of driver’s knee is localized pain around your kneecap or at the front of your knee joint. The pain can be dull or sharp, and its intensity will increase, ranging from mild to severe.

• Swelling. Visible swelling around the knee area, accompanied by warmth, is a sign of inflammation in your knees.

• Stiffness. Moving your knee after long drives becomes challenging, indicating stiffness.

• A popping or grinding sensation. You might hear a grinding or popping sound when you move your knee after driving.

• Limited knee flexion. You’ll experience a limited range of motion on the affected knee.

• Intense pain that aggravates when pressing the driving pedals.

Treating Driver’s Knee

Knowing how to manage or treat knee pain from driving is essential since you’ll spend several hours behind the wheel throughout your trucking career. Some practical measures you can take to alleviate  knee pain successfully include the following:

Take a break

If you start noticing any of the symptoms above, take a break from activities that could worsen the injury and give your body time to heal. Avoid activities requiring rigorous knee movement, such as running, jumping, and climbing.

Wear supportive footwear

Invest in supportive and comfortable shoes that offer stability and enough arch support. It’ll minimize the impact of repetitive use of the pedals when driving.

Perform light stretches

Light stretches can help alleviate knee pain by improving blood circulation and promoting flexibility in the affected area. These stretches gently loosen tight muscles and reduce strain on the knee joint, aiding recovery and preventing further discomfort.

Use The RICE Method

RICE is an acronym for rest – ice – compression – and elevation. If you experience knee pain from driving, lie down after a long drive, ice the area for 15-20 minutes to reduce inflammation, then elevate your knee to relieve the discomfort.

Seek out physical therapy

A physical therapist will massage the affected knee to ease the pain and create a plan to help you improve your knee health.

Consult a healthcare professional

If the pain persists or intensifies, seek medical advice from your doctor. They might prescribe pain medication or recommend appropriate treatments tailored to your situation.

Tips for Preventing Drivers Knee

Once you recover from patellar tendonitis, consider taking additional measures to strengthen your knees and prevent reoccurrence. This requires making healthy life adjustments and prioritizing your knee health. Below are some tips to help you with this:

Frequent Breaks

Take frequent short breaks, preferably every 1-2 hours, and stretch your legs to remove any tension on your knee joints, reduce stiffness, and improve flexibility. Take a short walk or perform light stretches.

Make ergonomic adjustments

Make the correct ergonomic adjustments to keep your spine neutral and reduce knee strain. For this, you can:

• Adjust your driver’s seat or replace it with another designed to offer maximum back support and ensure proper positioning when driving. Check out our guide on the best seats for semi-truck drivers for suggestions.
• Use additional seat cushions with adequate padding to distribute pressure evenly throughout your body. Here are our suggestions on the best semi-truck seat cushions.

Fix Foot Pedal Placement

Ensure your foot is in a natural position when pressing and releasing the pedal. You want to avoid excessive angling and maintain a proper knee alignment to minimize knee strain.

Do Regular Knee Strengthening Exercises

Regularly perform exercises that target strengthening the muscles around your knees, including leg presses, lunges, squats, and calf raises. Consider increasing the duration and intensity of your workouts to increase knee stability and minimize any risks of future injuries.

Doctor Checkups

Visit your doctor for regular checkups and personalized advice on maintaining your knee health and overall wellness as a truck driver.

Final Thoughts

If left untreated, drivers’ knee can progress into a severe medical condition referred to as chondromalacia patella, where the cartilage in your knees deteriorates, leading to large tears, increased pain, and potential mobility loss. To prevent this, early diagnosis is crucial.

Watch out for the signs and symptoms above, and try not to take too long to seek professional help if you notice or feel the signs.

For additional tips on maintaining your health and wellness as a professional trucker, visit our blog. You may want to start with these guides on staying fit and maintaining a healthy lifestyle.