Driving a manual car for more than two hours daily can take a toll on the knees. Experts say it increases the risk of developing a painful condition called driver’s knee, also known as patellar tendinopathy. This condition arises from inflammation of the patellar tendon, which connects the kneecap to the shin bone. Over time, this strain can make simple movements like climbing stairs, bending, or even walking difficult.
Dr. Hemant Sharma, chairman of orthopaedics and joint replacement at Marengo Asia Hospitals, Gurugram, explains that excessive clutch use in manual cars can put significant stress on the knee joint. Constant engagement and release of the clutch, especially in heavy traffic, forces repetitive movement that overworks the knee. This repetitive strain leads to micro-tears in the tendon, resulting in pain, stiffness, and swelling.
Dr. Manan Vora, an orthopaedic expert, adds that poor posture while driving further worsens the issue. Incorrect positioning of the knees can place additional strain on the joint, accelerating the onset of pain. Many drivers unknowingly sit too far or too close to the pedals, forcing their legs into unnatural positions. Over time, this poor alignment adds pressure to the patellar tendon, leading to discomfort and, in severe cases, chronic pain.
Unlike automatic cars, manual vehicles require constant gear shifting. The left leg, which operates the clutch, takes the brunt of the strain. Frequent gear changes demand continuous movement of the knee, increasing stress on the joint. Those who drive in congested areas where frequent stopping and starting is necessary are at a higher risk of developing knee problems.
Symptoms of driver’s knee often start with mild discomfort and gradually worsen. Many people initially dismiss the pain as temporary fatigue. However, prolonged strain can lead to persistent pain even when not driving. Stiffness, swelling, and a dull ache around the knee are common signs of patellar tendinopathy. If left untreated, the condition can impact daily activities, making it difficult to squat, climb stairs, or even walk long distances without discomfort.
Physiotherapists recommend specific exercises to strengthen the knee and improve flexibility. Stretching the quadriceps and hamstrings can help reduce tension on the patellar tendon. Strengthening exercises, such as leg presses or step-ups, can provide additional support to the knee joint. Experts also suggest taking breaks during long drives to stretch and move the legs. Adjusting the car seat to maintain a proper posture can prevent excessive strain.
Applying ice to the affected area can help reduce inflammation and ease pain. Over-the-counter pain relief medications may offer temporary relief, but they do not address the root cause. Consulting a specialist for early intervention can prevent long-term damage. In severe cases, physical therapy or even medical interventions like corticosteroid injections may be required.
Switching to an automatic car can significantly reduce the risk of knee strain. Since automatic vehicles do not require constant clutch use, the left leg remains largely at rest. This eliminates the repetitive motion that leads to patellar tendinopathy. While some people prefer manual cars for better control and driving experience, those experiencing knee pain may benefit from transitioning to an automatic vehicle.
Experts also suggest modifying driving habits to reduce knee stress. Using cruise control on highways, keeping the seat height adjusted for optimal knee positioning, and taking regular breaks during long drives can prevent knee strain. Wearing supportive footwear with proper cushioning can also reduce impact on the joints.
Ignoring knee pain can lead to long-term joint issues. Seeking medical advice at the earliest signs of discomfort can prevent complications. Proper posture, regular stretching, and mindful driving techniques can help keep the knees healthy and pain-free. Those who drive manual cars daily should pay close attention to any signs of discomfort and take preventive measures to avoid long-term damage.
Long-term neglect of driver’s knee can lead to chronic inflammation and even early-onset arthritis. Over time, repeated stress on the knee joint can wear down cartilage, causing long-term joint degeneration. Some individuals may also develop secondary issues, such as hip or lower back pain, due to altered posture while driving. This compensatory strain occurs when drivers unconsciously adjust their sitting position to alleviate knee pain, leading to misalignment in other areas of the body.
For those who cannot switch to an automatic car, making small ergonomic adjustments inside the vehicle can help. Using a lumbar support cushion, ensuring the seat height allows for a comfortable knee bend, and adjusting the distance from the pedals can all contribute to better knee health. Experts also recommend positioning the left foot slightly forward when not using the clutch to avoid keeping the knee in a constantly bent position.
In addition to stretching and strengthening exercises, low-impact activities such as swimming or cycling can help maintain knee flexibility. Engaging in these activities on days off from driving can prevent stiffness and improve blood circulation to the joints. Massage therapy may also be beneficial in reducing muscle tightness around the knee, providing relief from discomfort.
Drivers who experience persistent pain despite making adjustments should seek medical evaluation. An orthopaedic specialist can conduct imaging tests such as X-rays or MRIs to assess the extent of knee damage. In some cases, custom orthotics or knee braces may be recommended to provide additional support. For those with severe pain, shockwave therapy or platelet-rich plasma (PRP) injections may be explored as treatment options.
With urban traffic conditions worsening, many drivers are spending extended hours behind the wheel. The risk of developing knee-related issues will only increase if preventive measures are ignored. By taking proactive steps such as maintaining good posture, stretching regularly, and listening to the body’s signals, drivers can continue enjoying their journeys without compromising their knee health.
