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What Causes Inner Knee Pain While Sleeping?

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Pain in the knee can make running, walking, and other movements painful, also making falling asleep at night difficult. Read below to learn more about this.

Written by

Dr. Shikha

Medically reviewed by

Dr. Keerthi

Published At June 17, 2022
Reviewed AtSeptember 11, 2023

What Is Inner Knee Pain?

Inner or medial knee pain refers to discomfort on the side of your knee closest to your body's center, which is next to your other knee. The term "medial" simply means "in the middle." Knee discomfort at night time is a regular occurrence. Whether the nocturnal knee pain makes it difficult to fall asleep, wakes one up, or makes people restless, it can significantly influence the sleep quality and, as a result, the overall health and quality of life. Over the course of the day, the pressures and strains on our knees pile up, and when we finally get a moment to relax and unwind, knee pain can attack with a vengeance. There are several things one can undertake to control inner knee pain, as well as therapies that can assist.

What Causes Knee Pain at Night?

  • A lot is going on during the day, and other things typically divert our brains, so we do not have time to observe or think about the discomfort. When we jump into bed, however, with less activity and distractions, the ache that has been rumbling in the background instantly becomes quite loud since there is nothing to disguise it.

  • There is less to divert our attention away from our discomfort, so the more we concentrate on it, the more aware we become, and thus more knee pain is experienced at night.

  • Knee discomfort can occur due to a variety of factors, including injury, tendonitis (tendon irritation), and bursitis (inflammation of the bursa, which is a sac that cushions the bone and the joints). However, the most common cause of knee pain is arthritis.

  • Osteoarthritis is a mechanical disease that develops as a result of wear and tears on the joints and the tendons and the cartilages that support them. This distinguishes it from rheumatoid arthritis, which is characterized by joint inflammation induced by an autoimmune condition. While osteoarthritis is most commonly associated with the elderly, it can also affect younger people, particularly those prone to overexertion of certain joints or have had serious injuries such as ligament tears.

  • People take in oxygen from the air and then exhale carbon dioxide as they breathe. Our respiratory rate, or how many times we breathe in and out every minute, decreases when we sleep, and we breathe more slowly. As a result, the concentration of carbon dioxide in the blood rises, causing blood vessels to dilate. This can put pressure on nearby nerves, making them more sensitive, resulting in nighttime knee discomfort.

What Are the Symptoms of Inner Knee Pain?

Different people experience pain on the inside of the knee in different ways.

  • It could be severe pain, a scorching agony, or a dull ache. It may come and go, or one may have pain when performing certain actions like squatting, moving upstairs, or straightening their leg.

  • Other symptoms people may experience are dependent on the cause of the discomfort. Swelling may occur, and the knee may click or become locked in one position as a result of some types of injury.

  • The ache in the inside portion of the knee can also be caused by patellofemoral pain syndrome. It is commonly in front of the kneecap, although it could also be to the right or left. Running, climbing stairs, kneeling, or sitting for an extended period of time aggravates it.

  • Osteoarthritis in the knee typically generates pain when weight is put on the affected leg, which goes away when the leg is rested. One may have tightness and loss of movement in the early morning or after sitting for an extended period of time. Swelling can also be observed around the knee.

How Do I Relieve Knee Pain at Night?

Gentle exercises, over-the-counter medications, and home treatments such as cold or heat packs, relaxation, and deep breathing can all be used to assist decrease knee discomfort at night. Try the following strategies to relieve knee discomfort while in bed during the nighttime.

1. Physical Therapies and Home Treatments

  • Use a pillow to support the aching regions of the body while sleeping. If one rests on their side, place the pillow between the knees; if one sleeps on their back, place the pillow under the knees. Propping pillows are available in a variety of designs. Pain and inflammation can be managed with the use of heat and cold. Before going to bed, use an ice pack or a heating pad for 15 to 20 minutes. During the night, use a hot water bottle. Remember to wrap the ice pack in a towel to avoid skin harm.

  • Before going to bed, apply a Capsaicin-containing topical medicine to the affected area.

  • Relax in a warm bath before going to bed. The warm water will aid in enhancing blood flow and relieve knee discomfort by relaxing tense muscles.

  • Exercise on a regular basis. Water-based activities are beneficial because they relieve pressure on your knees. Strength and flexibility can be improved through tai chi and yoga. Exercise can also aid in stress reduction. You can hangout by going to a day center, joining a group, spending time with family, friends, or neighbors, and engaging in social gatherings.

  • Increased stress can lead to an increase in pain and a decrease in pain tolerance. Talk to a medical professional if you are concerned that the stress and anxiety levels are too high or do not seem to go away. They may be able to provide assistance in the form of therapy or medicine.

2. Medication

  • In some circumstances, over-the-counter drugs can help relieve inflammation. Topical preparations, such as Capsaicin, oral medicines, such as Acetaminophen can help. If over-the-counter pain relievers are not powerful enough to relieve discomfort, the doctor may prescribe a stronger medication.

  • One may need to change the timing of their prescriptions if discomfort keeps them awake.

  • The doctor can advise on whether modifying the dosing schedule may help the patient sleep better at night. Some drugs might cause drowsiness.

  • Consult the doctor if you find yourself dozing during the day after starting a new medication. They may advise switching to a different choice or lowering the dosage.

3. Surgery

  • Medication and lifestyle adjustments may help manage symptoms if you have osteoarthritis.

  • The doctor may propose knee replacement surgery if the pain becomes unbearable and starts to compromise the patient's mobility and quality of life.

Conclusion:

Knee discomfort during sleeping may be addressed with simple at-home preventative tactics and strategies. At-home treatments are frequently focused on temporarily treating or preventing symptoms. If a person's symptoms do not improve, they should continue to work with medical professionals. To manage inflammation and pain, a doctor may prescribe more potent drugs or suggest other pain treatments. Finding a comfortable position and using a pillow for cushioning that feels right can help achieve better sleep at night.

Frequently Asked Questions

1.

How Is Inner Knee Pain Treated?

The different ways to treat inner knee pain are listed below:
- Physical therapies like stretching and exercises.
- Devices like knee braces can be worn during activities.
- Using pillows to support the knee while sleeping.
- Steroid injections.
- Over-the-counter medications.
- Surgery is suggested in severe cases.

2.

What Are the Features of Serious Knee Pain?

The other characteristic features of severe knee pain are:
- Stiffness in the joint.
- Swelling.
- Knee weakness.
- Difficulty in straightening up the knee.
- Redness.
- Warmth on touch.

3.

How to Strengthen My Inner Knee?

Due to injury or conditions like arthritis, the inner knee becomes weak and painful. Therefore the following stretches and exercises might help in strengthening the inner knee:
- Quadriceps stretch.
- Half squat.
- Hamstring stretch.
- Leg extension.
- Calf raises.
- Straight and side leg raise.

4.

What Is the Best Sleeping Position for Knee Pain?

The severe knee pain disturbs sleep during the night. However, sleeping on the back or the side might relieve the pain to some extent. In addition, a cushion or pillow can be placed between the knees while sleeping on the side and a pillow under the knees while sleeping on the back. However, crossing the legs while sleeping should be avoided as it may worsen the pain. It is advisable to visit an orthopedic specialist to get the best advice for knee pain.

5.

Which Is the Sleeping Position to Stay Healthy?

The sleeping position also dramatically impacts the person’s health. Sleeping on the side or back is considered the best sleeping position as it helps in the following:
- Supports the spine.
- Reduces the pressure on the spine.
- Relaxes the spinal muscles.
- Aids in spinal muscle recovery.

6.

Does Walking Help Relieve Inner Knee Pain?

Walking aids in relieving inner knee pain significantly. However, it may cause mild discomfort initially but ease the knee pain by:
- Strengthening the legs.
- Repairs the joint cartilage and rebuilds the joints.
- Aids to weight loss, which eventually reduces knee pain.
But avoid strenuous exercise.

7.

Why Do My Knees Hurt After Sleeping?

The knee pain after sleeping is irritating and horrible and disturbs sleep. During the day, while our knees contract and relax, the joints are lubricated, and we do not feel the pain. However, after sleeping, the knee movement is nil leading to a lack of lubrication, and the knee hurts. In addition, we are not distracted by any other work during sleep, and our mind mainly focuses on knee pain. It may occur due to injury or conditions like osteoarthritis, tendonitis, etc.

8.

What Should I Know About the Throbbing Knee Pain at Night?

The throbbing knee pain at night may rise due to injury, osteoarthritis, bursitis, runner’s knee, rheumatoid arthritis, etc. These pains are severe when you relax. It can significantly disturb sleep, and the lack of sleep worsens knee pain. The throbbing knee pain is usually treated with anti-inflammatory drugs and by practicing a good sleep routine. It includes placing a pillow below the knee and maintaining the correct sleeping position. In addition, a visit with an orthopedic specialist is crucial for managing such pain.

9.

Can I Sleep With a Pillow Under My Knees?

It is safe to sleep with a pillow under the knees. However, in case of any discomfort or increasing pain even after placing a pillow, you should visit an orthopedic specialist to identify the cause of the pain. Placing a pillow under the knee helps in:
- Reducing back pain.
- Maintains the spine position.
- Distributes the weight evenly.

10.

When Does the Inner Knee Heal Completely?

The inner knee takes four to six weeks to heal completely. The most familiar injury is a meniscus tear, and it is painful. It also causes swelling, pain, redness, and a popping sound. The doctor may suggest anti-inflammatory medications, stretching, and strengthening exercises to treat an inner knee injury. First, however, you need to rest your knee and apply ice packs to get relief from symptoms.
Dr. Keerthi

Dr. Keerthi

Orthopedician and Traumatology

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