I had a patellar tendon graft to repair a torn ACL in my left knee. I never realized how often I use that knee when kneeling down to clean, pick something up, or look for something under the furniture. It’s been nine months and it still hurts too much to lean on that knee. Will this problem eventually clear up?

Persistent pain with kneeling is commonly reported among patients who have a patellar tendon-bone graft to replace the torn or ruptured anterior cruciate ligament (ACL). It’s one reason why many surgeons use the hamstring tendon as a graft instead.

The advantage of the patellar tendon graft is that it provides a stable joint that isn’t too loose or too tight. And studies show that patients with a patellar tendon graft have more normal knee flexion after recovery and rehab.

Kneeling pain is often still present up to 10 years after the procedure. It may become more tolerable over time making it possible to kneel for short periods of time. Protective knee pads can be used for extended periods of time while gardening, cleaning, exercising, or praying.

There are different types of pads available. Some can be placed on the ground under the knees while others strap on around the knees. Each person chooses the one that suits their activities best.