Abstract

Radiographic osteoarthritis of the knee is very common in Saudi patients, especially in the patellofemoral compartment.

Some studies have considered repetitive daily prayer activities as a factor of causation. However prevention and management recommendations appear to be non-existent in the literature. This report describes the case of chronic bilateral anterior knee pain in a devout adult male, which was dramatically alleviated by simply using a padded cushion under the prayer rug. Simple strategies of temporarily modifying prayer posture, insuring good prayer form, and adequate knee padding, may offer promise as low tech and economical solution for the management of anterior knee pain in this cultural group.

Keywords: Knee, Arab, Muslim, Salah, Kneeling, Prayer, Osteoarthritis, Patellofemoral, Pain, Imam

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