I am told that one should not sit in cross-legged position as it may cause pain in the knee joints. However, in India most people sit in cross legged for prayer, puja and the like, and for prolonged periods ranging from half an hour to even 2-3 hours. In Yoga, this popular posture is called Padmasana and is commended for physical fitness. Ortho, Ayurveda, Homeo, Siddha, Tibetan and Unani experts may however enlighten properly.

Dr. Nishit PaloOrthopedist7yrs exp

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In knee osteoarthritis it is adviced not to sit on floor or squat because while doing this, knee goes into hyperflexion, the intrarticular components like menisci undergo crunching between femur and tibia bone. Also, it leads to pressure changes within the knee joint which are harmful for osteoarthritis progression. It is adviced not to sit like that, but you can do it physically. Although this is not a challenge, but one ends up doing more damage to the joint theoretically than any major benefit. I hope this solves the concern.  

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