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A lot of weird knee pain, especially pain that comes from using your knee in a way you don't normally use it, can be helped with some good stretching. For example a lot of people get knee pain just walking down hill. What is happening is they are hyperextending their leg muscles slightly. I have had similar issues when driving long periods, and whenever i adjust my seat it takes a few days before achy knees go away. Look up sports related stretches for your legs, especially hamstrings, quads and calves. I bet if you do them regularly for a few weeks you wont see the pain in the car anymore.
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