The Queen is refusing to get knee surgery so she does not miss any engagements

Her Maj, 92, has been suffering worsening pain and fears taking a public tumble.

She has also confided that she struggles to get up after sitting.

A Palace source said: “She was talking to friends at the Chelsea Flower Show and said her knees were playing up.

“But she is reluctant to have an op due to the time it would take to recover. She is incredibly brave.

“People from her and Philip’s generation battle through problems and carry on. And Her Majesty doesn’t like to cause any fuss.”

The Queen still carries out more than 200 engagements a year.

She made nine appearances in ten days before missing a ceremony at St Paul’s Cathedral on Thursday due to a cold.

The monarch rested at Windsor Castle and tomorrow is due to travel to Holyroodhouse, Edinburgh, before more a full week of events.

In May she had a cataract removed and wore dark glasses rather than cancel engagements.

In 2003 she had an op on her right knee after damaging the cartilage when she stumbled at Newmarket racecourse.

A few months later she had keyhole surgery to remove torn cartilage from her left knee.

In 2016 it was reported she had been advised to have a knee replacement but the story was dismissed. Last year the Duke of Edinburgh retired from public duties aged 96.

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