annoying knee pain

ashleydwsmith
ashleydwsmith Posts: 693
edited August 2015 in Road general
m getting really annoying knee pain - left knee, and too the point where i can ride a bit then it hurts so if i back off for a bit it goes then i can ride again then it comes back.
Its right where your muscle joins into the knee - so you know when you tense your leg muscles its the big muscle on the inside of the leg.

Now i have changed cleats recently - and moved them out and moved them in - did a 42 mile ride the other day with no probs what soever, but done a couple of rides where have stopped as it is annoying me.

been to the docs - advice was ibuprofen and knee exercises.

Comments

  • Be very careful when it comes to your knees. If they hurt- stop. It's easy to do serious damage when your knee is hurting- even if it's not by that much.

    I used to have the odd twinge each year in Spring as my legs were adjusting back into the summer riding schedule, but nothing else until Sunday nearly 2 weeks ago, when I had a slight twinge half way round the club ride, and even after backing right off the pressure by the end of the ride it was very painful.

    If it doesn't disapear completely in a couple of days (or gets worse at all) then there is probably something wrong with your bike position somewhere, and would be worth visiting a physio to help work out how bad the damage is and how to treat it before anything else.
    They'll probably be able to give you an idea of what caused it as well, and if it's likely a poor bike fit then once your knee has recovered go and get a proper bike fitting done by an experienced person- not just someone following a computer.

    Physios can be surprisingly cheap and are excellent vfm when it comes down to it.

    Good luck, and be patient- knees tend to take the most time off the bike, but trying to push through without help can end your entire cycling career.
  • +1 for physio.

    I had similar problems and the physio told me that my knee wasn't tracking correctly as I had built up muscle on one side of my leg and not the other. She gave me some strengthening exercises to do and the pain has since stopped. Plus my physio was proper hot too, so that was an unexpected bonus :D
  • andy9964
    andy9964 Posts: 930
    Another vote for seeing a physio
    I had my knee pain caused by having flat feet (diagnosed after seeing works physio)
    She told me to get some orthotics made to help raise up the arches and correct the way my feet land when walking.
    The pain is much better now, but not completely gone. It lessens even more if I do longer rides or push myself on shorter rides - suppose that's my body's way of telling me to get off my fat ar$e :)
  • kajjal
    kajjal Posts: 3,380
    Assuming you don't have preexisting problems other things to consider are:-

    Saddle too high causing knee to over extent
    Saddle fore / aft position
    Cleats and shoes can cause all kinds of knee issues, did you have pain before you changed?

    A temporary test is to use flat pedals so your feet naturally find their own position to see if the pain eases. Or put your old pedals back on.
  • Assuming you don't have preexisting problems other things to consider are:-

    Saddle too high causing knee to over extent
    Saddle fore / aft position
    Cleats and shoes can cause all kinds of knee issues, did you have pain before you changed?

    A temporary test is to use flat pedals so your feet naturally find their own position to see if the pain eases. Or put your old pedals back on.

    No pain before, so I guess it's cleat and saddle height.
  • kajjal
    kajjal Posts: 3,380
    Assuming you don't have preexisting problems other things to consider are:-

    Saddle too high causing knee to over extent
    Saddle fore / aft position
    Cleats and shoes can cause all kinds of knee issues, did you have pain before you changed?

    A temporary test is to use flat pedals so your feet naturally find their own position to see if the pain eases. Or put your old pedals back on.

    No pain before, so I guess it's cleat and saddle height.

    Yes if you only got the pain after a change to the bike set up that is likely to be the cause. I got knee pain after setting my saddle too high. Dropped it back down, pain quickly went away.
  • I believe knee pain with cycling is very rarely the knee that's the issue but more often an issue with bike fit or over training causing muscle shortening which causes tendons(?!) to rub over the bones in the knee. Could you have the cleat position with too much of a toe out? This could cause the inside muscle to be stretched around the knee potentially causing it to rub. I had IT band problems on the outside of the knee for this very reason, which was agony at any level of intensity, and was able to resolve it with stretches and use of a foam roller (ouch!!). Have you ever had a bike fit? Just had my first 'proper' fit and the difference is huge!
  • jazgill
    jazgill Posts: 98
    It's sounds like Quadriceps Tendonitis;Go and see a physio who will prescribe some strengthening exercises, stretching and foam rolling. A reduced amount of cycling will also be beneficial for a few weeks at least.
    I had exactly the same issue which was caused by over training.
  • My plan today is to reset my saddle height and have a look at clear position. Stupid thing is I changed pretty
    Much everything at once. New cleats, new group set with longer crank arms ( was advised to do this when I had my bike fit), so completely ballsed everything up
  • kajjal
    kajjal Posts: 3,380
    My plan today is to reset my saddle height and have a look at clear position. Stupid thing is I changed pretty
    Much everything at once. New cleats, new group set with longer crank arms ( was advised to do this when I had my bike fit), so completely ballsed everything up

    I did the exact same thing a while back and made quite a few changes at once. My bike rewarded me with knee and ankle pain. Took me a couple of weeks of tweaking to get the bike setup back to normal.
  • so i decided to set my saddle height according to the inseam minus 10 measurement which has resulted in a drop of 2cm. Im going to run with this for a bit and see how we go. also reset my cleats to neutral to try and remove that from the equation.