Patella knee pain

louman999
louman999 Posts: 90
edited October 2015 in Road general
Every time I cycle up a hill I get lots of pain in my patella, even when in the lowest gear. About a year ago before I started cycling I was diagnosed with osgood schlatters disease. I don't get any pain when cycling on flats. I have checked saddle height and it's correct but I haven't checked saddle position. When cycling I wear normal trainers which may be of note. Any help would greatly be appreciated.

Comments

  • First.Aspect
    First.Aspect Posts: 17,228
    Every time I cycle up a hill I get lots of pain in my patella, even when in the lowest gear. About a year ago before I started cycling I was diagnosed with osgood schlatters disease. I don't get any pain when cycling on flats. I have checked saddle height and it's correct but I haven't checked saddle position. When cycling I wear normal trainers which may be of note. Any help would greatly be appreciated.
    Can I ask how old you are? I'm going to guess at 15-18 years old.

    Osgood Schlatters, as you know, is a condition whereby the tendons pull at the soft growing points of the bone and cause splintering. The symptoms are much like tendinitis. Its basically like shin splints, but in your knees, I think.

    If you are lucky, it will pass in a year or so. The bone fragments causing you issues now will be digested in time and you'll be able to get on with your athletic life.

    Alternatively, like me, you'll end up with odd knobbles where the growing point has deformed slightly. The tendons will have to find a path over this. You may, or may not then find that use of the muscle to which that tendon is attached, causes pain.

    Ultimately, if it persists, low impact activities will be least likely to cause pain. Such as cycling. Running and activities including it may not be for you long term.

    In the short term, you may simply have to lay off until the symptoms subside. Or switch to another sport for a while, like swimming or kayaking, which doesn't strain you quads.

    I suspect that's not what you want to hear. However, I'd urge you to be patient now, as an investment for your future.

    I'm not a medical doctor. I'm just passing on the info I was given.
  • First.Aspect
    First.Aspect Posts: 17,228
    Another thought - I see that you are able to ride on the flat pain free.

    I guess you could consult your doctor and see if there is any way you can build up to harder efforts such as climbing. Perhaps there is a way to strengthen the knee. At least worth asking.

    My hunch is that there is no amount of fiddling with your bike position which will escape the basic problem you have, though, because one way or another, the tendons are going to be irritated.
  • Mikeb93
    Mikeb93 Posts: 16
    I was diagnosed with the same thing when I was 15 when skateboarding used to be my daily hobby, I am now 22 and it is still there although the pain is now not as frequent since I have stopped skating. Most of the cycling I do is mountain biking and the pain only occurs when going up hill or putting a lot of force through the pedals like yourself but I generally just push through and ignore the pain but I'm not saying this is what you should do, after all I don't know how much pain you are in. I know I couldn't of done it a few years ago. Like the above posts, if you are worried speak to your gp and see what they suggest. Mine had to use google to find out what it was so I ignored him and just carried on whatever I was doing. Stop if it hurts too much, if it is bareable push through. But I guess in me doing this it has prolonged the effect which is why I still have it now. Don't give up on cycling just yet, get some medical advice first, if it comes to it keep to flat ground as much as you can and only take on small inclines to start with and see what your limits are.
  • First.Aspect
    First.Aspect Posts: 17,228
    I was diagnosed with the same thing when I was 15 when skateboarding used to be my daily hobby, I am now 22 and it is still there although the pain is now not as frequent since I have stopped skating. Most of the cycling I do is mountain biking and the pain only occurs when going up hill or putting a lot of force through the pedals like yourself but I generally just push through and ignore the pain but I'm not saying this is what you should do, after all I don't know how much pain you are in. I know I couldn't of done it a few years ago. Like the above posts, if you are worried speak to your gp and see what they suggest. Mine had to use google to find out what it was so I ignored him and just carried on whatever I was doing. Stop if it hurts too much, if it is bareable push through. But I guess in me doing this it has prolonged the effect which is why I still have it now. Don't give up on cycling just yet, get some medical advice first, if it comes to it keep to flat ground as much as you can and only take on small inclines to start with and see what your limits are.
    Yeah, but pushing through and ignoring things isn't such a great move if the OP is still growing.
  • Mikeb93
    Mikeb93 Posts: 16
    Read my post again and you will see I said I'm not saying it's the best thing to do :)