Pain on inside and top of knee when cycling

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2008-09-27 12:31 PM

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Jacksonville, FL
Subject: Pain on inside and top of knee when cycling
I've had IT band issues before but this is completely different. This time the pain is on the inside and top of the knee - for instance, if you were looking at my knee, the pain would be at 9 o'clock, 12 o'clock, and everywhere in between including to the center. It's a throbbing pain that gets worse when I start pedaling again after stopping - the combination of bending and that initial push seems to do it. I've been riding fairly flat, so I don't know how it works on hills.

Today I had to quit 3.5 hours into a 5.5 hour ride because the knee pain was really getting to me. I had a professional bike fitting and my seat height, pedals, etc. are all great - no adjustments were needed. Anyone have any similar experiences?

2008-09-27 6:02 PM
in reply to: #1700801

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Subject: RE: Pain on inside and top of knee when cycling
Sounds to me lke your seat might be too high. You might be pulling on that portion of the knee reaching for a too long pedal stroke bottom. "professional fitting" means many different things depending on the skill and training of the fitter. Would have to see pictures.

If you have access to a plumb bob, check for KOPS (knee over pedal spindle). You'll need to put the bike in a trainer stand, level the front wheel to the same height and have a partner to help with this. It's not the end-all, be-all of fitting, but it works for many people.

My $0.02.
2008-09-28 9:51 AM
in reply to: #1700801

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Jacksonville, FL
Subject: RE: Pain on inside and top of knee when cycling
Thanks - I'll try that. Unfortunately, the knee got worse yesterday, so it looks like I'll be paying a visit to the ortho this week. I'm not sure if it was the cycling or the guy next to me at the football game who kept hitting me on the knee every time our team did something good.
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General Discussion Triathlon Talk » Pain on inside and top of knee when cycling Rss Feed