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Knee pain (I know...old topic!)(10 posts)

Knee pain (I know...old topic!)DT
Apr 22, 2001 5:59 PM
Hey, I recently purcased new shoes and I've noticed I have knee pain now. I use the same pedals (Bebops...lotsa float, so it's not the pedals!) that I've used for the last 5 years and not had knee pain. The pain is on the outside of my knees...more of an ache, actually. I rode 77 miles this morning, 12 hours ago, and they're still aching. Is it possible that my new shoes effectively raised my stack height (I went from mtb shoes to road shoes, both Sidi's) and therefore effectively shortened my seatpost height? Do I now need to raise my seat a tad bit? Thanks!
I would guess you actually lowered your stack heightSteve Davis
Apr 22, 2001 6:39 PM
I too recently switched from Sidi mountain to Sidi road shoes. I also had pain on the outside of my right knee. I diagnosed it as ITB syndrome. The suggested course of treatment included ice, ibuprofin, stretching... and a lowering of the saddle.

Many posters here have suggested that knee pain in the back (outside) calls for a lowering of the saddle and knee pain in the front calls for a raising of the saddle.
Cleat positionDCP
Apr 22, 2001 7:31 PM
Lateral cleat position can also cause knee pain. Pain on the outside of the knee can suggest that your feet are too close to the crank.
Cleat positionKate
Apr 22, 2001 9:11 PM
I've been having this reoccuring problem too with the pain on the outside of my knee, just my left knee and one of the guys at the bike shop I go to suggested moving my cleat out as far as it will go and see if that helps. I think I'll try it it just might be the ticket to this problem.
CarefulDCP
Apr 23, 2001 5:19 AM
For your foot to be farther from the crank, you need to move the cleat in toward the crank, not out. I too developed an ache only along the outer back of my left knee on rides of 25 miles or more. Been pain free since I repositioned the cleat. Hope it works for you.
But of course!Kate
Apr 23, 2001 8:46 PM
Makes perfect sense and I think I will try it....move the cleat towards the crank.

LOL I have what I call my 30 mile knee. I've always wondered if I'm causing any long-term dammage to it by riding with it hurting, have you ever been told you have?
re: Knee pain (I know...old topic!)Pusher
Apr 23, 2001 12:55 AM
Good advice above - but I would wait a bit until your shoes have worn in to your feet - I had probs with a similar situation to yours, but it went away when the shoes wore in and settled down and I was pushing naturally on the pedal, rather than where the new shoe was directing my feet. If you start changing things right away, at least remember exactly what your set up was, else you will have a bucket of variables to deal with....
re: Knee pain (I know...old topic!)Lazy
Apr 24, 2001 6:30 AM
Check for pronation of your ankle too. I got some Sidi shoes a while ago and found I needed a shim on the inside of my cleat to rotate my ankle back to straight. No worries since.

BTW, very small shim made all the difference in the world. So, as menstioned above, small adjustments can have large effects.
Sorry to hear this, DT.boy nigel
Apr 24, 2001 7:01 AM
Hey Buddy,

I would suggest, as someone did earlier, ice (after the ride) and ibuprofen (before and/or even during a long ride). Thins the blood enough for it to flow nicely, and takes pains away, of course.

It's a shame it happened with your new Sidis; you must be disappointed. Feel confident that nothing permanent has happened, just a getting-used-to-the-new-setup thing. Take it slow. You may want to do shorter rides in the interim, or maybe two shorter rides during the day, maybe 25-40 miles each. You're not pushing any tougher gears during this period, are you? Were your rides particularly hilly? This may compound a new setup, and could cause discomfort. Alternately, you may want to skip a day between shorter rides 'til things feel right again. You'll be fine, my friend; just take it easy for a week or so.

Take care,
Nigel
re: Knee pain (I know...old topic!)Manuel Rodriguez
Apr 24, 2001 7:34 AM
Any time you change anything affecting your position on the bike you have to give your body time to get used to it. 77 miles is not the kind of ride you want to do when getting used to new equipment. Give it a day or two, ice it and stretch it. Then go back out and ride maybe 20 EASY miles. If it still hurts, stop right there and install the old setup until the pain goes away and then try the new setup but this time starting with 20 easy miles or so. I'm talking from experience. From what you describe your IT band is being stressed. YOU DONT WANT TO PLAY AROUND WITH IT BAND SYNDROME. Early in January I switched pedals and did exactly what you did. Went out and did a hard group ride of about 45 miles and I got this aching feeling on the outside of the knees but I ignored figuring that it would go away. Well after two weeks it was still there and not getting any better. I went back to the old pedals but it was too late. I haven't been able to ride since without some kind of pain. I have done everything, ice, stretching, heat, anti-inflammatories, and it is still there. It' been 4 months and I haven't been able to ride. I have given it as long as a month of rest and as soon as i ride the pain is there. Davis Phinney lost 10 months of riding after injuring his IT band. So anyway take it easy and don't think that you can ride through this king of pain. It's better to take a couple of weeks of easy riding than losing months on end of no riding due to something that can be prevented. Pain is a warning signal, pay attention to it.