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Need help (well, advice at least).(6 posts)

Need help (well, advice at least).bp.)
Jul 23, 2001 11:00 PM
Let me give you the details of my work so far.

I've just started cycling seriously and have been working up the distance I do each week from about 160km (100mi) to 280km (175mi)last week. To do this I have 3 or 4 small 30-40k and one large 80-120km ride on Saturday morning. Everything has been going really well. My average speed over about 100km has been just over 30 kph (<18.6mph) and I recover quickly.

Last saturday, I went for a 128k ride and half way through I started feeling this quite painful feeling in my left knee. Usually on the downstroke it twinged below the knee cap and I was forced to spin lightly home. It got a little better but I know it's still there when I try a light lunge etc.

I don't understand? I thought cycling was low impact! My seat position (as far as I can tell from what I've read and the bikeshop guy) is perfect and it's not like I've just gone out and jumped into a massive ride.

The reason I came here was to find out if someone else knows of this specific problem.

I was going to go to a physiotherapist but was unsure what to do first. Do I rest completely for a while even though I don't think knees repair quickly or do I see a bike shop?

If you've made it this far, I thank you. I was really starting to enjoy this sport as I have suffered a right knee injury which stopped me running and playing most contact sports, I've dislocated and had reconstructed my right shoulder which stopped my swimming and rock-climbing aspirations and now this! I'm starting to think I was destined to grow obese and unfit and die ...

I think I'm an active person stuck in a shit-house body

I don't know how but can some one say something positive?
re: Need help (well, advice at least).got2ryd
Jul 24, 2001 3:22 AM
from my experience, and i have a bad left knee, there a lot of factors tht can affect your knees cycling. saddle height, saddle fore/aft, cleat position and even the way you ride. do you mash big gears or do you spin. after havnig a flair up of pain, quite bad, this past spring, i started increasing my cadence and spinning easy gears after some rest. you dont have to push big gears to go fast. foot speed = speed. seeking the advice of a doctor, one who is a cyclist, would be a good idea as well. good luck.
re: Need help (well, advice at least).Lone Gunman
Jul 24, 2001 6:04 AM
Don't panic yet. The pain did not occur as a result of a trama injury. R.I.C.E. and anti inflammatory drugs. Rest, ice, compression?, elevate. Take a week off and ease back into riding. I never have had knee pain and last year on a 1 week tour had pain at day 3 for the rest of the ride. Ice and drugs got me through it. Probably just an overuse injury and some inflammation.
re: Need help (well, advice at least).LC
Jul 24, 2001 9:54 AM
Here is what i would do:

Take yourself and bike to the best shop and get fitted again.

Use 1 gear lower then you think you should. Get a computer with cadence feature and always do 85+ RPM.

Back off on the milage and build up more slowly this time.
I just heard about this. Don't know if it's your situation,bill
Jul 24, 2001 12:49 PM
but it's interesting.
A guy who is a Cat 1 racer and coach told me, in response to my own complaints of vague, inconsistent but occasional knee pains under or near my patella (moves around, actually) unrelated to trauma, that your strengthening quad musces, unbalanced by neglected abductor muscles in your thigh, actually tug on the patella, causing some stress and pain. He said to use Suzanne Sommers' thighmaster. How 'bout that?
Thanks allbp.)
Jul 24, 2001 4:55 PM
Thanks.

I decided since the post to go for a small (30k) ride to see how it was. I spun it mostly < 90rpm and yet after 20k it started to hurt again. I stopped off at my local bike shop and the guys in there were generally concerned and made sure of everything, fore, aft, height. It was all fine. What wasn't that my floating Shimano SPD-R Cleats floated in but not out. The guy there thought that that over time could cause problems and a decent physio will be able to get me back on track (almost literally as the in-twist apparently causes the patella to track badly).

All may be well... thanks again.