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Tendon behind knee(16 posts)

Tendon behind kneeashleyrenfroe
Jan 15, 2002 1:03 PM
Looking for some free (yeah, right) medical advice.

I have been riding and training pretty hard now for three months and have a constant nagging pain behind my right knee. I must say that I do a good bit of mashing, but try not to, so it is limited comparatively. It isn't a sharp pain, more of a dull cramp. Even there when I warm up adequately, which admittedly is rare. Is this something I should go have a specialist look at, or is it just something attributable to my style or fitness?? Male, 26 years old, 6', 196 pounds. Never had knee surgery.
re: Tendon behind kneeJon
Jan 15, 2002 1:24 PM
If the pain is at the back of the knee, not under the kneecap, what you are referring to
is the popliteus tendon. Dull, nagging pain is consistent with a little hyperextension of
your knee in the pedal stroke, aggravated possibly by "mashing". Try lowering your saddle
height a little, about 2 to 3 millimetres. That combined with a little rest should solve
the problem.
Agreed - check seat heightgrzy
Jan 15, 2002 1:59 PM
Very easy way to get this condition - have your seat height too high and hyper extend your knee. Get some help on setting seat height. In addition to all of the "static" stuff you can do while not moving have an experienced cyclist ride behind you and see if your hips are rocking from side to side while you pedal - it's strong indicator that your seat is to high. You may be very used to this and maintain that this "feels right". In just a short time your body will adjust to the new position.
Stretched mine over weekend.guido
Jan 15, 2002 2:23 PM
I ride one bike to work with a 6.5 cm saddle setback, and another "racing" bike with 5 cm setback, on which I work my @$$ off trying not to get dropped on the Sunday club rides.

Last Sunday I came home with right leg hurting behind knee, too. I decided it was from the legs working the crank furthur forward from where they were used to on the commuter. All I need to do is ride this bike more, and the legs adjust.

If you've been riding hard, the prime suspect might be simple over-stress, and you'll eventually be able to "work it out" by not mashing it too hard too often. Secondary suspects might be saddle too high, and your legs are over-reaching to the pedals, or your knee is too far forward over the pedal spindle. Have a riding partner see if your hips rock when you're doing a good effort. Your saddle should be as high as possible where you can pedal with hips absolutely stable. You might try pushing the saddle back a centimeter, or make sure your knee is over the pedal spindle.
John and Grzy have it. nmguido
Jan 15, 2002 2:26 PM
A sports doctor helped me with a similar problem. nmBrian C.
Jan 15, 2002 2:42 PM
re: Tendon behind kneeLone Gunman
Jan 15, 2002 5:05 PM
It could also (alone or combined) be that you have a tight hamstring, afterall the spot you are mentioning is where the hamstring connects. I had a similar problem a few years ago and rest, anti inflammatories, ice and stretching (try touching heel to road at the 6:00 position)helped.
Be carefull!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!allervite
Jan 15, 2002 9:15 PM
If the condition becomes chronic, you are in for a long haul. I recommend R.I.C.E. (Rest, Ice, Compression, Elevation) and a lot of it. I tried to train through a similar situation and it took two years to get over it.

Also, concerning the saddle height posts. If your knee hurts in front (Illio Tibial band etc.) then your seat is too high. If your knee hurts in back, then your seat is too low. Or more than likely you went to hard too soon and developed Tendonitis. Ibuprofen will help here. But you really need to rest. Try a couple weeks of very light pedaling if you cannot stand being off the bike. If you don't watch it you could be off the bike for a long time!
Err. clarification please.Sintesi
Jan 16, 2002 6:08 AM
Did you state that correctly? The concensus is pain behind = saddle too high. You seem to know what your talking about with the latin and all, are you taking issue with the other advice profferers? I don't know who's right all I know is the back of my knee hurteth too.

Thank you.
I am going to try the consensus, then experimentashleyrenfroe
Jan 16, 2002 6:27 AM
I think I will go with the consensus first, see if that helps. Hopefully, I won't be able to do too much damage.

My hips do not rock, so I don't think it was TOO high. However, it may have been high enough to cause some discomfort in the knee. I measured last night after I made the adjustment in the seat post, and tried to make sure my knee cap was directly over the pedal spindle when cranks were horizontal to ground. Seems right.

I will let you know.
my experience and what ive heard is the oppositeishmael
Jan 16, 2002 7:03 PM
seat too low gives pain in front...too high gives pain in back...im suffering from the pain in back of the same knee that last winter had it in the front...sucks..my uneducated advice (thats what i follow) is ride slow and lower the seat a bit, take it really easy and dont get far from home incase it starts to hurt...i think streaching will only further injure it...maybe some weights to strengthen the area
He's right!.guido
Jan 16, 2002 2:24 PM
I remember when I raised my saddle too high once and then went riding, I got pain in front, right under the knee, not in the back. I also remember riding with the saddle too low, and getting pain in those two striations behind the knee. Both times, the pains were induced by hard effort. It just goes to show you, the more trained your legs are, the more painful it could be to work them differently than what they're accustomed to. The main idea: get positioning right, then leave it alone, or make changes 2 mm at a time, and let your legs get used to it before a major effort.

Bernard Hinault rode the Tour of Spain with his saddle jacked up 2cm. It felt so good, he won the race. But by the end of the season, he had to have both knees operated on, because he hadn't given the tendons enough time to stretch out to accomodate the new position.
Theory doesn't match experiencegrzy
Jan 16, 2002 6:01 PM
I've riden with my MTB seat to high (by accident) and couldn't walk for two day due to the pain behind my knee - hyper extension. My wife used to ride with her saddle too low and has had problems on the front of her knees - over loading the knee.

So what's your rationale behind your opposite view point - I'm sincerely interested and would like to know.
Very interesting:guido
Jan 16, 2002 9:30 PM
So you could conclude that hyper-extension effects both the front and back of the knees!

That's the beauty of forums like this one. You compare your experiences with many others and draw a synthesis. Socrates would have been proud of us.

Can someone explain, then, why you'll get the pain only in front or back? Is it saddle set-back? Tibia-femur ratio? Has anyone experienced pain both front and back?

"Lower the saddle" is still the answer, though. When the saddle is too low, the pain comes from all over the knee from compression. When too high, pain comes right below the knee and/or behind the knee from over-stretching.
Very interesting:ishmael
Jan 16, 2002 9:56 PM
ive had both and in both instances(im still in the midst of it) it was from having the seat too high i think..front or back is too vague, my front pain is caused by a torn band on the lower front out side and it makes clicking noises at certain angles, ive met others with the same problem and alot of them have had minor surgery in the worse cases..my seat was freakishly high then...came down and now ice that problem when it acts up... lately, after putting on a new seat with another 2 cm raise to it and also trying to pedal more with my heals down the back of the same knee is sore..ive since lowered the seat to the lemond method in which you drop 10cm of your inseam as a guide and im just toolin around the hood being patient...then again it could all of started from doing alot of miles without building up to it...
Yup! ... I mean Yep!Crankist
Jan 16, 2002 6:35 AM
I have this condition also - 3 mos. now. It began on a long, hard ride. I have lowered the saddle by 1 cm and this has probably kept it from getting worse. I ride as little as I can without putting a permanent wrinkle in my psyche. I spin when I ride, and stretch occasionally (heel down) as I ride. These solutions have come from this board. I am running out of freakin' patience,but I know this could be much worse so I am going slowly. Please post your progress.
Have Fun,
Mike