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pain in the kneecap(15 posts)

pain in the kneecappkompath
Jan 28, 2002 8:05 AM
It began as a sore on the inside of the left kneecap, and now, has become worse with the pain all around the kneecap. Everytime I bend or walk up and down steps, the pain becomes worse. I use mtn. pedals for road cycling, and have the seatpost adjusted for fit, and I still dont know what is going. I hope it isnt serious. Any insight or info. would be greatly appreciated.

Thanks
re: pain in the kneecapChen2
Jan 28, 2002 8:57 AM
If you can go back through the archives there have been a couple of good threads here on knee cap pain, therapy, surgery, etc. Basically you need to see a specialist. Speedplay pedals may help, honest.
re: i 2nd the speedplayscollinsc
Jan 28, 2002 9:16 AM
I was in the same situation not long ago, using SPDs (carryovers from my MTB) I started noticing this tightness in (felt like inside) my knee when pedaling. This escalated to painful stairclimbing and terribly painful skiing.

I bought some speedplay X/2's (and new shoes too) and the problem has dissapeared.

Check the float on your pedals, adjust it if possible. If not possible, use your injury as an excuse to buy so sweet new gear.

Chad
re: i 2nd the speedplayspkompath
Jan 28, 2002 9:37 AM
The float could be a problem. My shimano has a 5 degree float (I think). I guess after several weeks, the pain was a cause for concern.
re: pain in the kneecapharper
Jan 28, 2002 8:58 AM
Well, you have not given a completely detailed description of your symptoms, but based on my own experiences, you might have developed a bit of a tracking problem w/your kneecap, which can at times make your whole knee ache. My advice is to read up on the web, and then make yourself an appointment with a doctor. Don't take it lightly. The link below is a good one, I believe. Good luck.

http://www.kneeguru.co.uk/html/step_05_patella/step_05_AKP.html
re: pain in the kneecappkompath
Jan 28, 2002 9:33 AM
Great website. It seems to be what I am experiencing right now.
re: pain in the kneecap is called tendinitispa rider
Jan 28, 2002 9:51 AM
I get this problem from pushing too big gear, or riding to many miles early in the season. Plus doing MTB races makes you knees hurt as well.

I got a book of off the web site www.roadbikerider.com for the comman bike injuries and remedies. I hurt myself two weeks ago in a spin class and suffering the same problems.

I get this tendinitis two or three times a year (I'm 38 of age), so I'm learning what I shouldn't be doing. The big thing, we as riders or athletics, don't rest enough when we injure ourself (I'm included in this group).

So I take IOBproffen and try to take some days off from riding to recover my sore knees. My knees don't swell, but it takes me about 3 weeks to recover because I ride easy spinning to get threw the injury.

If I take a week off my knees get sore with in two rides. I need to learn to back off on the ride quality until I'm recovered. I usually lay off the big chainring. You'll find the older you get that alot of other riders have the same problems as your having (creaking knees too).

Hope this helped.
re: pain in the kneecap is called tendinitispkompath
Jan 28, 2002 10:18 AM
At this moment, Im not suffering as much going up and down the stairs, unlike earlier this morning. Thanks for the advice.
Sounds like a classic case of PFSElefantino
Jan 28, 2002 9:56 AM
Patella-femoral Syndrome. Being a fellow sufferer (albeit on a twice surgically repaired knee), I also switched to Speedplays.

A word of caution: Do now, however tempted you might be, raise your seat height if you get Speedplays. Some people do because a) the stack height is higher than SPDs or, worse b) because they feel the "ice skating" sensation of that first Speedplay ride is too weird and they feel more comfortable with a raised saddle. If you raise your seat too much, if at all, you risk pain in the BACK of your knee, which not even Speedplays can prevent.

Good luck. And check eBay; there's always good bargains on new Speedplays online.

FWIW,
Mike
Sounds like a classic case of PFSWoof the dog
Jan 28, 2002 6:48 PM
I have a pattello fem. syndrome. Basically, i started having it last year, it would go away, come back, I wasn't sure what to think and I was stupid not to go to the physical therapist right away, i tried ice, ibuprofen,but it would flare up and go away, flare up again etc. I took pretty much two and a half months of from july till mid september all the while not trying to strengthen my knees, so the problem continued.

You need to go see a doc. It could be something else too. I don't know if tendonitis is something different, but anyway. If you don't experience a very sharp pain with some swelling, ice and ibuprofen will NOT help you in the end because this patellafemoral syndrome will continue untill you teach your patella track correctly. When I walk (I rarely walked since started riding a bike a lot), I am told I tend to snap my leg back and not use my vmo to push the patella into the femur's grove, so its rubbing on the inside bump of the femur causing an inflamation. Thats what a doc told me. She said its also weird because cyclists have a very well developed/defined vmo. Likely my lack of crosstraining and lifting. I actually have the same problem a little bit on the left knee too. I now walk trying to use the muscles around my knee to kind of stabilize it and it has been better. My vmo's are sore a little bit though. I don't think you need speedplays because if this is what you have it is just a matter of going to the gym and doing other exercises prescribed to you by a doc...and doing them long enough for 4-6 weeks, not just 3 and say "its not helping." You have to be consistent with the exercises too. And try to spin more, instead of pushing big gear up a steep hill.

That is what I learned and I am still trying to completely recover (although I have been training all this time anyway). I hope this helps you.

Peace

Woof the dog.
what exercises do you doishmael
Jan 29, 2002 9:07 AM
my knee has been doing alot of things over the past two years, starting with a pain in the front and popping, and now a more nagging pain in the back..im not getting xrays now because i cant afford it...besides, i find that when i lay off it for a bit and then only spin and take it easy its ok, but i think i would benefit from strengthening but i dont know what to do ...could you please be really specific
what exercises do you doWoof the dog
Jan 29, 2002 9:55 PM
gym walking in the park, leg press slowly.
re: pain in the kneecapridewt
Jan 28, 2002 10:31 AM
I had the same thing from doing lots of running miles, marathon, etc. My doc told me that it was probably an overuse injury brought on by poor tracking of the kneecap and age (40 at the time). His main recommendation, besides rest, was that I was not nearly as flexible as I should have been and that that can cause the kneecap to not track properly. I now do lots of hamstring stretches and other leg stretches and mainly ride now rather than run. My knee is 99% better.
re: pain in the kneecappkompath
Jan 28, 2002 11:01 AM
No surgery? A recommendation that has really helped me is elevating the leg, and so far so good. No excruciating pain, yet.
Knee Pain Info . comMisJG
Jan 28, 2002 12:52 PM
Try this site I just found today. Lot's of good diagrams, etc.
http://www.kneepaininfo.com