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knees, knees, knees or why it hurts so bad, mommy?(9 posts)

knees, knees, knees or why it hurts so bad, mommy?cyclopathic
May 7, 2003 6:57 AM
had knee problem last year and eventually end up with 8weeks of physiotherapy. Now things seems on bright side, instead counting ride time by minutes I can ride hours, but... only with easy to moderate load.

Last Sat on ride with a couple sustained climbs, I decided to stretch legs and took off uphill at 17mph. Needless to say after a couple of miles I had to back off and even 3 days later it hurts still.

Now I've been out of therapy for 6mo and prospect of still having problem doesn't make future too bright. Is this something to stay or it is part of recovery? Should I go to specialist or just wait?
Cortisone injection. (nm)onespeed
May 7, 2003 7:02 AM
re: knees, knees, knees or why it hurts so bad, mommy?mja
May 7, 2003 9:10 AM
Strongly recommend visiting a specialist to discover what is going on. Wait-and-see may lead to a chronic condition setting in. Good luck.
Good advice. See a doctor...kermit
May 7, 2003 9:21 AM
but not just any doctor. Try and find a doctor who specializes in sports medicine, preferably one with lots of experience in treating cyclists.

You don't want to end up like me, 26 years old with chronic knee pain for the last 2.5 years. Every step I've taken in the last 2.5 years has caused me pain in my left knee. I've been told it's patellar tendinopathy/tendinosis and I have not responded to conservative treatment. Surgery is a possibility, but surgery for this condition is not necessarily going to fix it.

Anyone out there with a similar problem?

kermit

PS - No, I will not stop riding.
re: knees, knees, knees,Fredrico
May 7, 2003 9:19 AM
Ya gotta respect yer knees, man. They're the weakest link in the system, the first to go when the going gets hard.

Do an easy ride, spinning 90-110 rpm, careful not to put stress on the knees. If they hurt afterwards, it's a positioning problem, saddle too high, cleat mis-aligned, bent pedal axle.

Your future will be bright if you minimize stress on your knees, not just to recover from injury, but permanently, by adapting a circular stroke. Pedal fast. Above 90 rpm it's really hard to mash. Momentum carries the leg around the crank, taking the stress off the knees. You'll be able to go really hard and fast this way, with no knee pains later.

I've had problems with my knees since weightlifting 18 years ago. The only way I've been able to ride is with a high rpm circular pedal stroke, even when climbing out of the saddle. I have to be careful not to mash down hard on the knees, but use all the muscles in the legs, not just the quads.
In agreement w/the group, exceptcoonass
May 7, 2003 3:30 PM
for the Cortisone treatments....however, that's just MHO....
A Sports' Physician would be my pick.....there may be some info at the attached sites that may be of use; anyhow, it's not going to cost you $200/visit and just may give you some foresight when you speak to the Doc.
http://www.nlm.nih.gov/medlineplus/kneeinjuriesanddisorders.html
http://topcondition.com/members/knee.htm
Good luck.
I feel your painJakle
May 7, 2003 5:40 PM
In October of 2001 I had my plica removed from my left knee. The recovery was 100%. I was even able to do a century the next May. Last summer, however, I was late for a ride with a few friends. I took off from my house like a cheetah. I failed to warm up and I paid dearly. I felt ok until the 30 mile mark. The pain that formed in my left knee was horrific. I was barely able to make it home. When I finally did, my knee was toast. I suppose the surgery weakened my tendon somewhat, and the killer ride from hell with no warm up did it in. I was off the bike for months.

8 weeks of electro stim and friction massage in PT helped, but I still have a little bit of tendonitis lingering. This all occurred last summer and I'm still dealing with it. Although it is almost completely healed, I still have to watch how I ride.

The key has been 100+ rpm's and 20-30 minute warm ups at the beginning of a ride. I also stretch before and after every ride. I do believe that if I was to get out or the saddle and crank up hills often, the pain would return and I would be back where I started. I really have to be careful and not do too much.

I would recommend that if you feel any pain in a ride, back off immediately. Any pain means damage, and that will take time to heal. If you stay pain free, I would bet that you will be out of the saddle and hammering next year. Listen carefully to your knee.

A few tips:
Get custom insoles. I believe they help.
Do long warm ups
Massage your knee often
Stretch, stretch, stretch
Ride below the pain level

Good luck,

kneesbianchi boy
May 7, 2003 7:12 PM
I never had knee problems until last year. The problems started when I switched pedals and my saddle shortly before a long ride. And then, the group I was riding with started out much too fast without warming up. The next day my knees were killing me, and they bothered me off and on all year. I went to see a sports doc, and he said I didn't seem to have any serious damage. My knees gradually got better and I haven't had any trouble this year. Here are some things I found out in the process:

-- Always warm up thoroughly before riding hard. Start out easy the first 5 miles or so.
-- Cover your knees with leg-warmers when temperatures are 65 or lower. This has really seemed to help me over the winter and spring.
-- Spin at higher cadences and avoid pushing big gears when climbing.
-- Be very careful when changing saddles and pedals, making sure to measure everything beforehand, and try to duplicate your previous position as close as possible.
-- Make sure your saddle is not too low. This make my knees start hurting quicker than anything.
re: thanks everyone for good advices nmcyclopathic
May 8, 2003 5:56 AM