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What is wrong - knee pain?(9 posts)

What is wrong - knee pain?turbo6bar
Jan 10, 2004 6:46 PM
Here's my story:
Had a bike accident when a car turned left in front of my path. I sustained light injuries to my right shoulder and lower back. I'm doing well now...probably 90% of pre-accident.

I bought a new bike, and I've only ridden it 5 times in the past 3 weeks. The problem is pain in my right knee. It is a dull pain on the left side of my knee, or in side of the kneecap. The question is why? The new bike has a slightly different setup, but pretty close. Saddle height is the same, but with the new bike the saddle is set so my knee is directly over the pedal spindle. On the old bike, my knee was about 30 mm forward of the pedal. The shoes are the same. Cleat position is the same. The pedals (older Shimano look style) are the same on both bikes.

One thing I should mention is the first day I rode the bike, the seatpost slipped, and by the end of the ride it was 2" lower. My knee pain started on that ride. I was stupid and rode the second day. The seatpost slipped again, and my knee got worse. Yes, I admit that was a dumb move. I waited 8 days before taking the next ride. Knee still bothering me.

1) I am pushing too hard to early? The accident caused me to lose 2 months of riding. Before the accident, I rode 5-6 days a week, 30 miles/day. or
2) Do I really need to move my saddle forward to replicate the old setup? or
3) Give me right knee more time to heal?

Argghhh, this is really killing me. I have a great new bike, and I want to ride. I need to ride for my sanity. Please give me your thoughts.

re: What is wrong - knee pain?Woof the dog
Jan 10, 2004 10:52 PM
If its dull ache a lot of times you move around, on or off the bike, it sounds like a good ol' patellafemoural syndrome. Nothing to worry about!

course of action for you, fwiend!

a: check your position: leg extension/how much do you move your knee around when pedaling, smooth pedaling/doublecheck your position of knee/spindle.
b. don't change back the spindle/knee positioning. Neutral setup on the new bike should not cause you problems.
c. bring tools with you on every ride. Don't be a dumbass. I am surprised you didn't notice the 2 inch change. even 3 mm feel different for me.

d. go to the doc. He/she may tell you more than you think. I was told i pronate and i walk in a way which aggravated knees. Speedplays and stretching didn't help. Excersizes did, and so did weight liftig and walking in a controlled motion.
e. your doc will tell you to take ibuprofen and ice if he/she feels that you are having more than just a chronic pain. But in the end, they will tell you to do knee exercises. Thats where it all ends up in most of times. So, once your doc okays excersizes, do them. In my case, simple weight training helped. I was already flexible and rode speedplays while having this problem.
f. now that i reread your post, yes, after 2 months of no riding and then riding with 2 inches lower twice... uhm, just keep it simple. Don't be like those who go to the gym the first time and try to lift their max. Same for bikes and milage.

Don't stress it, go see physical therapist. You will save yourself a lot of nerves, and taking advice on the internet is never a full story. If you took that much time off due to your accident, taking an extra week off shouldn't be a problem. Its not like you and me are peaking for Tdf. Look at it from a positive p o view: you are going to get better - that is your only option, fwiend!

woof the dog.
re: What is wrong - knee pain?turbo6bar
Jan 11, 2004 8:25 AM
I tend to mash the pedals instead of pulling on my leg in the return stroke, despite the fact I usually spin at 100+ rpms. I know mashing can't be helping my knee.

The reason my seatpost slipped is because I used a 4" allen key in my tool kit and didn't apply full force. I wanted to be sure I could adjust the seatpost during the ride, and that's what screwed me. I ended up putting the arm into the allen wrench, and now it's fine. I should have noticed the seat was too low, but what can I say. I was stupid.

Does sound like patellafemoural syndrome, because it is a dull ache.

I will pay the doctor a visit to see if he has any good ideas. I do think it's just a matter of getting enough rest and easing back into riding, but I wanted to make sure there wasn't anything I could with the setup.

Not sure if I will try Speedplays or not. I wanted to buy a HRM, but perhaps trying Speedplays would be a better idea for now.

re: What is wrong - knee pain?Woof the dog
Jan 11, 2004 9:48 AM
you shouldn't need any new devices. its all a waste of money unless you know that it is the float that directly causes problems.

re: What is wrong - knee pain?hrv
Jan 11, 2004 9:50 AM
Can't add much to what our canine friend said, he pretty much covered it in depth.

Everyone's different, but the general consensus on knee pain in the front of the knee is saddle too high, or too far forward, or both. Just out of curiousity, after measuring where your saddle is now, move it back, and raise it, and see what happens. Start riding low miles/easy gears at first. Raise that sucker more than you think! If/when your knee feels better, lower it, a couple of millimeters only at a time. Be patient!

re: What is wrong - knee pain?Woof the dog
Jan 11, 2004 11:33 AM
i assume you meant back of the knee when saddle is too high. front pain when its too low. Thats why he had problems, cause it lowered.

mmmm... fluff

You are correct - - good dog! (nm)hrv
Jan 11, 2004 3:35 PM
re: What is wrong - knee pain?DeRosaOrBust
Jan 11, 2004 6:27 PM
If the inside of you knee is hurting, trying pointing you foot more toward the inside. Adjust your cleat a little so that it points more to the inside. Also check your float, you might have too much. I'd try and reduce it.

good luck
re: What is wrong - knee pain?Woof the dog
Jan 11, 2004 10:01 PM
or too little