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knee problem

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UK and Europe
Published
21 October 2007
Last activity
23 October 2007
Original author
Adam Lea
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14
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  1. Over the past month or so, I have had a problem with my right knee
    which occurs after I have been cycling on the road bike with clipless
    pedals. It seems to be a sharp pain which occurs whenever I bend the
    knee significantly, and appears to be coming from a tendon (it is not
    a muscular pain). I have had clipless pedals for several months now
    and I had no problems throughout the summer. I have tried adjusting
    the cleat which seemed to help at first, but the problem is coming
    back again. It is odd because there is some freedom of movement when I
    am clipped in). I seem to be fine when riding the Birdy which has
    ordinary pedals. The left knee has no problems whatsoever. Has anyone
    any ideas what to try? I hope I am not on a one way journey to a knee
    replacement operation in my fifties.

    Thanks

    Adam

  2. Adam Lea said:

    Over the past month or so, I have had a problem with my right knee
    which occurs after I have been cycling on the road bike with clipless
    pedals. It seems to be a sharp pain which occurs whenever I bend the
    knee significantly, and appears to be coming from a tendon (it is not
    a muscular pain). I have had clipless pedals for several months now
    and I had no problems throughout the summer. I have tried adjusting
    the cleat which seemed to help at first, but the problem is coming
    back again. It is odd because there is some freedom of movement when I
    am clipped in). I seem to be fine when riding the Birdy which has
    ordinary pedals. The left knee has no problems whatsoever. Has anyone
    any ideas what to try? I hope I am not on a one way journey to a knee
    replacement operation in my fifties.

    How's the saddle height? Too high and it could hurt the back of the
    knee, too low and it could stress the front. Multiply your inseam by
    0.883 and that should be the length from the bottom bracket axle along
    the seat tube to the top of the saddle (max 5 inches seat post
    showing).

    There's a whole section on bike setup (and another one on knee pain)
    in 'Serious Cycling' a book by Edmund Burke.

    My bike's a lot more comfy from having applied the rules, before I had
    the saddle way high thinking it was a good way to get the power down
    from the legs.

    HTH,

    Duncan

  3. Duncan Smith said:
    Adam Lea said:

    Over the past month or so, I have had a problem with my right knee
    which occurs after I have been cycling on the road bike with clipless
    pedals. It seems to be a sharp pain which occurs whenever I bend the
    knee significantly, and appears to be coming from a tendon (it is not
    a muscular pain). I have had clipless pedals for several months now
    and I had no problems throughout the summer. I have tried adjusting
    the cleat which seemed to help at first, but the problem is coming
    back again. It is odd because there is some freedom of movement when I
    am clipped in). I seem to be fine when riding the Birdy which has
    ordinary pedals. The left knee has no problems whatsoever. Has anyone
    any ideas what to try? I hope I am not on a one way journey to a knee
    replacement operation in my fifties.

    How's the saddle height? Too high and it could hurt the back of the
    knee, too low and it could stress the front. Multiply your inseam by
    0.883 and that should be the length from the bottom bracket axle along
    the seat tube to the top of the saddle (max 5 inches seat post
    showing).

    There's a whole section on bike setup (and another one on knee pain)
    in 'Serious Cycling' a book by Edmund Burke.

    My bike's a lot more comfy from having applied the rules, before I had
    the saddle way high thinking it was a good way to get the power down
    from the legs.

    HTH,

    Duncan

    I'm about an inch too low according to that formula. I'll try raising
    the saddle a little and see how that goes.

  4. Adam Lea said:

    Over the past month or so, I have had a problem with my right knee
    which occurs after I have been cycling on the road bike with clipless
    pedals. It seems to be a sharp pain which occurs whenever I bend the
    knee significantly, and appears to be coming from a tendon (it is not
    a muscular pain). I have had clipless pedals for several months now
    and I had no problems throughout the summer. I have tried adjusting
    the cleat which seemed to help at first, but the problem is coming
    back again. It is odd because there is some freedom of movement when I
    am clipped in). I seem to be fine when riding the Birdy which has
    ordinary pedals. The left knee has no problems whatsoever. Has anyone
    any ideas what to try? I hope I am not on a one way journey to a knee
    replacement operation in my fifties.

    Thanks

    Adam

    See a sports physio.

    I know nothing about your case but knee problems are common for
    cyclists. I think alignment problems are more likely than arthritis.

    Do you do stretching after a ride.

  5. Duncan Smith said the following on 21/10/2007 22:18:

    Quoted message said:

    (max 5 inches seat post showing).

    That's a bit outdated these days.

    --
    Paul Boyd
    http://www.paul-boyd.co.uk/

  6. in article [email hidden], Duncan
    Smith at [email hidden] wrote on 21/10/07 22:18:

    Quoted message said:
    Adam Lea said:

    Over the past month or so, I have had a problem with my right knee
    which occurs after I have been cycling on the road bike with clipless
    pedals. It seems to be a sharp pain which occurs whenever I bend the
    knee significantly, and appears to be coming from a tendon (it is not
    a muscular pain). I have had clipless pedals for several months now
    and I had no problems throughout the summer. I have tried adjusting
    the cleat which seemed to help at first, but the problem is coming
    back again. It is odd because there is some freedom of movement when I
    am clipped in). I seem to be fine when riding the Birdy which has
    ordinary pedals. The left knee has no problems whatsoever. Has anyone
    any ideas what to try? I hope I am not on a one way journey to a knee
    replacement operation in my fifties.

    How's the saddle height? Too high and it could hurt the back of the
    knee, too low and it could stress the front. Multiply your inseam by
    0.883 and that should be the length from the bottom bracket axle along
    the seat tube to the top of the saddle (max 5 inches seat post
    showing).

    My saddle's over an inch higher than what this formula gives- but it doesn't
    take into account how big your feet are- mine are size 13/48.

    Ben

  7. Paul Boyd usenet.is.worse@plusnet said:

    Duncan Smith said the following on 21/10/2007 22:18:

    Quoted message said:

    (max 5 inches seat post showing).

    That's a bit outdated these days.

    Is that because more modern frames typically have a more compact
    geometry? I take it the inseam * 0.883 method still hold true? When
    I did that, it just so happened that about 5" of seat-post was showing
    which was reassuring. Have to say it's lower than I would've chose
    for myself, but now the bars are within 5cm of saddle height too - so
    far it feels pretty good - better than before.

    Another thing you could look at is KOPS (Knee Over Pedal Spindle), sit
    on the bike with cranks horizontal at 3 and 6 O'clock - as a base,
    adjust the saddle fore and aft so the bony protusion of the knee is
    directly over the centre of the pedal's spindle. Then for road use
    take the saddle back a cm or two so the knee is behind the spindle.

    Regards,

    Duncan

  8. Ben Micklem said:

    in article [email hidden], Duncan
    Smith at [email hidden] wrote on 21/10/07 22:18:

    Quoted message said:
    Adam Lea said:

    Over the past month or so, I have had a problem with my right knee
    which occurs after I have been cycling on the road bike with clipless
    pedals. It seems to be a sharp pain which occurs whenever I bend the
    knee significantly, and appears to be coming from a tendon (it is not
    a muscular pain). I have had clipless pedals for several months now
    and I had no problems throughout the summer. I have tried adjusting
    the cleat which seemed to help at first, but the problem is coming
    back again. It is odd because there is some freedom of movement when I
    am clipped in). I seem to be fine when riding the Birdy which has
    ordinary pedals. The left knee has no problems whatsoever. Has anyone
    any ideas what to try? I hope I am not on a one way journey to a knee
    replacement operation in my fifties.

    Quoted message said:

    How's the saddle height? Too high and it could hurt the back of the
    knee, too low and it could stress the front. Multiply your inseam by
    0.883 and that should be the length from the bottom bracket axle along
    the seat tube to the top of the saddle (max 5 inches seat post
    showing).

    My saddle's over an inch higher than what this formula gives- but it doesn't
    take into account how big your feet are- mine are size 13/48.

    Ben

    Hm, formula said to take 3mm off for SPDs - which would still leave
    you 23mm or so off the guide - maybe Paul is right and the seat-post
    bit should be ignored these days.

    It also makes a difference if you go straight up from BB or follow the
    slope of the seat tube, I think you should be following the slope,
    unless the angle is extreme, then maybe I'd scientifically pitch for
    somewhere between the two :-)

  9. Duncan Smith said the following on 22/10/2007 10:31:

    Quoted message said:

    Is that because more modern frames typically have a more compact
    geometry? I take it the inseam * 0.883 method still hold true?

    I think so, because the basic saddle to pedal position is still fixed by
    the rider's leg length. It's just that many frames have sloping top
    tubes, not just MTBs, so there is often more seatpost sticking out.

    I use the "heel on pedal with almost straight leg" method to get the
    saddle height right for me, then tweak from there. The x0.883 method
    does come out fairly close to how I have the saddle though.

    --
    Paul Boyd
    http://www.paul-boyd.co.uk/

  10. In article <[email hidden]>,
    Duncan Smith
    [email hidden] says...

    Quoted message said:

    How's the saddle height? Too high and it could hurt the back of the
    knee, too low and it could stress the front. Multiply your inseam by
    0.883 and that should be the length from the bottom bracket axle along
    the seat tube to the top of the saddle (max 5 inches seat post
    showing).


    Apart from the comedy value of applying such precision to a rule of
    thumb, that doesn't allow for fore/aft saddle position (obviously you
    should measure to the middle of the top of the saddle, rather than along
    the seat tube), thigh/shin proportion, foot size, pedalling style, crank
    length/pedal height (and why does the seat post length matter?) ...

  11. Adam Lea said:

    Over the past month or so, I have had a problem with my right knee
    which occurs after I have been cycling on the road bike with clipless
    pedals. It seems to be a sharp pain which occurs whenever I bend the
    knee significantly, and appears to be coming from a tendon (it is not
    a muscular pain). I have had clipless pedals for several months now
    and I had no problems throughout the summer. I have tried adjusting
    the cleat which seemed to help at first, but the problem is coming
    back again. It is odd because there is some freedom of movement when I
    am clipped in). I seem to be fine when riding the Birdy which has
    ordinary pedals. The left knee has no problems whatsoever. Has anyone
    any ideas what to try? I hope I am not on a one way journey to a knee
    replacement operation in my fifties.

    Could it possibly be that the minor twisting to release from the
    clipless pedals is the problem?

    I had a painful knee for a good bit of the summer --- and none of the
    usual runner's overuse stuff like runner's knee or jumper's knee that
    have troubled me a lot.

    I was new to clipless pedals and didn't know that I could loosen the
    attachment thingy or put a little oil on it. Mind you, releasing was so
    difficult that I once fell off when stopping at a roundabout--- but that
    wasn't the cause of the pain.

    I think knees dislike twisting more than any other movement, no matter
    how minor.

    Ah, left knee no problem? Which do you detach when becoming stationary?

    Best regards,

    Jon C.

  12. Rob Morley said:

    In article <[email hidden]>,
    Duncan Smith
    [email hidden] says...

    Quoted message said:

    How's the saddle height? Too high and it could hurt the back of the
    knee, too low and it could stress the front. Multiply your inseam by
    0.883 and that should be the length from the bottom bracket axle along
    the seat tube to the top of the saddle (max 5 inches seat post
    showing).

    Apart from the comedy value of applying such precision to a rule of
    thumb, that doesn't allow for fore/aft saddle position (obviously you
    should measure to the middle of the top of the saddle, rather than along
    the seat tube), thigh/shin proportion, foot size, pedalling style, crank
    length/pedal height (and why does the seat post length matter?) ...

    Don't suppose the seat post does matter, perhaps it was mentioned as a
    'belts and braces' approach? Book also said if your saddle is a long
    way off only adjust it by 2mm a week until you get it right which
    suggests they think every mm is improtant - personally I don't and did
    it all in one hit, and if the saddle is +- cm or so then that's fine
    too.

    http://www.cyclemetrics.com/pages/Docs/6-BikeFitting/LemondSystem/fit_formulas.htm

    Saddle fore and aft was mentioned I think in relation to the KOPS,
    likewise pedaling style - sprinters 1cm forward, roadies 2cm back,
    etc.

  13. Jonathan Campbell said:
    Adam Lea said:

    Over the past month or so, I have had a problem with my right knee
    which occurs after I have been cycling on the road bike with clipless
    pedals. It seems to be a sharp pain which occurs whenever I bend the
    knee significantly, and appears to be coming from a tendon (it is not
    a muscular pain). I have had clipless pedals for several months now
    and I had no problems throughout the summer. I have tried adjusting
    the cleat which seemed to help at first, but the problem is coming
    back again. It is odd because there is some freedom of movement when I
    am clipped in). I seem to be fine when riding the Birdy which has
    ordinary pedals. The left knee has no problems whatsoever. Has anyone
    any ideas what to try? I hope I am not on a one way journey to a knee
    replacement operation in my fifties.

    Could it possibly be that the minor twisting to release from the
    clipless pedals is the problem?

    I had a painful knee for a good bit of the summer --- and none of the
    usual runner's overuse stuff like runner's knee or jumper's knee that
    have troubled me a lot.

    I was new to clipless pedals and didn't know that I could loosen the
    attachment thingy or put a little oil on it. Mind you, releasing was so
    difficult that I once fell off when stopping at a roundabout--- but that
    wasn't the cause of the pain.

    I think knees dislike twisting more than any other movement, no matter
    how minor.

    Ah, left knee no problem? Which do you detach when becoming stationary?

    Best regards,

    Jon C.

    I do have a tendency to detach the right foot preferentially. Maybe it
    is the twisting action that is aggrivating my knee. I must admit that
    is something I hadn't thought of.

    Perhaps I should make sure to detach carefully in future.

  14. Duncan Smith said the following on 22/10/2007 17:17:

    Quoted message said:

    personally I don't and did it all in one hit

    Likewise - I just realised that the saddle on my commuter has been
    slipping down ever so gradually over time (achy knee was the clue!).
    Last night I hoiked it back up half an inch.

    --
    Paul Boyd
    http://www.paul-boyd.co.uk/

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