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Standing + Big Gears Always = Knee Problems?

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Road Cycling
Published
4 April 2006
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10 April 2006
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Steve Sr.
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  1. Hello,

    Before I get to the details let me start by saying that I am in my
    late 40's. Before anyone suggests bike fit as a cause let me say that
    the bike fit is good as evidenced by no knee problems until starting
    the above. I have also been riding about 100 miles a week through the
    winter so this isn't a spring over doers thing either.

    I have recently been trying to increase my strength by pushing hills
    while standing and slightly bigger gears sometimes while riding. I
    have noticed an increase in strength but unfortunately my knees don't
    seem able to take the added stress.

    So here I am sitting by the computer with my knee wrapped in an ice
    pack. This is probably patellar tendinitis as the pain seems to come
    from tendons on the top inside and bottom outside of the kneecap. The
    best I can tell is that the knee gets inflamed which then causes
    tendons and such to move out of place causing even more problems.

    So, am I doing something wrong? Other folks I ride with, some younger,
    some older, don't seem to have a problem standing or pushing bigger
    gears. Is there anything I can do to solve this or have I been
    genetically unlucky and born with bad knees? If not I have probably
    reached my cycling limit.

    Thanks,

    Steve

  2. Steve Sr. <[email hidden]> wrote in
    news:[email hidden]:

    Quoted message said:

    So, am I doing something wrong? Other folks I ride with, some younger,
    some older, don't seem to have a problem standing or pushing bigger
    gears.

    They probably have stronger leg muscles. If your knees hurt, then your
    muscles aren't strong enough for the kind of riding you are trying to do.
    You need more base miles to build up your strength.

  3. Doctor doctor! It hurts when I go like this!

    Then don't go like that.

  4. Have you had this before?

    Well, you have it again.

    But, seriously. If this happened to me, I would be making an appointment
    with my doctor.

  5. Ken said:

    Steve Sr. <[email hidden]> wrote in
    news:[email hidden]:

    Quoted message said:

    So, am I doing something wrong? Other folks I ride with, some younger,
    some older, don't seem to have a problem standing or pushing bigger
    gears.

    They probably have stronger leg muscles. If your knees hurt, then your
    muscles aren't strong enough for the kind of riding you are trying to do.
    You need more base miles to build up your strength.

    No smart ass intended here but I do the same at 57 and notice no
    difference from standing and attacking or running up several flights of
    stairs. I also sometimes just push top gear at a leisurely 16 MPH and
    notice no problems except sore leg muscles if I do it for too many
    miles. Do you have any arthritis in your family? It ran in my mother's
    side yet neither my sister or I have any sign. How old are you, since
    that could be a factor, and do you get any regular exercise at work?
    Even running from cubicle to cubicle counts.
    Bill Baka

  6. Steve Sr. said:

    Hello,

    Before I get to the details let me start by saying that I am in my late
    40's. Before anyone suggests bike fit as a cause let me say that the
    bike fit is good as evidenced by no knee problems until starting the
    above. I have also been riding about 100 miles a week through the winter
    so this isn't a spring over doers thing either.

    I have recently been trying to increase my strength by pushing hills
    while standing and slightly bigger gears sometimes while riding. I have
    noticed an increase in strength but unfortunately my knees don't seem
    able to take the added stress.

    So here I am sitting by the computer with my knee wrapped in an ice
    pack. This is probably patellar tendinitis as the pain seems to come
    from tendons on the top inside and bottom outside of the kneecap. The
    best I can tell is that the knee gets inflamed which then causes tendons
    and such to move out of place causing even more problems.

    So, am I doing something wrong? Other folks I ride with, some younger,
    some older, don't seem to have a problem standing or pushing bigger
    gears. Is there anything I can do to solve this or have I been
    genetically unlucky and born with bad knees? If not I have probably
    reached my cycling limit.

    You should probably get lower gears to ease the stress on your
    knees. However, I think pushing big gears at low cadences while sitting
    is worse than while standing. So if you're having trouble pushing
    at least 60-70rpm, get out of the saddle no matter what gear you're in.
    Straighten your leg at the top of the stroke, riding the pedal down with a
    straight leg, letting your weight do the work. This way you limit the
    force on your knees to that of your own weight.

    You might be able to work with a physical therapist or personal trainer to
    build leg strength through weight training, or a program of short hill
    climbs.

    Matt O.

  7. There's some other factors that can cause this. Were you warmed up
    enough before standing and pushing? Also, was the weather cold? Did
    you have something warm over your knees? You're in your late 40s.
    Take care of your knees. Don't push too hard. If you're doing 100
    mile rides, that in itself could be hard on the knees.

    When cooled off, do your knees pop or creak when you stand up? If so,
    first I'd try a combination of icing and massaging two or three times a
    day. Standing on a pillow on one leg is a good PT exercise. Do other
    exercises and stretches besides cycling.
    Jim Gagnepain
    http://home.comcast.net/~oil_free_and_happy/

  8. Steve Sr. said:

    Hello,

    Before I get to the details let me start by saying that I am in my
    late 40's. Before anyone suggests bike fit as a cause let me say that
    the bike fit is good as evidenced by no knee problems until starting
    the above. I have also been riding about 100 miles a week through the
    winter so this isn't a spring over doers thing either.

    I have recently been trying to increase my strength by pushing hills
    while standing and slightly bigger gears sometimes while riding. I
    have noticed an increase in strength but unfortunately my knees don't
    seem able to take the added stress.

    So here I am sitting by the computer with my knee wrapped in an ice
    pack. This is probably patellar tendinitis as the pain seems to come
    from tendons on the top inside and bottom outside of the kneecap. The
    best I can tell is that the knee gets inflamed which then causes
    tendons and such to move out of place causing even more problems.

    So, am I doing something wrong? Other folks I ride with, some younger,
    some older, don't seem to have a problem standing or pushing bigger
    gears. Is there anything I can do to solve this or have I been
    genetically unlucky and born with bad knees? If not I have probably
    reached my cycling limit.

    Steve,

    You've got to sneak up on it a little.
    Remember that your muscles can write
    checks that your tendons and ligaments
    can't cash. So you've got to strengthen
    your connectors with some additional
    patience. Immediately go back to spinning
    easier gears--the knee pain should go
    away. Then slowly build up resistance
    to let your cords catch up. You'll be painlessly
    powering big gears before too long.

    If your knees still hurt even while spinning
    easy gears, you've got some other problem.
    Maybe a loose, worn out, or misaligned
    cleat, something like that.

    Robert

  9. Steve Sr. said:

    I have recently been trying to increase my strength by pushing hills
    while standing and slightly bigger gears sometimes while riding. I
    have noticed an increase in strength but unfortunately my knees don't
    seem able to take the added stress.

    Unless you're climbing with way (way way) bigger gears I'd be sort of
    surprised that this was enough to trigger knee pain -- but since this
    isn't a particularly effective way to improve your power, if you think
    it's causing you problems, don't do it.

  10. Quoted message said:

    You've got to sneak up on it a little.
    Remember that your muscles can write
    checks that your tendons and ligaments
    can't cash. So you've got to strengthen
    your connectors with some additional
    patience. Immediately go back to spinning
    easier gears--the knee pain should go
    away. Then slowly build up resistance
    to let your cords catch up. You'll be painlessly
    powering big gears before too long.

    I agree with this. I have had tendonitis since I broke my kneecap in
    2000. This is the first year I've been able to climb without pain. What
    was different this time is that I really concentrated on sprints to
    build my muscle strength before I went crazy in the hills.

    I do high cadence explosive sprints, starting at ~22mph at 100 rpm and
    topping out at 160-180 in 20 second efforts. I worked up to being able
    to do 10 of these in around 30 minutes for my short strength workouts.
    These are all-out sprints. I grow fangs and try to break [censored] --
    totally explosive efforts -- but always high cadence.

    Once I got to the point that I could feel the "snap" was back, I went
    back to the hills. My sprint was feeling like it did in 1992 when I was
    a 21-year-old Cat 3. It was great. Now I could lay a trail of fire up
    the steepest sections on the steeper hills around here (20% - 25%
    grade) and not experience any knee pain, standing or sitting.

    Even my wife could tell that my knee was healthier just by the way I
    was walking and the kinds of rides I was doing. Now I'm just doing
    maintenance: sprints every week or two, a hill repeat workout, some
    intervals, a couple road rides, some mountain biking, maybe a PR
    attempt up Jester... I'm feeling great.

    -Mike

  11. I'm 52 and started experiencing knee pain this year when cycling and
    using the bigger gears. It seemed to go away when I raised my saddle 2
    cm.
    Fred

  12. Ken said:

    Steve Sr. <[email hidden]> wrote in
    news:[email hidden]:

    Quoted message said:

    So, am I doing something wrong? Other folks I ride with, some younger,
    some older, don't seem to have a problem standing or pushing bigger
    gears.

    They probably have stronger leg muscles. If your knees hurt, then your
    muscles aren't strong enough for the kind of riding you are trying to do.
    You need more base miles to build up your strength.

    Yes, this was certainly the case with me as well. In fact I had very
    painful tendonitis after getting back into biking after a few years
    off, probably the very same symptoms as the OP.

    Base miles at high cadence (low gearing) was key to painless cycling.
    I think what happened in my case initially was over-exertion. Before
    the break I hardly ever rode in the small chainring on the flats. My
    mistake was thinking I should be able to do the same after the break.

    Again, I can't stress how important it is to let your legs get stronger
    GRADUALLY to avoid knee pain. Your mind says to you "I should be able
    to comfortably go faster than this!" but you have to very be patient.
    If you don't think you are getting a sufficient "workout" just bike
    longer distances (instead of faster, as in more powerfully). During
    base mile recovery phase I changed out my chainrings from 53/42 to
    50/39 and almost never used the large chainring except for going
    downhill.

    There is nothing more discouraging than biking with knee pain.

  13. Per Steve Sr.:

    Quoted message said:

    So here I am sitting by the computer with my knee wrapped in an ice
    pack.

    Go easy. Back off. Your body will become less insult-tolerant with every year
    and there's no sense insulting it any more than you have to.

    You'll hear about of people who keep on pushing and pushing with apparent
    invulnerability - but the reason you hear about them is that they're still in
    the game. The ones who inflicted unrecoverable injuries on themselves just
    quietly fade out as they are forced to seek other activities.

    I don't have any idea what the percentages are either way, but it doesn't really
    matter: if something's bothering your particular bod, that's all that matters.
    If you can find a specific cause/solution, go for it... but don't figure on
    gutting it out.

    Also, if an orthopod suggests a surgical "fix", I'd do some homework on long
    term outcomes. I know too many people who had, for instance, an offending
    meniscus removed; went back to running; and wound up *really* messed up five
    years later.
    --
    PeteCresswell

  14. Quoted message said:
    Quoted message said:
    Quoted message said:

    Go easy. Back off. Your body will become less insult-tolerant with every year


    and there's no sense insulting it any more than you have to.

    You'll hear about of people who keep on pushing and pushing with
    apparent
    invulnerability - but the reason you hear about them is that they're
    still in
    the game. The ones who inflicted unrecoverable injuries on themselves
    just
    quietly fade out as they are forced to seek other activities.
    ---

    I agree. I think everyone is different, some people can push big gears
    up steep hills and do it for years with no problem. Other folks need
    to take care of their legs, warm up carefully, pay attention to their
    cadence and effort level.... I personally don't think leg strength is
    that big a deal. Not too long ago I met the brother a coworker. We
    agreed that his calves are smaller than my forearms.... I am riding to
    work every day, he's riding for the Navigators in Europe...

    I think the key is listening to one's own body and taking heed. One
    shouldn't just decide that "I need greater leg strength." I think your
    body is giving you a solid message, probably was giving hints before
    this....

    Disclaimer: I think cycling should be fun and enjoyable at every
    moment. Never let training ruin a good ride...

    Jon

  15. fred said:

    I'm 52 and started experiencing knee pain this year when cycling and
    using the bigger gears. It seemed to go away when I raised my saddle 2
    cm.
    Fred


    Saddle height is a bigger factor than most people realize. If you get it
    right your legs should be just about fully extended at the bottom of the
    stroke and you should be able to use your calf muscles for a little
    extra push. Some of the kids think it is cool to have the saddle all the
    way down and have their knees come up so high they block their vision,
    but this is the 13 to 15 year old crowd. If they only knew.
    Standing and pushing a big gear should be about like running up a flight
    of stairs unless the gear is so big you are pulling up on the
    handlebars, then it is time to back off.
    Remember that if you are 52 you don't need to train so hard as to hurt
    yourself, and it is all about staying fit at that point.
    I hope you work it out.
    We aren't ALL racers.
    Bill Baka

  16. Bill Baka said:
    Ken said:

    Steve Sr. <[email hidden]> wrote in
    news:[email hidden]:

    Quoted message said:

    So, am I doing something wrong? Other folks I ride with, some younger,
    some older, don't seem to have a problem standing or pushing bigger
    gears.

    They probably have stronger leg muscles. If your knees hurt, then your
    muscles aren't strong enough for the kind of riding you are trying to do.
    You need more base miles to build up your strength.

    No smart ass intended here but I do the same at 57 and notice no
    difference from standing and attacking or running up several flights of
    stairs. I also sometimes just push top gear at a leisurely 16 MPH and
    notice no problems except sore leg muscles if I do it for too many
    miles.

    Interesting. I might try this and see what happens.

    Quoted message said:

    Do you have any arthritis in your family? It ran in my mother's
    side yet neither my sister or I have any sign.

    Unfortunately, I seem to have some kind of connective tissue /
    arthritis genetic link on my mother's side. If I had to guess I would
    say it all boils down to major loss of flexibility and propensity for
    inflamation. The loss of flexibility causes tendons and other
    connective tissue to go places where it shouldn't causing a vicious
    cycle of inflamation.

    And yes, I do a lot of stretching, mostly after a ride. I have found
    trying to stretch beforehand to be ineffective. This is one reason I
    have been trying spread the cycling out over the week which tends to
    help keep thing loosened up.

    Quoted message said:

    How old are you, since

    49.

    Quoted message said:

    that could be a factor, and do you get any regular exercise at work?
    Even running from cubicle to cubicle counts.

    My exercise at work is riding 25 miles 2 days a week at lunch.

    Quoted message said:

    Bill Baka

  17. On 4 Apr 2006 04:00:59 -0700, "damyth" <[email hidden]>

    Quoted message said:


    Ken said:

    Steve Sr. <[email hidden]> wrote in
    news:[email hidden]:

    Quoted message said:

    So, am I doing something wrong? Other folks I ride with, some younger,
    some older, don't seem to have a problem standing or pushing bigger
    gears.

    They probably have stronger leg muscles. If your knees hurt, then your
    muscles aren't strong enough for the kind of riding you are trying to do.
    You need more base miles to build up your strength.

    Yes, this was certainly the case with me as well. In fact I had very
    painful tendonitis after getting back into biking after a few years
    off, probably the very same symptoms as the OP.

    Base miles at high cadence (low gearing) was key to painless cycling.
    I think what happened in my case initially was over-exertion. Before
    the break I hardly ever rode in the small chainring on the flats. My
    mistake was thinking I should be able to do the same after the break.

    But this was one of my points. I am currently doing 100-125 base miles
    a week and have not really slacked off this winter so I am not really
    coming off a break.. So you are saying that this is not enough base
    miles?

    Quoted message said:


    Again, I can't stress how important it is to let your legs get stronger
    GRADUALLY to avoid knee pain. Your mind says to you "I should be able
    to comfortably go faster than this!" but you have to very be patient.
    If you don't think you are getting a sufficient "workout" just bike
    longer distances (instead of faster, as in more powerfully). During
    base mile recovery phase I changed out my chainrings from 53/42 to
    50/39 and almost never used the large chainring except for going
    downhill.

    Same here. I usually spin at 80-110 rpm but this doesn't appear to
    build strength, just endurance. What is a big ring? :-) Oh, that
    one... It gets used about twice a month on big downhills.

    Quoted message said:

    There is nothing more discouraging than biking with knee pain.

    I can think of one worse. It is not knowing if and when you knees are
    going to act up and how far you'll be from home when this happens. In
    the last case it was about the last 15 miles of a metric.

  18. Steve Sr. <[email hidden]> wrote in
    news:[email hidden]:

    Quoted message said:

    But this was one of my points. I am currently doing 100-125 base miles
    a week and have not really slacked off this winter so I am not really
    coming off a break.. So you are saying that this is not enough base
    miles?

    How much riding are your friends doing? How hilly are your 100 miles/week?
    Spinning over hilly terrain is much better for your fitness level than
    spinning on flat ground.

  19. Matt O'Toole said:
    Steve Sr. said:

    Hello,

    Before I get to the details let me start by saying that I am in my late
    40's. Before anyone suggests bike fit as a cause let me say that the
    bike fit is good as evidenced by no knee problems until starting the
    above. I have also been riding about 100 miles a week through the winter
    so this isn't a spring over doers thing either.

    I have recently been trying to increase my strength by pushing hills
    while standing and slightly bigger gears sometimes while riding. I have
    noticed an increase in strength but unfortunately my knees don't seem
    able to take the added stress.

    So here I am sitting by the computer with my knee wrapped in an ice
    pack. This is probably patellar tendinitis as the pain seems to come
    from tendons on the top inside and bottom outside of the kneecap. The
    best I can tell is that the knee gets inflamed which then causes tendons
    and such to move out of place causing even more problems.

    So, am I doing something wrong? Other folks I ride with, some younger,
    some older, don't seem to have a problem standing or pushing bigger
    gears. Is there anything I can do to solve this or have I been
    genetically unlucky and born with bad knees? If not I have probably
    reached my cycling limit.

    You should probably get lower gears to ease the stress on your
    knees. However, I think pushing big gears at low cadences while sitting
    is worse than while standing.
    So if you're having trouble pushing
    at least 60-70rpm, get out of the saddle no matter what gear you're in.
    Straighten your leg at the top of the stroke, riding the pedal down with a
    straight leg, letting your weight do the work. This way you limit the
    force on your knees to that of your own weight.

    Interesting point. I always thought that standing would be worse since
    your knee cap actually comes loose and then snaps back into place once
    per revolution while standing. Anybody else care to weigh in on which
    is really worse?

    Quoted message said:

    You might be able to work with a physical therapist or personal trainer to
    build leg strength through weight training, or a program of short hill
    climbs.

    My lunch time hill program is called Pump Station Rd. It is about 0.4
    miles long and steep enough to stand in a higher gear or spin it about
    60-70 in a 39/25-27 gear.

    Steve

    Quoted message said:


    Matt O.

  20. oilfreeandhappy said:

    There's some other factors that can cause this. Were you warmed up
    enough before standing and pushing?

    yes

    Quoted message said:

    Also, was the weather cold? Did
    you have something warm over your knees?

    Yes and yes.

    Quoted message said:

    You're in your late 40s.
    Take care of your knees. Don't push too hard.
    If you're doing 100
    mile rides, that in itself could be hard on the knees.

    It doesn't seem to be for other folks in my age group which is why the
    original post.

    Quoted message said:

    When cooled off, do your knees pop or creak when you stand up? If so,
    first I'd try a combination of icing and massaging two or three times a
    day. Standing on a pillow on one leg is a good PT exercise. Do other
    exercises and stretches besides cycling.

    I do have what doctors have called crepitas where tendons snap over
    calcified deposits. Sometimes the pain orriginates from one or more of
    these areas and sometimes it is just a non-specific ache. However, I
    have crepitas in both knees and only one knee is currently causing a
    problem.

    Quoted message said:

    Jim Gagnepain
    http://home.comcast.net/~oil_free_and_happy/

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