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  1. #1
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    knee pain - what do i need to adjust? Right knee, inside, top.

    I've been chasing around fit problems a bit lately and i was curious if someone here would have a good idea regarding what to look at. Its my right knee, on the inside, and at the top of the knee. Seems like thats where a large muscle connects. I'm otherwise comfortable on the bike. Ride 6k miles a year, etc.

    any advice?

  2. #2
    Senior Member Northwestrider's Avatar
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    With 6k miles a year, I'm sure you know how high your saddle should be. Maybe the only option other than a professional fit, is, see a Doctor.

  3. #3
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    I have the exact same pain but hesitate to give my opinion since I'm such a novice.

  4. #4
    just another gosling Carbonfiberboy's Avatar
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    Sounds like a minor case of tendonitis. Could be anything: pedal stroke, knee position over the pedal, mashing out of the saddle, the way you slept one night . . . I usually take ibuprofen for a couple of days and see what happens.

  5. #5
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    Quote Originally Posted by XXLHardrock View Post
    I have the exact same pain but hesitate to give my opinion since I'm such a novice.
    you're on the internet - why would you hold back??

  6. #6
    Senior Member JerrySTL's Avatar
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    Top/front of the knee often means that the seat is too low and/or rpm's too low. However you'd think that there would be a problem with both knees in that case.

    However I just found out that I have a leg length discrepancy and put in 1/4" worth of shims under the cleat on the shorter leg. It allowed me to raise my seat 1/4". I probably could go to 1/2" of shims, but I'm going see how the 1/4" works first. So far so good.

    Another issue could be the cleat position on that side. Possible it's not allowing you to use all the float in one direction.

    That "inside" part worries me a little. I have pain on the inside, but it's from torn cartilage from the evils of running years ago. But it's more near the middle of the knee and not the top.

  7. #7
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    When I first began cycling about 4 years ago, I noticed my right knee would fall to the inside and nearly brush the top tube although there was no discomfort. My right knee tends to be a bit troublesome but is generally manageable. For example, playing tennis a hard courts causes discomfort but clay courts do not. The result is I'm used to paying attention to my knees. I found when I shimmed the right foot bed under the arch, that knee would then track straight up and down.

    I now notice some people on the local MUP with legs flopping out and about and have to wonder how their knees can take that punishment. I suspect that if if they put in enough miles their knees will feel the stress. In any case, you can check yourself if your knees are tracking straight up and down.

  8. #8
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    Quote Originally Posted by mattkime View Post
    you're on the internet - why would you hold back??
    Good point.

    I only ride up to about 30 miles max in a ride, but my right knee would develop the same pain and start to brush the top tube as I got tired around the 15-20 mile mark. I would also feel the need to twist my leg and rotate my heel inward. So I moved the cleat to allow the right foot enough float actually touch the crank as it goes by. This is quite different than the left foot. Im also using one orange Specialized shim in the right shoe. Although I wear orthodics in both when in street shoes. The pain seems to have been resolved and the leg seems to track straight now.

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