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Old 07-07-05, 01:17 PM   #1
DEWBIKER
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Knee joint pain

Hello, I recently did a about a 100 mile stent on the Katy Trail out here in Missouri and was riding a new bike I had just picked up the week before and about 20 miles into the ride started feeling me knees hurting. I figured it was nothing so we continued on our way to the destination. My knees were hurting so bad by night time that I could barely pedal anymore. I was dreading the ride back the following day and during that ride I had to seriously quit the ride and wait for my riding buddy to finish the ride and bring back the car because I was in so much pain. I have never exprerience this kind of joint pain before ever and have ridden those types of rides in the past on different bikes and did not have that problem. I was told that I should have had the bike fitted so I have since then had the bike fitted to me and still a month later my knees still at times hurt even when I am not riding. They seem to be very slowly getting better but not back to normal. I have done small trail rides since and have gotton my knees flared a time or two but not as severe. Ok my question is has anyone ever experienced this pain and what should I do about it. My bike seems very comfortable and measures up well so I don't see how that could still be the problem. Any suggestions would be very appreciated. Thank you!!
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Old 07-07-05, 02:01 PM   #2
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Whereabout in your knees are you experiencing pain? All the time or during certain parts of the pedalstroke?
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Old 07-07-05, 02:05 PM   #3
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You can take glucosamine supplements. Also try increasing your cadence and avoiding steep hills if possible until your knees get better. If that doesn't help, you might want to consult an MD.
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Old 07-07-05, 02:29 PM   #4
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Thanks for the reply. My knees seem to hurt right in the middle of the joint and they do when they were flared, seem bruised when touching them. The did seem to hurt more on the up stroke than anything. I just figured enough time has gone buy that they should have settled down and since the bike is fitted now I wouldn't have the problem again but the little rides I have done since seem to keep irritating them.
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Old 07-07-05, 02:33 PM   #5
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Quote:
Originally Posted by Totoro
You can take glucosamine supplements. Also try increasing your cadence and avoiding steep hills if possible until your knees get better. If that doesn't help, you might want to consult an MD.

Thanks for the reply. I had a co-worker here recommend those pills as well and she even gave me a bottle of them and I took them for a week and didn't see a difference but I wasn't biking then and they weren't too terribly flared at the time. I will avoid steep inclines and increase cadence a bit and see if that works for me. I think it will since the last time I biked the hard pushing on the steep hills are what seemed to irritate them. Thanks again for the input.
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Old 07-07-05, 02:35 PM   #6
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I agree with the suggestion to gear down and put less strain on your knees. I had a torn miniscus operated on in the fall and riding has been good therapy, but if I push hard over several days of bike commuting they will start to ache big time. Pedaling in a lower gear with less strain on the knees usualy helps. And I second the notion of seeing an MD if the problem persists.
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Old 07-07-05, 02:38 PM   #7
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Hi,
if you are under 50, forget the glucosamine.
1) Let's get the swelling down. Ice at least twice daily for 20-30 minutes. Depends on what you got. You can use bags of frozen corn.
Get three, and swap them out after 5-10 minutes. Say about 7 minutes each.
2) Take 2 Alleve twice daily after a meal.
3) Take it easy on the knees for at least a week.
4) Start back in slowly
5) For God's sakes get the bike fitted to you before you need surgery.
6) See a Doc if you don't get better fast. In fact, just go see a Doc.

Last edited by late; 07-07-05 at 02:46 PM.
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Old 07-07-05, 02:47 PM   #8
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I agree with the above poster. I have had off/on knee issues. Too low saddle for me causes the issue. But rotating ice / heat pad helped control the swelling as did the med's
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Old 07-07-05, 04:24 PM   #9
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Quote:
Originally Posted by late
Hi,
if you are under 50, forget the glucosamine.
1) Let's get the swelling down. Ice at least twice daily for 20-30 minutes. Depends on what you got. You can use bags of frozen corn.
Get three, and swap them out after 5-10 minutes. Say about 7 minutes each.
2) Take 2 Alleve twice daily after a meal.
3) Take it easy on the knees for at least a week.
4) Start back in slowly
5) For God's sakes get the bike fitted to you before you need surgery.
6) See a Doc if you don't get better fast. In fact, just go see a Doc.
I've had BOTH knees replaced and this is the only sane response thus far even tho the others
mean well. Age doesn't mean much here either nor does your overall physical shape.

THIS IS NOTHING TO MESS WITH,MATE. GET THEE TO AN ORTHO DOC.......NOW....IF YOU WANT TO
CONTINUE TO USE YOUR LEGS. I KID YOU NOT!!!!!
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Old 07-07-05, 04:34 PM   #10
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I have my own personal favorite pain relief creme. It is called "Jointflex" and it is a godsend to me (under 50) and my mother (77 years old). She has frequent flairups in her knees. I get some pain and soreness in my legs. She tried the same pills recommended above and they did nothing for her. Jointflex has similar ingredients as the pills but it is applied directly on the pain site. It is very safe to use and it does not burn like some other popular pain relief creme. Try it!

Let us know if Jointflex helped you if you decide to give it a try.
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Old 07-07-05, 06:07 PM   #11
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About the Doctor, make sure you find a good one with some experience with cycling injuries or sport injuries in general. I saw two doctors about my knee pain. The one told me exactly why my knee was hurting, recommend some stretching exercise, etc. The other basically said, ride less, put an ice on your knee, keep taking anti flamitory pain killer. Thats like saying put a bandage on broken foot.
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Old 07-07-05, 06:16 PM   #12
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Pedalling too slow, resulting in high force on the knee jont, and saddle too low, are the two prime causes of knee pain.
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Old 07-07-05, 08:08 PM   #13
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Quote:
Originally Posted by late
Hi,
if you are under 50, forget the glucosamine.
1) Let's get the swelling down. Ice at least twice daily for 20-30 minutes. Depends on what you got. You can use bags of frozen corn.
Get three, and swap them out after 5-10 minutes. Say about 7 minutes each.
2) Take 2 Alleve twice daily after a meal.
3) Take it easy on the knees for at least a week.
4) Start back in slowly
5) For God's sakes get the bike fitted to you before you need surgery.
6) See a Doc if you don't get better fast. In fact, just go see a Doc.

I am 26 and this is the first time I have ever experienced a joint pain of anykind. I did get the bike fitted after that ride which I will add the only thing they figured out was a little off was the seat position. The height of the seat was just fine, they just moved it forward a few cm. I have since then ridden the bike and still it seems if I ride for more than 10-15 good miles they kind of start aching slightly so I then end my rides. I think I will take your and many other's advice and go see a sports doctor since I don't want to further injur my knees. Since I have ridden other bikes before for those consistent distances I just keep thinking that it had to have been the bike somehow. Thanks!
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Old 07-08-05, 07:04 AM   #14
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Quote:
Originally Posted by folder fanatic
I have my own personal favorite pain relief creme. It is called "Jointflex" and it is a godsend to me (under 50) and my mother (77 years old). She has frequent flairups in her knees. I get some pain and soreness in my legs. She tried the same pills recommended above and they did nothing for her. Jointflex has similar ingredients as the pills but it is applied directly on the pain site. It is very safe to use and it does not burn like some other popular pain relief creme. Try it!

Let us know if Jointflex helped you if you decide to give it a try.

Thanks for the post. I will for sure give it a try because anything that might help until it completely heels is worth a try. I will let you know how it works. Thank you!!
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Old 07-08-05, 07:10 AM   #15
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Is it possible that the new frame has different enough geometry that the angles on your cleats need adjusting to get your knees back to a more familiar angle?
Dunno as I'm kinda new to clipless myself.
I agree w/ the recommendation to see an ortho. They're fairly slow to radical action and are best qualified to help you sort out the issues.
CPW
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Old 07-08-05, 07:35 AM   #16
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Quote:
Originally Posted by CPW
Is it possible that the new frame has different enough geometry that the angles on your cleats need adjusting to get your knees back to a more familiar angle?
Dunno as I'm kinda new to clipless myself.
I agree w/ the recommendation to see an ortho. They're fairly slow to radical action and are best qualified to help you sort out the issues.
CPW
Yeah I thought of that too. The new bike is a larger frame than what I was previously riding but that is what they fitted me to and the bike is more comfortable than most other MTN bikes I have been on. It's a Trek 4500 19.5" frame and I am 6' tall. I just installed clipless on it last week and have not had a chance to ride much with those so I am hoping that it might help. The last tour I took on a different bike was around 80 miles on a Giant 17" frame which is way too small for me but my knees never hurt on that ride. The saddle was way over the bars and was pretty uncomfortable so it's weird that a more comfortable upright bike would cause my knee pain. Maybe it does, it just seem odd to me. Thanks again for your input. I appreciate it from everyone!!
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Old 07-08-05, 05:17 PM   #17
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Dewbiker, Go to a ortho doctorASAP to find why your knees hurt at all.
Arthritis knows no age limit. Get treatment or care ASAP to limit the damage.

DON'T PUT IT OFF AND DON'T PLAY WITH IT. YOU'LL LOSE.......

Trust me......I know from experience.
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Old 07-09-05, 10:24 AM   #18
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ONe thing also to keep in mind. If on that first long ride you damaged your knee joint somehow because of a bad bike fit, then now even after correctly adjusting the seat position your knees will still hurt due to the initial damage.

By the way, I know you can't judge the size of bike just by its seat tube height, but 19.5" on an MTB sounds big for someone 6', no?
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Old 07-11-05, 07:49 AM   #19
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Quote:
Originally Posted by Diggy18
ONe thing also to keep in mind. If on that first long ride you damaged your knee joint somehow because of a bad bike fit, then now even after correctly adjusting the seat position your knees will still hurt due to the initial damage.

By the way, I know you can't judge the size of bike just by its seat tube height, but 19.5" on an MTB sounds big for someone 6', no?

The bike doesn't seem too big for me. I figured when it comes to bike fit I would leave it upto the shop since I hope they do that on a regular basis. The shop guys when I took there after hurting my knees to get it fitted they said the frame was just size was just fine and to not bike much until my knees completely recover as he told me it just takes time to heal that. I am going to the doctor as soon as I free some time at work. The knees are not huring anymore but I have avoided the bike for a good month now. So I am also thinking I waited too late to see a doctor because if they are not inflamed what will the see? So I will wait a bit longer and then take a decent ride again and see what gives with the new fit. Thanks for the input.
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Old 07-11-05, 11:03 AM   #20
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This weekend I experienced a similar situation. I'm 27, have never had any problems of this nature and after 20 miles, it felt like someone was driving a nail into my knee cap. It only hurt on the down stoke so I just took some effort off my left leg during the down stroke. The pain seemed to come and go and vary in intensity from hardly noticable to almost unbareable. I haven't made any changes to my bike in the last couple months. The pain actually started about 2 weeks ago when I got my bike back from the LBS, who only adjust my shifting. I can't imagine them adjusting anything ride related. Could this just be an adjustment problem?
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Old 07-11-05, 02:18 PM   #21
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Quote:
Originally Posted by Mirage-t
This weekend I experienced a similar situation. I'm 27, have never had any problems of this nature and after 20 miles, it felt like someone was driving a nail into my knee cap. It only hurt on the down stoke so I just took some effort off my left leg during the down stroke. The pain seemed to come and go and vary in intensity from hardly noticable to almost unbareable. I haven't made any changes to my bike in the last couple months. The pain actually started about 2 weeks ago when I got my bike back from the LBS, who only adjust my shifting. I can't imagine them adjusting anything ride related. Could this just be an adjustment problem?

I've worked at a bike shop, and I can tell you that often times the wrench will raise the seatpost to clamp it into the work stand. When they're done, sometimes the position isn't returned to exactly where it started previously.

Also, it's possible that over time, your seatpost could have slipped lower without you noticing. Even a couple of millimeters can make enough difference to induce knee problems.

Check your saddle height again, and mark the post somehow when you've found the best position.
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Old 07-11-05, 04:33 PM   #22
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Hrm, thanks for the tip Wurm. I'll check it before I do anymore riding.
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Old 07-11-05, 08:26 PM   #23
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Go to a ortho doctorASAP to find why your knees hurt at all.
Arthritis knows no age limit. Get treatment or care ASAP to limit the damage.
----------------------------------------------------------------------------

This may be helpful. I injured my knee by rock climbing and slipping. It was so bad that I could not walk unassisted.
Went to specialist MD and had MRI. Was told I had arthritis in both knees and they wonder why I did not know. The MD prescribed Vioxx and I was able to walk with braces. The MD had no other suggestions. I asked if light exercise on bike is OK and they approved. I did one and later two hours per day at 70 to 80 RPM, low pressure. After three months I dared to switch from Vioxx to Advil (4-6 a day). After one year no more Advil. After two years back to double and quadruple centuries biking and can do 18 to 20 miles per hour without any discomfort.
The arthritis is there, I know when I jog for more than a few miles. Biking seems to work. I am careful not to use too much pressure however. 80 to 100 RPM.
I am not suggesting you have my condition. I am saying that high RPM low pressure biking seems to be good for damaged knees. I have been told that it puts a protective layer of muscles around the joint. Sounds good to me. I am 63.
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Old 07-11-05, 08:49 PM   #24
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Have you tried riding a different bike to see if the pain happens? Maybe it is the bike. Make sure you let the joints rest so there isn't permanent damage.
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Old 07-11-05, 09:44 PM   #25
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Quote:
Originally Posted by will dehne
...I am saying that high RPM low pressure biking seems to be good for damaged knees. I have been told that it puts a protective layer of muscles around the joint. Sounds good to me. I am 63.
Good stuff, Will.
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