Cycling and bicycle discussion forums. 
   Click here to join our community Log in to access your Control Panel  


Go Back   > >

Road Cycling “It is by riding a bicycle that you learn the contours of a country best, since you have to sweat up the hills and coast down them. Thus you remember them as they actually are, while in a motor car only a high hill impresses you, and you have no such accurate remembrance of country you have driven through as you gain by riding a bicycle.” -- Ernest Hemingway

User Tag List

Reply
 
Thread Tools Search this Thread
Old 06-19-16, 12:04 AM   #1
Long Tom
Senior Member
Thread Starter
 
Join Date: Jun 2013
Location: Go Ducks!
Bikes:
Posts: 1,537
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 2 Post(s)
Any thoughts on this knee pain?

On a 50+ mile ride a couple days ago my right knee acted up about mile 35. By the end I was on one leg.

I trace this directly to an injury to the knee while backpacking in rugged country 4 years ago. It was problematic afterwards for a few months, then mostly faded away.

The pain is on the outside of the joint, and around the back a little. It isn't so much a power-application pain as a repetitive motion pain. Extending the leg hurts as much as bending it. No pain under the kneecap. My working theory is inflammation of a tendon or muscle sheath, or another similar band of harder tissue that things slide around in.

Two days later, I can barely feel it. That has been the case in the past as well, including the first occurance on the backpacking trip.

I know that addressing this with a fix can't really happen here, but I'm hoping for some thoughts from others who might have had a similar issue, to help me, I guess, self-diagnose this. Which is funny. But humor me here.

In my early 50's, tall, reasonably fit, ride 25-30 miles often without this problem.

Last edited by Long Tom; 06-19-16 at 12:10 AM.
Long Tom is offline   Reply With Quote
Old 06-19-16, 05:09 AM   #2
NILS14
Member
 
NILS14's Avatar
 
Join Date: Mar 2015
Location: Quebec, Canada
Bikes: Specialized Secteur Sport 2015, Felt F85 2011
Posts: 40
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
I have something similar to this. It turned out to be a flexibility issue. I went to see a physio because I didn't want to aggravate it and ruin my season. He gave me stretch exercises. I had to see him 5 times over 2 months.

I'll have to continue those exercises but it's like night and day now compared to before.

I strongly suggest you seek professional help. My insurance covered this 100%.
NILS14 is offline   Reply With Quote
Old 06-19-16, 07:03 AM   #3
Stratocaster
Senior Member
 
Join Date: Oct 2015
Location: PA
Bikes: 2015 CAAD 10; 2016 Felt Z85
Posts: 388
Mentioned: 2 Post(s)
Tagged: 0 Thread(s)
Quoted: 30 Post(s)
VERY similar situation to yours - 50 mile ride, pain started around mile 35...and by the last 5 miles I cold barely pedal. It was the right knee on the outside.
For the rest of the day it was difficult to go up and down stairs
By the next day it was somewhat better, but there was still considerable discomfort.
At the start of the 3rd day, I considered calling my doctor to make an appointment...but let it go. By that afternoon I was pretty much back to normal.

Somebody here said something to the effect, that, your muscles build strength faster than your tendons and ligaments. So it was basically doing too much, too early.
Somebody also suggested massaging the quad, above the knee and towards the outside. That seemed to help. I think lowering my bike seat a little also helped.

But everybody is different. My issue could in fact be totally different from yours.
Stratocaster is offline   Reply With Quote
Old 06-19-16, 10:18 AM   #4
bgrider
Senior Member
 
Join Date: Jun 2013
Bikes:
Posts: 231
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 3 Post(s)
Quote:
Originally Posted by Long Tom View Post
On a 50+ mile ride a couple days ago my right knee acted up about mile 35. By the end I was on one leg.

I trace this directly to an injury to the knee while backpacking in rugged country 4 years ago. It was problematic afterwards for a few months, then mostly faded away.

The pain is on the outside of the joint, and around the back a little. It isn't so much a power-application pain as a repetitive motion pain. Extending the leg hurts as much as bending it. No pain under the kneecap. My working theory is inflammation of a tendon or muscle sheath, or another similar band of harder tissue that things slide around in.

Two days later, I can barely feel it. That has been the case in the past as well, including the first occurance on the backpacking trip.

I know that addressing this with a fix can't really happen here, but I'm hoping for some thoughts from others who might have had a similar issue, to help me, I guess, self-diagnose this. Which is funny. But humor me here.

In my early 50's, tall, reasonably fit, ride 25-30 miles often without this problem.
your post above describes me at the beginning of this season exactly. I was starting to get very concerned that I could not go beyond about 40 miles with pain. It was very discouraging. By paying close attention to how and where in the pedal stroke i figured out the problem was at the transition into, and out of, max extension of the leg. I lowered my saddle 1/4 inch and it was like magic. No more problems. You might give this a try.
bgrider is offline   Reply With Quote
Old 06-19-16, 10:41 AM   #5
FBinNY 
Senior Member
 
Join Date: Apr 2009
Location: New Rochelle, NY
Bikes: too many bikes from 1967 10s (5x2)Frejus to a Sumitomo Ti/Chorus aluminum 10s (10x2), plus one non-susp mtn bike I use as my commuter
Posts: 30,013
Mentioned: 11 Post(s)
Tagged: 0 Thread(s)
Quoted: 392 Post(s)
I've had good luck using MSM to treat/manage/prevent knee pain. In all honesty, I don't know if it's a placebo effect, actually helps the knee or simply masks the issue, but I don't care because it reduces or eliminates any pain, and after a regimen of 3 weeks or so, the pain doesn't recur for months.
__________________
FB
Chain-L site

An ounce of diagnosis is worth a pound of cure.

“Never argue with an idiot. He will only bring you down to his level and beat you with experience.”, George Carlin

“One accurate measurement is worth a thousand expert opinions” - Adm Grace Murray Hopper - USN

WARNING, I'm from New York. Thin skinned people should maintain safe distance.
FBinNY is offline   Reply With Quote
Old 06-19-16, 10:44 AM   #6
Igualmente
Senior Member
 
Join Date: Aug 2014
Bikes:
Posts: 360
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 3 Post(s)
Possibly of use would be the chart (Chart 1) near the bottom of this page: BikeFit - Road Bikes
Igualmente is offline   Reply With Quote
Old 06-19-16, 11:55 AM   #7
Long Tom
Senior Member
Thread Starter
 
Join Date: Jun 2013
Location: Go Ducks!
Bikes:
Posts: 1,537
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 2 Post(s)
Thanks for the input. Lower my seat, eh? Hmmm. It's been a while since I messed with my "sacred fit" but maybe it's time!
Long Tom is offline   Reply With Quote
Old 06-19-16, 03:40 PM   #8
f4rrest 
Farmer tan
 
f4rrest's Avatar
 
Join Date: May 2008
Location: Burbank, CA
Bikes: Allez, SuperSix Evo
Posts: 3,106
Mentioned: 7 Post(s)
Tagged: 0 Thread(s)
Quoted: 220 Post(s)
Quote:
Originally Posted by Long Tom View Post
Thanks for the input. Lower my seat, eh? Hmmm. It's been a while since I messed with my "sacred fit" but maybe it's time!
Be careful! Lowering my seat contributed to my recent knee pain.

It's worth it to first try to determine whether you're already on the low side of the recommended seat height by measuring knee angle (video, screenshot the video on your PC, and then Gimp or Photoshop to measure angle).
f4rrest is offline   Reply With Quote
Old 06-20-16, 06:32 AM   #9
bgrider
Senior Member
 
Join Date: Jun 2013
Bikes:
Posts: 231
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 3 Post(s)
Quote:
Originally Posted by f4rrest View Post
Be careful! Lowering my seat contributed to my recent knee pain.

It's worth it to first try to determine whether you're already on the low side of the recommended seat height by measuring knee angle (video, screenshot the video on your PC, and then Gimp or Photoshop to measure angle).
Good suggestion - checking whether you are already on the low or high side of recommended saddle height is a good idea before making any changes. in my case, I had bumped up my saddle height a bit early in the season. Took me a while to figure out that it was related to the knee issue.
bgrider is offline   Reply With Quote
Old 06-20-16, 08:19 AM   #10
Fiery
Senior Member
 
Fiery's Avatar
 
Join Date: Oct 2010
Location: Bxl
Bikes:
Posts: 974
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 18 Post(s)
I developed similar pain in my right knee after experimenting with decreasing the Q-factor before a long ride. What seemed to cause and/or aggravate it was the foot rolling to the outside through the power phase of the stroke. What helped me was increasing the Q-factor and focusing on applying the power through the base of the big toe to prevent the foot rolling. Changing saddle height up or down doesn't seem to affect it for me. I've since had a fit where we added a few wedges under both feet, so I'm now experimenting with applying the power more evenly through the balls of my feet, but haven't spent enough time on it to determine if it helps for this particular issue.
Fiery is offline   Reply With Quote
Old 06-20-16, 10:13 AM   #11
milkbaby
blah blah blah
 
milkbaby's Avatar
 
Join Date: Aug 2009
Bikes:
Posts: 2,520
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 4 Post(s)
Possibly iliotibial band syndrome? Google it
milkbaby is offline   Reply With Quote
Old 06-20-16, 11:56 AM   #12
mrtrinh
Senior Member
 
Join Date: Mar 2013
Location: OC
Bikes: CAAD10
Posts: 90
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Quote:
Originally Posted by milkbaby View Post
Possibly iliotibial band syndrome? Google it
My first thoughts when I read the first post. It could be a fitness issue or a cleat issue. Hard to tell. Rolling it after a long ride helps
mrtrinh is offline   Reply With Quote
Old 06-20-16, 10:45 PM   #13
Carbonfiberboy 
just another gosling
 
Carbonfiberboy's Avatar
 
Join Date: Feb 2007
Location: Everett, WA
Bikes: CoMo Speedster 2003, Trek 5200, CAAD 9, Fred 2004
Posts: 11,359
Mentioned: 8 Post(s)
Tagged: 0 Thread(s)
Quoted: 144 Post(s)
Yeah, it's the IT band. The best treatment is stretches. These have worked well for me, mayb 3X a day to start, then 1X day:
IT Band pain (during ride)

Loosening up the hamstrings does the most good. The figure 4 stretches are important too. You can't really stretch an IT band, but you can loosen up the tendons which are being irritated by it, which is kind of the same thing.
__________________
Results matter
Carbonfiberboy is offline   Reply With Quote
Old 06-21-16, 06:41 AM   #14
Fiery
Senior Member
 
Fiery's Avatar
 
Join Date: Oct 2010
Location: Bxl
Bikes:
Posts: 974
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 18 Post(s)
I have IT band pain in my left knee, and it's completely different from the issue in my right knee I described previously. This article explains well how to diagnose it: https://www.painscience.com/articles...s-location.php

Last edited by Fiery; 06-22-16 at 06:33 AM.
Fiery is offline   Reply With Quote
Old 06-21-16, 07:16 AM   #15
Wheever 
Senior Member
 
Join Date: Jun 2014
Location: Westchester county, NY; Sag Harbor, NY; Pownal, VT
Bikes: 2015 Trek Domane 4.5 disk, Ancient Trek 820 Mt Bike.
Posts: 862
Mentioned: 1 Post(s)
Tagged: 0 Thread(s)
Quoted: 43 Post(s)
It sounds like the kind of pain I get when my saddle has slipped backwards past a certain point. (Damned trek 1-bolt clamp.) is it possible that your saddle has slipped? Or that it's getting worn out and somehow causing your position to move back a little? You should double check that. Sometimes these things happen so slowly you don't notice it until it reaches an extreme position.
Wheever is offline   Reply With Quote
Old 06-23-16, 12:41 AM   #16
Long Tom
Senior Member
Thread Starter
 
Join Date: Jun 2013
Location: Go Ducks!
Bikes:
Posts: 1,537
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 2 Post(s)
An update.... Before messing with fit on a bike I've put a lot of miles on, I decided to try to roll my IT band, since I easily could. Did several reps last night and a couple more today. Ouch.

My wife and I walked about 5 miles this morning, and I rode 30 miles this evening... not even a twinge. Guardedly optimistic. Thanks for the help folks!
Long Tom is offline   Reply With Quote
Reply


Thread Tools Search this Thread
Search this Thread:

Advanced Search

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off



All times are GMT -6. The time now is 06:59 PM.