RT

'Round these parts, that could mean 'dispensary'.

generalkdi

It was a doctor in a small physical therapy place? I guess the answer is both!

atallen223

Well made an appointment for a sports (I don't know if you call what I do a sport, more of a pity but hey whatever) medicine doctor for Monday!

atallen223

Thank you everybody for your input. I was on the fence about going to the Dr. and I think you convinced me it's the best bet.

generalkdi

Good luck and keep us up with the results!

atallen223

That sort of place my help the pain temporarily....

lungimsam

Try riding for a while with regular flat pedals like MKS Touring pedals instead of clipped in pedals. That way your knee won't be as subject to that locked in SPD position. Also, you may need more float like Speedplay clipless pedals offer.

atallen223

Yeah I tried some flats, and no luck.

aramis

I'd still recommend getting rid of the SPD's and going with speedplays. I had some really bad knee issues that "knock on wood" haven't given me trouble in a long time. Funny thing is the issues started when I used spds (from flats/clips) and ended when I switched to speedplays.

My foot likes to move during the pedal stroke and each foot actually wants to center in a much different spot (and sometimes it moves a little during a ride) than the other so having non-centering float helps a ton.

If you damaged something and it hasn't healed, you could possibly still get pain riding flats or on anything really.

tran.300

In this case, get on the trainer right now and try it. If there is no pain there then it is certainly the bike.

If this is the case, then what you need to do is review what exactly that fitter did as not all bike fits are perfect in the long run.
With no pain on the trainer, you should try to replicate the geometry/form that the trainer provides. I'm assuming you ride for enjoyment, no? I think comfort is of utmost importance and that should be your primary goal when setting your bike.

Ahaz

I had the same problem years back. Took me months to figure it out, and probably doesn't apply to you, but have you crashed or dropped your bike? I had horribly knee pain that just killed me on the bike, and felt fine on the bike. I had crashed before the knee pain started, but didn't think anything of it at the time and I got up and finished the ride fine.

Turns out I had bent one pedal spindle on my keos slightly. Impossible to see on the bike, I could only tell for sure after I had taken both pedals off and held them up side by side. A new set of pedals solved it.

Banershka

This thread has taught me a lot.
I was having some knee discomfort (not pain) and looked at my feet when walking straight ahead. My feet looked more like this.....\ / than this...l l, and I was riding like this...l l.
So I took a ride (spun) for an hour today like this..\ / and problem solved!
Thanks folks!

Ray

sfrider 

Anecdotally, the only time I've had similar problems has been from minor knee twists, that left an MCL slightly irritated - but they've healed up on their own. See a sports physician; but my WAG FWIW would be a lack of float puts a twisting force on your knee and strains the MCL... In that case the fix will likely involve some combination of pedal adjustment or change, and cleat wedges.

Nachoman

I'll also add that you may have to try a few different therapists or sports physicians before you find the right one.
Personally I had hamstring issues that dogged me literally for years until I found one guy that was able to resolve my issues.

cmc0108

Your first step should be to go see a physical therapist who focuses on sports injuries.

I can almost guarantee that they can find what is wrong with your knee. It's likely something about the mechanics of pedaling that bothers your knee. Could be ligament, tendonitis, IT band, or a number of other things.

If you don't get a doctor's prescription for the PT, it can be quite expensive, but in my experience, its completely worth it.

Carbonfiberboy 

Nothing to do with the pedals. Could easily be ordinary chondromalacia (google), a class of patellofemoral pain syndrome (google). Also could be patellar tendinitis (google). It's usually a patella tracking problem due to a muscular imbalance. Happens all the time to cyclists. Very common. Quickest remedy (start now) is high kicks. With the leg held straight and stiff and one hand on the wall, kick as high as you can. 15 reps. Do both legs, why not. Repeat a couple of times per day. Don't ride at all. Walking, running, etc., is fine and a good idea as long as there is no pain. Take ibuprofen 600 mg 3 X day. After a week of this, raise your saddle 5mm or so and do a zone 1 workout on the flat or on rollers or trainer. 1/2 hour, normal cadence. If no pain, repeat every day for a few days. Then try a little more. Discontinue ibuprofen after 2 weeks. If this doesn't work, needs more specialized PT, probably weight work, but this usually fixes it.

Also do some stretches. See this post: https://www.bikeforums.net/showthread...1#post15372967

Question is why only 1 leg. Possibly your knees don't track exactly the same. Watch them as you pedal. Should be no side-to-side movement, just a straight line between bottom and top position whether you pedal knees in or not. Also possibly some old knee or muscular injury got the patella tracking off.

coasting 

You put too much faith in a fitting. maybe you have something specific to your physiology in the knee area. Try out different set ups and see what works for you.

atallen223

So many good comments I can't reply to all of them! But I'm gonna try, because I appreciate the input.

atallen223

Yeah that might be a good idea. I just want to make sure nothing is injured then I'll try something with a little more float to them.

atallen223

I don't think I have ever crashed with this setup... knock on wood. And after your comment I looked at them and they are both straight, but thanks for the input!

atallen223

Cool! I'm glad the thread helped!

atallen223

I'm really hoping it's something minor like that. I'm guessing since I don't have pain walking around that it'll be minor, and after the sports medicine doctor's visit if I have a clean bill of health I'm going to be playing around with the fit/setup a lot.

atallen223

but they make so much money! They should be able to tell me exactly whats wrong with me without error

atallen223

My first plan is to see a sports medicine doctor then pt if nexessary

atallen223

When I was doing the fitting the fitter noticed that my right knee would almost do a circular motion as I was pedaling (different plane than just pedaling circles), but we thought we fixed it with inserts.... That might be a very big cause of this if somehow I'm still doing it.