I suddenly developed quite an intense pain in one knee. My milage and effort have been fairly stable over the past 2yrs. Bike is properly fit (seat height, etc.), no changes made to it for over 1yr.. I tend to be a high cadence (100+) rider, although I'll stand up for sprints, etc.
It started in early Jan. I had done a 99mi ride and it started quickly about several days later (in the interim I had been riding 20-45mi each day with no pain) but during a 25mi ride 5 days later I really noted it - I really don't know if the long ride was the trigger or something else. I had before done 75-85 mi rides with no issue during or post. I had never had knee pain of any sort before. Pain is typical of Chondromalacia - front of knee, increases with squatting, up stairs. Was quite painful day after riding.
I stopped cycling almost as soon as pain started and scheduled Dr. appt. After two weeks of rest, icing, antiinflamatories, I tried gently cycling again (3mi, 10-12mph) and pain came back very quickly. Finally the appt. with knee specialist. X-rays found no bone damage or obvious issue, but found my knee cap to be rotated slightly outward (thicker cartlidge on inside of leg vs. outside). MRIs are planned, but not yet occured to see if any cartlidge damage.
Perscription is to see PT 2x/wk for 6wks for "knee patelofemoral pain/lateral complex, Evaluate and Treat" Dr. explained it will entail strengthening inside quad. muscles near full extention and stretching of outside knee. She said light/short cycling (i.e. round the neighborhood) is OK and wont cause futher damage. I know rest and PT is key.
Here is the point of my posting: Can anyone who has gone thru this share your experiences? Any tips (beyond following Dr.)? Any ways of coping with not cycling for so long? (I can't run due to back injury - compressed disc) It now been almost 4wks with virtural no cycling and I still get quite a bit of pain in my knee when squatting/going up stairs. I also know MRI is key to understanding if there is a more serious issues. But what I don't understand is why after 2yrs of cyling why this would come on so suddenly and so strong?