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Old 05-30-09, 08:21 AM   #1
Berge20
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Tweaked Knee

New around here, so hope this is the right place.

Just started getting into cycling last month and have encountered my first potential injury. Been a pretty low mileage rider so far (max ride of ~25 miles) just whenever I have some time. Last weekend, I was out for a ride and early on as I hit the main road I got up to speed really quickly (more so that I usually would) and something happened with my right knee. It was painful and I considered stopping, but I just pulled off to a side road and lightly cruised for a bit and the pain relatively quickly went away. Could still feel something not quite right, but was easily able to finish the ride as planned.

It was the first time I had my new pedals/shoes on (previously was wearing just sneakers with flat pedals), not sure this is relevant (but fyi). No idea if location of the cleats on the shoes could impact something like this or not.

No issues walking, running, or even notice it any other time.

Took the week off, but when I hopped back on today there definitely was still some lingering issues. It's on the top-inside part of the right knee. It is more of a discomfort than a pain. I don't notice anything when I'm taking it easy, but when I'm trying to get up a lot of speed it is very noticeable. Climbing inclines is somewhere in between the two. Also when I'm stopped, if I let the leg extend fully to the ground it feels fine, but if I have it up in the pedal ready to push off there is discomfort.

Any helpful thoughts? Understanding this is an Internet forum and not my doctor
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Old 05-30-09, 10:40 AM   #2
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Yeah, you pulled something in your knee, or maybe it's a swelling/RSI kind of thing. Try ibuprofen to see if it's a swelling thing and just goes away. In any case, it'll probably go away in a couple of weeks. Just take it easy. Happens to my knees all the time, but apparently not as badly as this thing with yours. Might have something to do with pushing too hard before you're warmed up. Also possible that, as a lower mileage rider, you're not comfortable pedaling at a high cadence. High cadence will decrease the load on the knees.

It may be something to do with your new shoes and pedals - good chance of that. Do your pedals have float - IOW can you wiggle your heel back and forth a few degrees when clipped in? Do your feet sit on the pedals in their natural orientation? Most folks have toes pointed straight ahead or a few degrees out.
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Old 05-30-09, 06:29 PM   #3
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possible torn meniscus requiring arthroscopic surgery, take ibuprofen for 4 weeks, if it doesn't improve see an orthopedic surgeon
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Old 05-31-09, 08:24 AM   #4
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It may be something to do with your new shoes and pedals - good chance of that. Do your pedals have float - IOW can you wiggle your heel back and forth a few degrees when clipped in? Do your feet sit on the pedals in their natural orientation? Most folks have toes pointed straight ahead or a few degrees out.
Natural orientation is with the toes a bit outward, perhaps too much since I'd always seem to have the back side of my heel rubbing the bike prior to the shoes. With the shoes/pedals, current orientation is almost exactly straight.

No float on my pedals. Unless I'm just not seeing it.
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Old 05-31-09, 08:38 AM   #5
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No float on my pedals. Unless I'm just not seeing it.
What specific pedals and cleats are you using?

It's extremely important to setup your cleats properly. While I can't say the specific cause of your injury, improper cleat placement can cause lots of pain and (sometimes) injuries.
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Old 05-31-09, 09:45 AM   #6
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What specific pedals and cleats are you using?

It's extremely important to setup your cleats properly. While I can't say the specific cause of your injury, improper cleat placement can cause lots of pain and (sometimes) injuries.
Shimano PD-A520 Sport SPD Pedal
Shimano SH-56 Multi-Release SPD Cleats
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Old 05-31-09, 07:07 PM   #7
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I walked at lunch for years for exercise, and whenever I changed my shoes I felt it in my knees, for about a week. it may be that your knee just has to get used to the new angles.
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Old 05-31-09, 08:20 PM   #8
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Today was such a beautiful day that I couldn't stay inside. Made a slight adjustment to my shoes and took it easy. No additional problems or any pain, although by the end of the run that area still wasn't quite right. But far better than yesterday.
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Old 06-02-09, 09:40 AM   #9
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did you have your bike fitted properly- it sounds like your bike seat may be too low. raise it up a bit and see if it helps
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Old 06-02-09, 08:42 PM   #10
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Bike was fully fitted at the shop, so not sure that's the issue--although never hurts to recheck it.

I definitely spoke too soon after Sunday's easy ride. Tonight first real pain cropped up when I was going down stairs and putting pressure on that leg. Sharp and not good.
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Old 06-08-09, 10:36 AM   #11
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I would recommend seeing a physiotherapist, I had a similar situation occur resently to me the difference being mine was the on the outside of my right knee. I did alot of research on the internet and came to the conclusion that a professional is the only way to go. After my assessment the problem turn out to be called IT band Syndrome, who would of known but a seasoned professional. So I was given two different exercises one consists of stretching the IT band and the other is messaging the area by using a 3" cylinder covered with a towel and rolling on it with my thigh. Once I have completed the week or two of therapy I should be able to return to cycling, but it was made clear at the time that I need to do the following. The therapist mentioned that I should warm up 10 minutes then stretch for 5 to 10 minutes then proceed to do your ride pain free. The same should be repeated after cycling 10 minute cool down and then stretch all of the leg muscles. It all sounds very tedious and boring but if you want to cycle pain free give it a try as well make sure your bike is properly fitted to you, which can be verified by your therapist. Prevention is the key word here and I had to learn the hard way. Cheers....
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Old 06-08-09, 03:41 PM   #12
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Yeh, I'm about to that point.

Tried several different things (stretches, ice treatments, etc) and it doesn't appear to be improving much, if at all.
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Old 06-09-09, 09:35 AM   #13
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not to high-jack the thread, but i have a similar problem, only its the muscle right at the top above the knee. its not swollen but it hurts like the dickens when i go to stand up or pedal. walkings fine though. any ideas?
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Old 06-09-09, 10:26 AM   #14
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If you only feel pain when cycling, its cycling. You changed your shoes/pedals, did you adjust your seat height? This and pushing too strong a gear (low cadence) are the most common sources of minor knee problems. If it was a serious issue you would be feeling pain during other activities, especially on stairs. If this is the case go to your primary care doc and get it figured out, and ignore all of us. For now, just do RICE (rest, ice, compression, elevation) with 300mg ibuprofen after rides.
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Old 06-09-09, 10:32 AM   #15
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not to high-jack the thread, but i have a similar problem, only its the muscle right at the top above the knee. its not swollen but it hurts like the dickens when i go to stand up or pedal. walkings fine though. any ideas?
Standing up in general or standing on your pedals?
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Old 06-09-09, 12:22 PM   #16
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in general.
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Old 06-09-09, 12:59 PM   #17
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in general.
Just a thought...prepatellar bursitis. I have had a lifetime of knee issues due to snowboarding, football, soccer...not a doctor here but I think it is always best to get knee problems checked out early.

http://www.med.umich.edu/1libr/sma/sma_prepburs_sma.htm
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Old 06-10-09, 05:58 PM   #18
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its not the knee. its the muscle above the knee. and its only when i go to stand up, the action of standing up before youre actualy standing up. that make sense?
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Old 06-19-09, 02:31 PM   #19
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could be alot of things, go see a Doctor that deals w/ knees only,
it will give you piece of mind
good luck
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