Originally Posted by
Tourist in MSN
Today while doing a long exercise ride, I thought of one more thing you might try. This is specific to your Achilles tendon, not the knee. I found that my foot was happier when I moved my cleats back about 10 mm from where the ball of my foot was. (I use shoes and pedals with SPD cleats, I do not know if you do or not.) This means that I am using the foot muscles less to push down on the ball of the foot than if my cleats were further forward. The downside is that I have more toe overlap with front wheel and fender.
From the picture in his previous post, it looks like he's riding flats. Even so, he can shift is foot forward and accomplish the same thing. He might also try adjusting the foot alignment on the pedal, if the knee pain is one the side of the knee.