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Knee problems

Old 10-04-08, 07:13 PM
  #1  
WCB
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Knee problems

I am not 50 yet but almost there. My question is about knee problems. About a week ago I noticed the tendon that attaches to my right knee cap was hurting a little after riding. I noticed it especially when going up a flight of stairs. I felt a slight pain on the bottom of my knee cap. I held off riding for a week to let it heal and about went into DT's from not getting to ride. I rode today and used lower gears as not to mash so hard on the pedals. So far so good. No pain. But I'm worried now about using higher gears. I don't want the knee problem to come back but I like giving my legs a good work out.
Any suggestions for exercises to strengthen the tendon or should I just stick with the lower gears?
Thanks
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Old 10-04-08, 09:56 PM
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colorado dale
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nothing around Mt airy is flat !! I rode there with Cycle NC in 2001

Colorado is an open access state we can go visit a PT without seeing a Dr
if that is so for NC a visit to a local PT and picking up a set of exercises that work for you
will be worth it

I recently had knee pain and saw an ortho he basically told me due to previous injuries I
had some bone on bone and the best thing for the pain was to ride more. YES!!!

If you have any kind of decent medical plan go see a sports medicine specilist
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Old 10-05-08, 04:38 AM
  #3  
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If you have any kind of decent medical plan go see a sports medicine specilist
+1. You have a medical problem. Your knee may be sprained. See a doctor. No one here can diagnose you or prescribe a treatment sight unseen.
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Old 10-05-08, 05:22 AM
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You might want to play around a bit with the height and other adjustments of your saddle.

Recently, I had some pains in the tendon at the top of my knee cap (patella). I relaxed for a few days and the pain went away, and has not returned. I did 35 miles, including hills, yesterday with nary a whimper.

But, the advice to see a sports specialist MD is good if the pain continues.
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Old 10-05-08, 08:06 AM
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WCB
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Thanks evryone. If the problem persists I'll see a Dr.
WCB
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Old 10-05-08, 08:57 AM
  #6  
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something else you may wish to try is a professional bike fitting, can be costly, but is well worth the money if it reveals the problem and then can be corrected. If you cannot recall anything that caused the injury to begin with then it probably an overuse or fit issue.

BTW I had one done resently and discovered I have been on the wrong size bike, it has corrected all the pains I was having in my legs.
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Old 10-05-08, 08:57 AM
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Many knee-tendon problems are with the iliotibial band. Check this as a starter http://www.itbs.info/ but you can use Google for lots more info.

There are a number of stretches and exercises recommended for this problem.
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Old 10-05-08, 12:59 PM
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WCB, at not quite 50, you're in the zone where all the wear and tear starts showing up. Sometimes you have to manage these things on a long term basis. I found that by going to lower gears and spinning more gave me a great aerobic workout, and seriously relieved the knees. Being mindful of this, you can still do some higher gear workouts on your legs, just cut back some, and don't push too hard. When you hit 60, your knees will be glad you eased up. bk
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Old 10-05-08, 01:43 PM
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Originally Posted by bkaapcke View Post
WCB, at not quite 50, you're in the zone where all the wear and tear starts showing up. Sometimes you have to manage these things on a long term basis. I found that by going to lower gears and spinning more gave me a great aerobic workout, and seriously relieved the knees. Being mindful of this, you can still do some higher gear workouts on your legs, just cut back some, and don't push too hard. When you hit 60, your knees will be glad you eased up. bk
I took up cycling because the knees would not allow me other forms of exercise. Cycling does take the strain off the knees- BUT- Only on a bike that is set up for me. Seat position- Crank length- Toe in on the pedals and gearing that does not make me strain.

Lots of things to try but get to a doctor to confirn that it is nothing serious.
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Old 10-05-08, 03:00 PM
  #10  
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I support seeing a doc, if directed get a PT, rest to allow the pain to subside and to see if it does, and to get a good fitting, but one common cause of pain on the front of the knee is saddle too low. I've found just a sixteenth of an inch lift can prevent or reduce recurrence of a knee problem. This implies that the wide range of other potential problems are not in evidence, hence the suggestion to get a fitting.
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Old 10-05-08, 05:59 PM
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gOoGLE RUNNERS KNEE

hi,
I had runners knee before I started biking, so its not surprising it surface its ugly head now and then,
Most knee pain due to runner knee is possiably due to a imbalance in muscles of the knee and the tendons, I googled runner knee and they reccomended at several sites to practice flexing you Quads with your knee straight this dosen't rub the back of the patella and seems to help with the allignment, I was skeptical at first but after a few days it eased off.
SO I lock my leg straight and flex those quads till my eyes water 3 0r four times a day .
Hey its better than messing with DR"S they always want to cut and fix. and I am getting some nice quads....and PS I am pushing 58 this month...
Doug

Last edited by djnzlab1; 10-05-08 at 06:02 PM.
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Old 10-05-08, 08:00 PM
  #12  
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When I was putting on lots of miles getting ready for a century in August, I started to get pain on the top of my left knee and pain under the right knee. The century just made it worse. I took a week off the bike to let the pain subside.

Helped but not enough. I went and had a professional bike fit done. He moved the seat up to help alleviate the top of knee pain in the left knee. He added two shims to the right shoe to help with the under knee pain in the right knee. That and some cleat alignment and now I'm pain free in the left and almost in the right. Not huge adjustments but just right.

Now if the snow holds off for a few more weeks....
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Old 10-05-08, 09:27 PM
  #13  
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Knee problems are serious of course. You got all kinds of good advise including to see a doctor.
I would advise you to try saddle height adjustment before you go to a doctor. I set up my bike wrong one time because I was in a hurry. Now understand that I bike about 50 miles per day every day.
The saddle was too low and I developed knee pain immediately.
I adjusted the saddle to where it should be. Pain is gone.
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Old 10-06-08, 06:55 AM
  #14  
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Thanks everyone. All sound advice. I took a week off and the soreness subsided. I rode yesterday and tried to stay in lower gears as much as I could. When I got home I put a cold pack on my knee for 10-15 min. It appears to have worked. No soreness nor pain today. BTW my bike is fitted. It is a Trek I got at the local bike shop. The owner spent a good bit of time with me setting the bike up.
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Old 10-06-08, 10:48 PM
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Originally Posted by WCB View Post
I am not 50 yet but almost there. My question is about knee problems. About a week ago I noticed the tendon that attaches to my right knee cap was hurting a little after riding. I noticed it especially when going up a flight of stairs. I felt a slight pain on the bottom of my knee cap. I held off riding for a week to let it heal and about went into DT's from not getting to ride. I rode today and used lower gears as not to mash so hard on the pedals. So far so good. No pain. But I'm worried now about using higher gears. I don't want the knee problem to come back but I like giving my legs a good work out.
Any suggestions for exercises to strengthen the tendon or should I just stick with the lower gears?
Thanks
Oh mahn, you're in Big DooDoo!

I normally suggest amputation, but in your case a good dunkin in boilin oil should take care of it!





Ok, so you prolly won;t give that a try...
I guess somethin less dramatic might called for.

90% of these quickie joint issues, especially the knee thing, can be attributed to a lowlevel injury/tweak caused by excessive or misplaced effort while in some state of fatigue. Its not hard to let your pedal stroke deteriorate to the point where you'll cause some low level 'use' injury.
happens to many of us, regularly.
yes, give it time to heal. yes, ride low gears and keep the effort light. yes, pay closer attention to your pedal stroke while doing these easy 'recovery' level rides and learn how to keep the effort smooth. The common mis-conception is that all there is to pedalin is jump on the bike and go. Prolly works for the once-a-month 2-4 mile ride; but certainly not for anyone doing 3 or 4 rides a week and loggin longer rides.
Its easy to fall into a pedal motion which is compensatory and injurious. I've done it often enough, while tryin to keep up (or just ride hard) when I really shouldn't have. my Stupidity, paid for by a week or 2 of light or no ridin
be a student of proven and reliable sources on 'pedalin science' and subjective studied opinion is a good way to 'learn' what works best for each of us, but do be discerning. There's plenty of subjective bull**** available also.
On fit. Lets assume your bike guy did a decent job of sizing and getting the setup done to 'handgrenade close'. You get to fiddle it to better than 'handgrenade close' - but make really small changes to try and do only ONE change at a time, then ride it for some lengthy (as in a week or 2) period.
more fit - if the bike guy didn;t pay any attention to your cleat position and rotation, he missed a VERY important part of 'fit'.
everyone using clipless pedals (or even oldstyle clips and straps) should really pay big attention to position and rotation - even on designs with 'float'.
hey, good luck for a quick recovery and longterm improvement
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