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Clicking of the knee when getting up from squat position?

Old 11-11-18, 08:59 PM
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Clicking of the knee when getting up from squat position?

My girlfriend is as fit as she has ever been after cycling nearly everyday for several months on our tour of Asia. We have had alot of rest days recently due to meeting family and waiting for visas etc.

Bit concerened about a slight crackling sound coming from one of her knees when she gets up from the squat position though. She says she feels no pain and that her legs feel strong.

Can that sound be normal?

Wondering what percentage of long distance cyclists get knee trouble?

Cheers
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Old 11-11-18, 10:03 PM
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I have had that for years. Typically it is my 'low hydration' indication when on a ride/race. Drink more electrolytes and it usually goes away.
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Old 11-12-18, 12:02 AM
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Originally Posted by mtbikerinpa View Post
I have had that for years. Typically it is my 'low hydration' indication when on a ride/race. Drink more electrolytes and it usually goes away.
Cheers for that.

Can the knee crackling because of low hydration happen on only one knee?
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Old 11-12-18, 01:40 AM
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Originally Posted by bikebasket View Post
My girlfriend is as fit as she has ever been after cycling nearly everyday for several months on our tour of Asia. We have had alot of rest days recently due to meeting family and waiting for visas etc.

Bit concerened about a slight crackling sound coming from one of her knees when she gets up from the squat position though. She says she feels no pain and that her legs feel strong.

Can that sound be normal?

Wondering what percentage of long distance cyclists get knee trouble?

Cheers
welcome to old age. At least that's what happens with many of my joints.
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Old 11-12-18, 03:23 AM
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Mine have done that for years, now there is arthritis in the joints.
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Old 11-12-18, 04:03 AM
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If there is no pain or discomfort then don't worry about it.
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Old 11-12-18, 08:25 PM
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Originally Posted by bikebasket View Post
Cheers for that.

Can the knee crackling because of low hydration happen on only one knee?
My right one yes.
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Old 11-12-18, 09:36 PM
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The bone ends of your knee joint are lined with cartilage that contain grooves and ridges along which they track. When you squat you move the joint beyond its normal range of motion and when you straighten the cartilage may "click" as the grooves and ridges re align. Over a long time this could cause wear that results in osteo arthritis. I would try not to do it if you can help it.

Occasionally a clicking can be caused by a small meniscus tear that catches in the joint.

Sometimes, clicking can also result from incorrect tracking of the patella, or knee cap. My legs are super fit but even still I had this last year as a result of muscle imbalance between the quads and VMO. The much stronger quad was pulling my knee cap out of alignmen as it moved over the joint. The fix was targeted strength training of the VMO.

Best bet, if it continues, is to just get an assessment by a physio. They will be able to pinpoint the cause easily by performing certain movements.

The same clicking effect is caused when you crack your knuckles btw. You are "clicking" the catilage there too.

Last edited by Happy Feet; 11-12-18 at 09:41 PM.
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Old 11-13-18, 01:22 AM
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This happens to me when I’ve stopped doing squats for a while. I guess that the muscles become weaker so can’t hold the knee bones in place as they were able to do when my legs were much stronger. The clicking usually goes away after several weeks of daily squats to get my legs back to their usual strength.
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Old 11-13-18, 06:26 AM
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Originally Posted by Happy Feet View Post
Sometimes, clicking can also result from incorrect tracking of the patella, or knee cap. My legs are super fit but even still I had this last year as a result of muscle imbalance between the quads and VMO. The much stronger quad was pulling my knee cap out of alignmen as it moved over the joint. The fix was targeted strength training of the VMO.
Same deal here. Any suggestions for really effective VMO isolation?
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Old 11-13-18, 08:46 AM
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fwiw - my knee surgeon told me the worst thing for a knee is a deep knee bend with a twist. so if you're going all the way down & all the way up, do it straight

I've read that "clicking" in knees, can be loose/slightly torn cartilage
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Old 11-13-18, 09:27 AM
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https://www.livestrong.com/article/2...e-of-the-knee/
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Old 11-13-18, 03:09 PM
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Even healthy knees can have poppings at extreme angle. So, the solution is tell your gf not to squat too low, stop before the popping sound happens. She isn't going to "miss out" much on any benefits of weight training, but it might save her from premature knee arthritis!
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Old 11-13-18, 03:55 PM
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Originally Posted by smashndash View Post
Same deal here. Any suggestions for really effective VMO isolation?
What I did was knee extensions on a machine like this. Most gyms have one. The key is to have the knee already partially extended at the start (you set the machine for that) so that the resistance (weight) is only on the last part of the extension which is where the VMO works. If you start from full flexion as usual you initiate the quad instead. Also, you can tap the VMO as it works to recruit more muscle fibers.Just a poke poke poke into the VMO, not too hard, not too soft, as it contracts. 3x10 to start, moderate weight and build from there.

Watch the video. When the guy does the exercise see the VMO really contract at the upper range of the extension - that's what you want to isolate instead of the quad/VMO activation the whole range of motion creates.

I should add this was part of an overall winter training program I did to combat knee pain due to incorrect tracking of the Patella. Last year I was resorting to taping quite a bit for longer rides. The workouts also included other exercises and spin bike workouts where I focused on alignment and increasing cadence. This summer season - no issues.


Last edited by Happy Feet; 11-13-18 at 04:05 PM.
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Old 11-13-18, 04:00 PM
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I had significant issue with this while riding, and it DID hurt. I made some adjustments to my saddle height and pedal stroke to avoid it at the cost of power.
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Old 11-14-18, 08:36 PM
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...you ought to hear my 60+ year-old knees crunch/groan (seriously, you can year them from across the room!) when I get up from a squat.... Yeah, that's my arthritis talking.... The cartilage in the joints are toast!! Does that stop me from cycling? NO!!! Cycling helps build/strengthen the ligaments in my knees.
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Old 11-20-18, 04:55 AM
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I have heard that turmeric can help with your joints. Used to work at a vet clinic and used to give it to horses with bad joints and heard it works with people too.
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Old 11-20-18, 06:58 AM
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On the other hand, I've had creaky knees since I was in junior high. In fact, they used to pop and crack every time I sit or stand. Way back when I was in the service I know one guy who you could hear coming down the hall. The only person that was worse then me. To my benefit, they creak a lot less now, then they did way back then.
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Old 11-20-18, 08:09 AM
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Originally Posted by Happy Feet View Post
What I did was knee extensions on a machine like this. Most gyms have one. The key is to have the knee already partially extended at the start (you set the machine for that) so that the resistance (weight) is only on the last part of the extension which is where the VMO works. If you start from full flexion as usual you initiate the quad instead. Also, you can tap the VMO as it works to recruit more muscle fibers.Just a poke poke poke into the VMO, not too hard, not too soft, as it contracts. 3x10 to start, moderate weight and build from there.

Watch the video. When the guy does the exercise see the VMO really contract at the upper range of the extension - that's what you want to isolate instead of the quad/VMO activation the whole range of motion creates.
BUT--stay away from that knee extension machine if you have ankle issues. It stresses the ankle joint in a very odd manner, and it can really mess things up. I speak from experience.
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Old 11-22-18, 07:01 PM
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Originally Posted by bikebasket View Post
My girlfriend is as fit as she has ever been after cycling nearly everyday for several months on our tour of Asia. We have had alot of rest days recently due to meeting family and waiting for visas etc.

Bit concerened about a slight crackling sound coming from one of her knees when she gets up from the squat position though. She says she feels no pain and that her legs feel strong.

Can that sound be normal?

Wondering what percentage of long distance cyclists get knee trouble?

Cheers
BB,
I would see an orthopedist...persomally I would not rely on an online diagnosis for a possible remedy....but that's just me.
Best, Ben
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Old 11-22-18, 07:57 PM
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Originally Posted by Cougrrcj View Post
...you ought to hear my 60+ year-old knees crunch/groan (seriously, you can year them from across the room!) when I get up from a squat.... Yeah, that's my arthritis talking.... The cartilage in the joints are toast!! Does that stop me from cycling? NO!!! Cycling helps build/strengthen the ligaments in my knees.
Too bad so many people don't understand this. Sure, you will may have to modify or adjust your workout due to age, accident or injury. But the last thing you want to do is stop exercising totally, which only accelerates the degeneration.
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Old 11-23-18, 01:08 PM
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I'd do some research before starting leg extensions--they can be really bad for your knees.
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Old 11-25-18, 01:54 PM
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Originally Posted by xiaoman1 View Post
BB,
I would see an orthopedist...persomally I would not rely on an online diagnosis for a possible remedy....but that's just me.
Best, Ben
+100

I agree with this so much, you need to have a real diagnosis performed by a professional, which may require x-rays and an MRI.
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Old 12-01-18, 03:31 PM
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I had horrendously debilitating knee pain when I took up road cycling at age 31- to the point that it was painful to walk . Clicking. Popping. Grating noises accompanied by dull to sharp pain. I felt like I was doing damage to my knees. One week it'd be 100percent one knee. Other knee would be fine. Next week it's complete switch- one knee is quiet and one knee crunchy and hurts to walk on. Finally went to a well known sports specialist and had evaluation. X-ray's showed my knees were fine. No cartilage damage.. Nothing unusual. Said it was likely just bruising and inflammation from overtraining. PFPS patella femoral pain syndrome. A blanket term that means you have knee pain. But we don't know whats causing the knee pain. I wasn't satisfied and asked for a deeper look that an MRI would give over the X-ray's. Scheduled and MRI and the verdict was good. All healthy cartilage and ligaments.. nothing worn or torn... Seems like alot of harsh symptoms for just bruising. I finally accepted this was in fact ' too much too soon syndrome' and decided I would continue cycling and building muscle strength and balance with intermittent pain. Working through the pain it has gotten much better. One year later I am cycling. Still have popping a few times a day and occasional mild pain but nothing like it was. In my experience stretching made problem worse earlier on when my muscles were weaker. Now stretching feels better. I try to do yoga stretching and body weight exercises every day. Also I've read that the syvinol fluid inside the bursa sacks in your knees can build up air bubbles and release as popping. Just sharing my experience. I just had to see a doc because it was bothering me so much. It helped put my mind at ease so I could continue training after being told by a sports athlete specialist "expert" that I wasn't doing any damage. $1000 for peace of mind. But it could still be inflammed and causing slow damage .. Who really knows unless you have an mri or camera scope view of all the tissues inside there.. Every month? . Everyone's body is different .. what works for someone may not work for another. My knees feel best and click least when I'm active on the bike and push hard. Several days off the bike and muscles start to feel weak and clicking comes back..im 32 now. One year and 4000 miles later.. I can cycle 20 miles before dinner as easy as taking the dog for a walk. When i started I'd be in pain after a couple miles.. It was depressing. I think it's all about slowly- i repeat -SLOWLY- building up the muscles and tendons. Your body can adapt to a lot of things but it needs to gradually build up to the work load. My very non professional thoughts fwiw. I should also mention my wife's knees pop whenever she gets up from a squat for as long as she can remember. It never causes her any pain.

Last edited by reishi; 12-01-18 at 09:03 PM.
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Old 12-02-18, 12:47 AM
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Originally Posted by Kryten41 View Post
I'd do some research before starting leg extensions--they can be really bad for your knees.
The only things bad about exercise is poor form and bad nutrition. Do it right, and your condition will improve.
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