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Pain in the top right of the knee

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Old 09-24-09, 07:56 AM
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Pain in the top right of the knee

Hi Everyone
I have a slight knee pain, not bad enough to make me stop, that is located on the top right-side of my right leg, somewhere between 1 to 2 o'clock I would say. I don't think it's the ITB since it's not directly on the side of the knee. The pain does find it's way up the side of my thigh as well.

I'm generally quite comfortable on the bike, but this is really starting to bother me.
Would anyone have any idea as to what the general rule of thumb is for pain in that area.
Pain is only on the right knee, btw, the left leg is fine.

Thanks in advance
Mike

Last edited by xfimpg; 09-24-09 at 08:12 AM.
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Old 09-24-09, 12:42 PM
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take a day or two off before it gets bad. it is hurts dont let it get worse
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Old 09-24-09, 03:02 PM
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Still sounds like IT band. Do stretches:

https://www.med.umich.edu/1libr/sma/sma_knee-ili_rex.htm

and ice it.
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Old 09-24-09, 03:37 PM
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well i cant speak for you. but i suffered a few knee injuries when i wrestled and in football. over time you get scar tissue built up on your tendons...etc.
i would suggest a few things, since my dad is a chiropractor who specializes in sports therapy and active release. ( i am also in school working toward becoming a Doctor of Chiropractics)
1. ice your knee every night, it reduces inflammation.
2. stretch but dont over stretch it.
3. talk to a Chiropractor who specializes in "active release". i swear it will help you, after the first time.
here is a video to see kinda what im talking about.

https://www.youtube.com/watch?v=W_Z_WZgo__M

if you think Chiropractors are quacks as some people do, just trust me on this and try it out.

it will hurt like heck. i was on a climb and i had to stop halfway cause my knee pain was so bad. my dad pulled over with me and worked on my knee for 15 min. i was able to jump back on the bike and make it home. after icing it for a few days and one more AR treatment, i haven't had a single issue with my knee.
Active Release is simply amazing.
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Old 09-24-09, 04:34 PM
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so the pain is on the R knee only, and it's on the "inside" so to speak (the medial side)? How often do you ride, what distances, how long have been riding also?
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Old 09-24-09, 04:50 PM
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Originally Posted by Meejum
so the pain is on the R knee only, and it's on the "inside" so to speak (the medial side)? How often do you ride, what distances, how long have been riding also?
Not quite on the inside; if you look down at your right knee, imagine a clock and the pain is on the top right, ie 1-2 o'clock.
I ride 3 times a week, distances vary from 40-75 miles. I don't consider myself a hardcore biker.
This is my 5th summer riding.
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Old 09-24-09, 05:27 PM
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Originally Posted by xfimpg
Not quite on the inside; if you look down at your right knee, imagine a clock and the pain is on the top right, ie 1-2 o'clock.
I ride 3 times a week, distances vary from 40-75 miles. I don't consider myself a hardcore biker.
This is my 5th summer riding.
i'm confused...if I look down at my knee and suppose a clock face is laid on top of it, 1 or 2 makes it be slightly to the outside (lateral), just next to the patella tendon. I think you are meaning that it's just inside from the midline, kind of next to the the top of the kneecap?

Anyways, with your mileage, and what I think your complaint is, you could have a few issues. A section of your quads attach to the knee cap on that side, and can sometimes give people problems in the way of tendonitis or just weakness compared to the other side. Your knee cap could also be tracking in its groove poorly causing some irritiation to various tissues of the knee, and that can sometimes be a result of poor quad control. It can also be a result of tight/overstrong muscles on the outside of the thigh, so don't rule out the chance that it could just be your IT band overreacting. Just because there isn't pain at the IT band doesn't mean it isn't causing havoc elsewhere. It could be a handful of other things, but based on your symptoms, it is more likely something more along the lines of a chronic-overuse type injury.

Make time for some good stretching sessions after you ride, and make sure you hit everything in the hips on down. I am also a big proponent of foam rollers. It's like giving yourself a focused deep tissue massage, or rolling your muscle out as if you use a rolling pin for dough. Also, adding in some "cross-training" type exercises wouldn't hurt, something that causes you to move more side-to-side, instead of always in a straight plane. Personal fave for that it raquetball.
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Old 09-24-09, 05:36 PM
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Originally Posted by Meejum
i'm confused...if I look down at my knee and suppose a clock face is laid on top of it, 1 or 2 makes it be slightly to the outside (lateral), just next to the patella tendon. I think you are meaning that it's just inside from the midline, kind of next to the the top of the kneecap?

Anyways, with your mileage, and what I think your complaint is, you could have a few issues. A section of your quads attach to the knee cap on that side, and can sometimes give people problems in the way of tendonitis or just weakness compared to the other side. Your knee cap could also be tracking in its groove poorly causing some irritiation to various tissues of the knee, and that can sometimes be a result of poor quad control. It can also be a result of tight/overstrong muscles on the outside of the thigh, so don't rule out the chance that it could just be your IT band overreacting. Just because there isn't pain at the IT band doesn't mean it isn't causing havoc elsewhere. It could be a handful of other things, but based on your symptoms, it is more likely something more along the lines of a chronic-overuse type injury.

Make time for some good stretching sessions after you ride, and make sure you hit everything in the hips on down. I am also a big proponent of foam rollers. It's like giving yourself a focused deep tissue massage, or rolling your muscle out as if you use a rolling pin for dough. Also, adding in some "cross-training" type exercises wouldn't hurt, something that causes you to move more side-to-side, instead of always in a straight plane. Personal fave for that it raquetball.
sorry, i'll clarify...
you're sitting on your bike, you bring your right knee up, look down on it, mark the middle of the top of the knee, then move over to the right by about 2 inches.
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Old 09-24-09, 09:32 PM
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I'm not sure what your problem is with your knee. But earlier this summer I had some pain in my right knee and realized is was because my right cleat was so worn thus causing a lot of float. I think the excessive float caused my knee to move around too much. Picked up a new pair of cleats and all is well. Worth checking out. Good luck!
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Old 09-24-09, 09:40 PM
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Sounds like the quadriceps tendon. Take a couple days off, do some hamstring stretches. I have a similar thing.
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Old 09-24-09, 10:47 PM
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Sounds just like the condition I had back in college called chondromalacia, an irritation of the tissues under the patella because of the patella not tracking correctly. It turned out that I had my saddle too low and it was causing some instability of the knee through the range of flexion causing the patella to go off track as the knee was bent and straightened. In my case, I raised my saddle and it went away totally, but you should really see a sport medicine specialist that is hopefully familiar with bicycling related injuries that can make a diagnosis base on you personal physiology. There is no generic answers to these problems. Do it asap because you might be causeing more damage if you keep trying to ride with the pain.

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Old 09-25-09, 03:57 PM
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Yup, sounds like a trip to the fit specialist, alright.
Thanks everyone for your input.
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Old 09-25-09, 04:05 PM
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Originally Posted by hopsing08

if you think Chiropractors are quacks as some people do, just trust me on this and try it out.
Hell, some rather 'reputable' doctors can be quacks.

How quackish or competent any medical pro is varies with the individual in my experience, whether they are a top surgeon or a chiropractor.
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