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 Post subject: Pain in outer kneecap?
PostPosted: Thu Sep 05, 2013 7:55 am 
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Joined: Sun Sep 01, 2013 7:27 am
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Anyone experienced this? I felt a surge of pain in my left outer kneecap at the end of my last long distance ride. I'd like to know what are the most common causes for this symptom? saddle positioning? bad form when pedaling? I thinkI've got an idea, but would like to hear from someone who's got experience with this.


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 Post subject: Pain in outer kneecap?
Posted: Thu Sep 05, 2013 7:55 am 


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PostPosted: Thu Sep 05, 2013 10:46 am 
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Joined: Sat May 28, 2005 9:21 pm
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Location: Norway, Oslo
Usually saddle position and/or longer/harder ride than what your body is trained for.

http://www.bikedynamics.co.uk/kneepain.htm

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PostPosted: Thu Sep 05, 2013 11:35 am 
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Joined: Mon Apr 19, 2004 11:33 am
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As above I reckon your seat post or saddle may have slipped. I had a similar problem not two weeks ago where toward the end of a long ride my knee started to hurt, I later discovered my saddle had cracked during the ride subsequently lowering my position on the bike by a few mm putting my knee out.

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PostPosted: Thu Sep 05, 2013 12:44 pm 
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The cause of the pain will be due to increased loading through your lateral articular facet of your patellar. Common issues include saddle too high, collapsing arch, cleat too inwardly rotated, too much setback, amongst a hundred more..,,


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PostPosted: Thu Sep 05, 2013 4:06 pm 
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Location: London
Firstly - I'm no doctor.

That said I had a very similar sounding problem after 3 or so hours of riding. I went to a physio and was cured in one visit. It was a tight IT band that runs from the outside of my hip to the outside of my knee. Where the IT band connects back to the bone (at the knee) it lies on top of another small ligament and if the IT band is too tight it rubs against the ligament and after a period of time inflames and becomes very painful.

I was given a few stretches to do and told unless it continues no need to and 3 years on it's never come back.


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PostPosted: Thu Sep 05, 2013 10:48 pm 
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Yes I had the IT band issue when I was a runner, but I thing the treatment worked back then. It might have been saddle positioning. This will teach me never to trust fitting rules too much, they are made for a person that doesn't exist after all.


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PostPosted: Fri Sep 06, 2013 1:06 am 
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Wrong, the pain is not in your outer kneecap, you have rheumatoid arthritis and need knee joint replacement as soon as possible !


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PostPosted: Fri Sep 06, 2013 6:12 pm 
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Location: Los Angeles / Glendale, California
s4life, you mentioned "fitting rules" - did you set your bike's saddle height and other contact point locations based off of recommendations on the internet, or some online calculator?
Or did you go and get a proper fitting from a recommended professional in your area?

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PostPosted: Fri Sep 06, 2013 9:57 pm 
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prendrefeu wrote:
s4life, you mentioned "fitting rules" - did you set your bike's saddle height and other contact point locations based off of recommendations on the internet, or some online calculator?
Or did you go and get a proper fitting from a recommended professional in your area?


I did both, but the fitting is as good as the person doing the fitting -- and he wasn't too bright -- so I didn't get much better advice than the internet. I will try again with someone more qualified.


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PostPosted: Sat Sep 07, 2013 5:16 am 
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Joined: Fri Mar 18, 2005 4:12 pm
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Location: eh?
Likely what your experiencing is Patello-Femoral Pain Syndrome. There can be a variety of causes but the one cause you can actually do something about is too much tightness in the lateral quad group including IT band and not enough strength in the Vastus Medialis.

Read this thread - it will give you an idea of what is going on and how to fix it. Even if the diagnosis is wrong, all this stuff is good for you:
http://weightweenies.starbike.com/forum/viewtopic.php?f=8&t=11620&hilit=patello+femoral

As to bike fit, as long as it is half decent it shouldn't be an issue.

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PostPosted: Sun Sep 08, 2013 7:09 pm 
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Yep, cycling works the outer quads (etc) more than the inner, leading to the outer getting stronger and tighter.
As "Gibbo" :thumbup: says, PTF syndrome treatment should give you plenty of tips for stretches are massaging.

As well as working the outer quads, IT band and glutes, it's also handy to massage the tensor fascia latae (oooh, i like the fancy version of spelling that :D), and even the tibialis anterior.


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PostPosted: Sun Sep 08, 2013 7:15 pm 
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Joined: Tue Jun 07, 2005 3:32 pm
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Mr.Gib wrote:

Read this thread - it will give you an idea of what is going on and how to fix it. Even if the diagnosis is wrong, all this stuff is good for you:
http://weightweenies.starbike.com/forum/viewtopic.php?f=8&t=11620&hilit=patello+femoral

.
How's ya knee? That's a good idea about using an electrode device to strengthen the medialis.

You might've seen me posting this before, but I've had great results for my chondromalacia (mine was/is pain just below the knee cap) by doing straight leg raises (with very light weight) to tone the middle quads, which helps the cap track "quicker".


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PostPosted: Tue Sep 10, 2013 5:55 am 
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Joined: Sun Sep 01, 2013 7:27 am
Posts: 51
Thanks for the link, but you know how's the internet.. I might indeed thinking I have femur cancer or something after I am done reading everything.. LOL. I'll start doing after-workout stretches.. I feel my IT bands problems from when I was a runner are coming back. Fitting feels nice and easy right now. no numbness anywhere even after 50 miles, just the slight pain sometimes -- more so when I do climbing.

Cheers,
Axel

Mr.Gib wrote:
Likely what your experiencing is Patello-Femoral Pain Syndrome. There can be a variety of causes but the one cause you can actually do something about is too much tightness in the lateral quad group including IT band and not enough strength in the Vastus Medialis.

Read this thread - it will give you an idea of what is going on and how to fix it. Even if the diagnosis is wrong, all this stuff is good for you:
http://weightweenies.starbike.com/forum/viewtopic.php?f=8&t=11620&hilit=patello+femoral

As to bike fit, as long as it is half decent it shouldn't be an issue.


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PostPosted: Tue Sep 10, 2013 9:31 pm 
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Joined: Tue Jun 23, 2009 9:03 pm
Posts: 72
Location: USA
Mine was due to saddle position. Could also be cleat slipping from original position.


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PostPosted: Sun Sep 15, 2013 6:53 pm 
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Joined: Sun Sep 21, 2008 12:57 am
Posts: 53
Location: Somerville, MA
I've had this before as well, my issue was due to (poor) adjustment of my cleat. Cleat/saddle/seatpost adjustment will all likely result in a similar issue in which you are incorrectly stretching/compressing ligaments in your knees and causing pain.


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Posted: Sun Sep 15, 2013 6:53 pm 


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