Pain in outer kneecap?

A light bike doesn't replace good fitness.

Moderator: Moderator Team

s4life
Posts: 51
Joined: Sun Sep 01, 2013 7:27 am

by s4life

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.

User avatar
Martin.F
Posts: 763
Joined: Sat May 28, 2005 9:21 pm
Location: Norway, Drammen

by Martin.F

Usually saddle position and/or longer/harder ride than what your body is trained for.

http://www.bikedynamics.co.uk/kneepain.htm
WTB Syncros bar/stem unit for foil

CulBaire
Posts: 386
Joined: Mon Apr 19, 2004 11:33 am
Location: T'ba!
Contact:

by CulBaire

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.

drmutley
Posts: 344
Joined: Fri Feb 11, 2011 4:23 am

by drmutley

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..,,

User avatar
LEC135
Posts: 156
Joined: Wed Jun 08, 2005 4:29 pm
Location: London

by LEC135

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.

s4life
Posts: 51
Joined: Sun Sep 01, 2013 7:27 am

by s4life

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.

chipomarc
Posts: 131
Joined: Mon Sep 19, 2011 4:56 pm

by chipomarc

Wrong, the pain is not in your outer kneecap, you have rheumatoid arthritis and need knee joint replacement as soon as possible !

User avatar
prendrefeu
Posts: 8609
Joined: Wed Oct 31, 2007 10:32 pm
Location: Los Feliz, Los Angeles, California
Contact:

by prendrefeu

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?
Exp001 || Other projects in the works.

s4life
Posts: 51
Joined: Sun Sep 01, 2013 7:27 am

by s4life

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.

Mr.Gib
Posts: 3088
Joined: Fri Mar 18, 2005 4:12 pm
Location: eh?

by Mr.Gib

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.
wheelsONfire wrote: When we ride disc brakes the whole deal of braking is just like a leaving a fart. It happens and then it's over. Nothing planned and nothing to get nervous for.

User Name
Posts: 597
Joined: Tue Jun 07, 2005 3:32 pm

by User Name

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.

User Name
Posts: 597
Joined: Tue Jun 07, 2005 3:32 pm

by User Name

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".

s4life
Posts: 51
Joined: Sun Sep 01, 2013 7:27 am

by s4life

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.

RM27
Posts: 86
Joined: Tue Jun 23, 2009 9:03 pm
Location: USA

by RM27

Mine was due to saddle position. Could also be cleat slipping from original position.

Ragamuffin
Posts: 57
Joined: Sun Sep 21, 2008 12:57 am
Location: Somerville, MA
Contact:

by Ragamuffin

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.

Post Reply
  • Similar Topics
    Replies
    Views
    Last post