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Author Topic: Left Knee Pain While Cycling  (Read 998 times)

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Offline BerlinKnee

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Left Knee Pain While Cycling
« on: August 26, 2007, 09:24:37 AM »
I have arthrosis of the left knee; all compartments affected, but worst is patello-femoral (Grade IV).  After having been at the local fitness club some 3 weeks ago (bit of weight training, walking machine, rowing machine) an inflammation developed (some 12 -18 hours after the workout was through), and I was hardly able to walk for a day or so, stairs were a torture for several days.  With RICE  and Cox-2 Inhibitors the inflammation eventually went away (took some 7-8 days).  Now I can walk "normally," going down stairs still a little bit painful (but this is also relatively "normal" for me), but bicycling has become painful which it normally never is for me! The pain while riding is not severe but noticeable and very localised below and to the outside of the kneecap.  This makes me think I must have an additional injury on top of the "usual" arthrosis.  Any ideas as to what this might be?  Has this happened to anyone else?   The pain while riding happens when the leg comes up to bent position, no problems when it is straightened.  Anyway, I'm in the process of trying to find a new orthopaedic specialist; the last one gave me a wrong prescription and never did a proper, physical examination only wanting to send me right away for an MRI......  :P  Thanks for any ideas and advice!!

Offline Nettan

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Re: Left Knee Pain While Cycling
« Reply #1 on: August 26, 2007, 10:53:55 AM »
You have a very affected knee. And sometimes this flare ups can come and maybe this might be a sign that your knee is progressing to the worse.
Are you biking outdoors ? This is usually more heavy on a knee then biking on a stationary.
Maybe you should cut back on biking for a while and baby your knee (if that is a possibility so you don't have to use the bike to work or something like that).
Also a support for the knee to unload could help for the time being.
I hope you can find a good OS that listen and care.
Surgery 6 times left knee torn meniscus, RSDS,chondromalacia, nervdamage cause constant nervpain,chronic inflamm.
Spinaldamage wheeler 100%.
Right knee damaged aug-06, use brace surgery 4/9-07.LCL tear.

Offline Leentje

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Re: Left Knee Pain While Cycling
« Reply #2 on: August 26, 2007, 12:21:28 PM »
HI!

I also have PFS and chondromalacia grade III-IV, along with a maltracking kneecap. The knee I had surgery on is still subluxing (the other one is too but no real pain there so far), but not bothering me enough to keep me from activities (ooh yes, I love sports of all sorts! ;D).

One thing that is painfull is cycling! Pain is located on the left on the kneecap, nearly above it. Mainly when knee is in bent position, not when straight. OS Says it's the subluxing, the longer i ride, the more painfull it gets! It's sore for one day after and then it's gone. Doing all my other sports I don't feel that pain! And by other sports I mean badminton, running and tennis.

Hope you'll find out the anwser soon!

Regards, Helena
Bilat patellar malalignment/PFdysplasia
00/06/83 L wrist #
11/12/00 L knee LR + chondroplasty
21/08/02 L knee TTT
02/03/04 L knee stretched PCL
11/09/07 L ankle dislocation/medial avulsion #
25/05/09 L ankle medial avulsion # AGAIN!
05/06/13 R ankle dislocation

Offline esther-l

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Re: Left Knee Pain While Cycling
« Reply #3 on: August 27, 2007, 02:24:54 AM »
When I had pain below and to the outside of kneecap, it was IT Band syndrome. RICE and stretching, and getting balanced strength in the quad muscles took care of it (until it returned after meniscus surgery).

Was this a new amount of exercise for you?  Were you spinning the exercise bike pedals at 80 rpm, or pushing a hard gear at a slow cadence? 
Esther
Right knee partial meniscectomy, patella debridement, and chondroplasty 7/25/2007

right knee arthroscopy, posterior Holn (?) medial & lateral meniscectomy, chrondoplasty, arthrofibrosis debridement, synovectomy, open iliotibial band release. 12/11/2012

Offline BerlinKnee

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Re: Left Knee Pain While Cycling
« Reply #4 on: August 27, 2007, 10:15:53 PM »
Thanks, Esther.
Since I'm new to this forum, however, you'll have to tell me what IT Band syndrome is!!  (or anyone else out there....)  Also, over the years--I've been suffering from knee problems over 33 years now--I've often tried quad strengthening exercises (leg presses, straight leg lifts) to little avail.  What did you find effective??  What have others found effective??
In response to your question, no I normally do a bit of cycling (street cycling, not using exercise bikes), so it wasn't something new.  I've partly resolved the problem by putting the bike saddle at absolutely the highest point comfortably possible, but there's still a feeling of something not quite right....



Offline esther-l

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Re: Left Knee Pain While Cycling
« Reply #5 on: September 01, 2007, 04:40:55 PM »
IT Band syndrome is ilio-tibial band syndrome.  You can google for IT band syndrome. it's when the tendon/ligament from hipbone along the outside of thigh, down to just below knee is tight.  It's more typical for runners than cyclists. My physical therapist is massaging on areas around my knee, and that's helping with ITB syndrome.

I have to spin with cadence of 70-90 rpm at a relatively low gear on the bike. I get knee pain if I try to push a hard gear. I hope that I will get to the point where I can push more forcefully on pedals - I am only 5 weeks post surgery (partial meniscectomy).

strengthening the abductors and adductors has helped make my knees more stable. Also, I have to stretch my hamstrings - they want to be tight. It helps me to concentrate on getting the hamstrings to work when pedaling, to make sure the quads are not doing all the work in pedaling.

Have you had a bike fitting?  It's possible that your saddle needs to be moved forward or backward.
Right knee partial meniscectomy, patella debridement, and chondroplasty 7/25/2007

right knee arthroscopy, posterior Holn (?) medial & lateral meniscectomy, chrondoplasty, arthrofibrosis debridement, synovectomy, open iliotibial band release. 12/11/2012















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