Advertisement - Hide this advert





Author Topic: kneecap pain when bending legs trying to stretch quads  (Read 1903 times)

0 Members and 1 Guest are viewing this topic.

Offline PocketRocket

  • MICROgeek (<20 posts)
  • *
  • Posts: 13
  • Liked: 0
kneecap pain when bending legs trying to stretch quads
« on: December 30, 2014, 07:09:49 PM »
Hi,

I do a lot of cycling but have suffered for 2 years on and off with left knee pain.

2 weeks ago it became really painful on a ride and has been since. When I stand pulling my ankle into my bum to stretch  my quad i get a sharp pain across my kneecap.

It hurts sometimes going up and down the stairs. It also seems aggravated around the kneecap. I've been taking ibuprofen for a while now but it still feels rubbish.

Any ideas,  I've been squatting and stretching hamstring. Should I be icing also.


Offline Vickster

  • Administrator
  • SuperKNEEgeek
  • *****
  • *
  • Posts: 4651
  • Liked: 376
  • Neelie knee!
Re: kneecap pain when bending legs trying to stretch quads
« Reply #1 on: December 30, 2014, 07:20:37 PM »
Have you seen a specialist and had an MRI to see what's going on?  Also, see a sport physiotherapist to get an exercise regimen that is tailored to you.  Squats are not usually advisable with kneecap issues unless recommended by a professional who has assess your knees
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline PocketRocket

  • MICROgeek (<20 posts)
  • *
  • Posts: 13
  • Liked: 0
Re: kneecap pain when bending legs trying to stretch quads
« Reply #2 on: December 30, 2014, 07:28:57 PM »
Hi, I've been seeing a physio who's been working on squats,  core and plank work. I wasnt aware squatting was bad for the knees?  I squat right down to 90 degrees so assume this is bad on what you are saying.  Seeing a specialist or getting a mri  will be impossible with my doctor.

Do you know what it could be, for example, tight quads etc

Offline Vickster

  • Administrator
  • SuperKNEEgeek
  • *****
  • *
  • Posts: 4651
  • Liked: 376
  • Neelie knee!
Re: kneecap pain when bending legs trying to stretch quads
« Reply #3 on: December 30, 2014, 07:38:21 PM »
The physio is best placed to indicate what is going on.  What country are you in?  Why won't your doctor refer you if it's been going on for 2 years?  See another doctor?  Go private?

Have you tried a period of complete rest from cycling?  This might be the only way to actually get your knee to recover (from what might be Patello-femoral syndrome, have a read of the patella primer in the information hub).  Have you tried sports massge or foam rolling for the tight muscles?  Has the physio properly assessed your lower body, hips, ITB, knees, muscle balance etc?  Do you stretch all the muscles in your lower body, not just hamstrings, also back?

Squats, especially if done with poor form, can place a lot of load on the knees, especially the kneecap area, however if the physio is happy with your form, then presumably it's ok.  Also assume the bike is correctly sized and set up for you, and you have your pedalling technique sorted, especially on hills?

I am a cyclist too and have pretty big quads, my specialist thinks the power generated by cycling through large muscles could actually be causing the issues in the joint.  It's a fine balance not to do too much with knee issues
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline PocketRocket

  • MICROgeek (<20 posts)
  • *
  • Posts: 13
  • Liked: 0
Re: kneecap pain when bending legs trying to stretch quads
« Reply #4 on: December 30, 2014, 07:51:47 PM »
Many thanks for the advice. I've been off the bike for a week now which feels like a year!

I've had 4 bike fits. I seem to reach with my right but the left does feel cramped, plus I toe a lot on the left which may cause problems but I can't stop it. I had numerous professionals check for lld but they are supposedly equal. I do seem to have a tighter right hammy.

I roll my back and it bands almost daily.

How do i stretch lower back? I do knee hugs and touch toes.

Offline Vickster

  • Administrator
  • SuperKNEEgeek
  • *****
  • *
  • Posts: 4651
  • Liked: 376
  • Neelie knee!
Re: kneecap pain when bending legs trying to stretch quads
« Reply #5 on: December 30, 2014, 08:06:45 PM »
Best to get advice from the physio on stretching, but you could look online, e.g.

http://www.bikeradar.com/gear/article/eight-stretching-exercises-for-cyclists-26074/

http://mikesbikes.com/articles/stretching-after-you-ride-pg240.htm  (note the note)

Core work is always advised for cyclists too, to keep good form and strength on the bike

Ref the difference between the legs, are they different lengths?  Might you need different cranks?

I'd be seeking an MRI now, not more bike fits (did you get the same or different advice, they are subjective and only as good as the fitter) to understand if there is an issue in the knee causing the issues, rather than overuse or tight muscles etc
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline PocketRocket

  • MICROgeek (<20 posts)
  • *
  • Posts: 13
  • Liked: 0
Re: kneecap pain when bending legs trying to stretch quads
« Reply #6 on: December 30, 2014, 08:20:08 PM »
I plank for 3 mins fairly easily and side plank for 90 seconds so assume my core is adequate.

There is no leg length difference. I know I have a dead spot at the bottom right stroke. Non on the left though. I'd like to higher seat but then get hip rolling.

I'm sure there is something odd going on in hips on bike. The bike fits are almost useless for something out of the ordinary as cycling on a turbo for a minute never replicates being on the road for 3 hours! 

Plus they all have different ideas and final fit sizing!!!

Need someone who has years of experience and not relying on a computer and numbers to get me symmetrical.

Offline Vickster

  • Administrator
  • SuperKNEEgeek
  • *****
  • *
  • Posts: 4651
  • Liked: 376
  • Neelie knee!
Re: kneecap pain when bending legs trying to stretch quads
« Reply #7 on: December 30, 2014, 08:28:53 PM »
Are you in the UK?  Adrian Timmins somewhere in the midlands is extremely highly regarded  http://www.cadencesport.co.uk/ .  There are other names that come up on the UK based cycling forum I use

Have you ever discussed having footbeds in shoes etc?  Just throwing some thoughts out there

I'd still be checking the actual knee with a specialist - if you also have pain off the bike
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline PocketRocket

  • MICROgeek (<20 posts)
  • *
  • Posts: 13
  • Liked: 0
Re: kneecap pain when bending legs trying to stretch quads
« Reply #8 on: December 30, 2014, 08:36:12 PM »
I am in the uk. I may look at visiting the doctor's, not been for years so they may do something for me!

Cheers for the advice and l will look at the links

I was looking at cyclefit in London, although I'm in Cheshire so quite a distance but may be worth it.

Offline Vickster

  • Administrator
  • SuperKNEEgeek
  • *****
  • *
  • Posts: 4651
  • Liked: 376
  • Neelie knee!
Re: kneecap pain when bending legs trying to stretch quads
« Reply #9 on: December 30, 2014, 08:51:38 PM »
I'd certainly go back to the doctor and ask to be referred for a scan - it sounds like you've not had the knee assessed by a Dr (although an experienced sports physio should know what they are doing - surprised they've not suggested specialist or scan)?    The GP should be able to prescribe a stronger anti-inflammatory than ibuprofen too if they think it would be helpful

Adrian Timmis is rather closer to you.  I don't know if Cyclefit will be any better?  I had a Retul fit and while it was helpful, it sounds like a less computerised fit from an ex pro might work better
« Last Edit: December 30, 2014, 08:55:59 PM by Vickster »
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up