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New Bike Knee Pain

 
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Houston Kid
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Joined: 17 Mar 2008
Posts: 272

PostPosted: Thu Jan 10, 2013 9:45 pm GMT +0000    Post subject: New Bike Knee Pain Reply with quote

I got a new bike. I have ridden it enough now and have been really comfortable on the bike. The only issue is when I stop riding, my right knee cap at the top hurts a little. Not sever or burning, just a little pain for about 15 minutes then it quits. No pain while riding and no additional pain caused when moving afterward.

Could this be a saddle position issue, ie knee to far over foot, or just me getting used to the new bike? I have been riding bikes for many, many years and have not had this issue before.

Thanks.
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The Bike Doc
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Joined: 08 May 2003
Posts: 1371
Location: Corpus Christi and Warda, Texas

PostPosted: Mon Jan 28, 2013 6:30 am GMT +0000    Post subject: Reply with quote

Houston Kid:

My apologies for the delay. I have been on call and buried in hospital work for the last two weeks.

Knee pain is a recurring topic on the forum. I have posted the guidance I use on knee pain evaluation including all areas so if someone sees your heading and wants to know what to look for in working out the source of knee pain.

Knee Pain Location as Indication of Fit Problems:

Location- Front of Knee
Causes -- Correction:
Seat too low -- Raise Seat
Seat too Forward -- Move Seat Back
Excess climbing -- Reduce climbing or
Big gear mashing -- Spin at Higher RPM in lower gear
Cranks too long -- Shorter Cranks

Location- Inside of Knee
Causes -- Correction:
Cleat malposition toes point out --Adjust cleats to bring toes in or use floating pedals/cleats
Excess pedal float -- Limit float to 5 degrees
Excess exit tension to release -- Lower tension
Feet too far apart -- Move cleats out (moves shoes out on pedals), narrower bottom bracket or cranks with narrower Q factor

Location- Outside of Knee
Cause -- Correction:
Cleat malposition toes point in -- Adjust cleats to bring toes out use floating pedals/cleats
Excess pedal float -- Limit float to 5 degrees
Feet too close -- Move cleats in (moves shoes in on pedals), wider bottom bracket or cranks with wider Q factor

Location- Back of Knee
Cause -- Correction:
Saddle too high -- Lower saddle
Saddle too rearward -- Move saddle forward
Floating pedals with too much float -- Limit float to 5 degrees

Modified from: Arnie Baker, MD Bicycling Medicine 1995 Argo Publishing
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Paul K. Nolan, MD
AKA: The Bike Doc
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