Hi I'm an amateur cyclist.

My knee pain started 3/12 ago post competition.
I have upgraded to a higher level for the first time, and over- exerted.

Pain initially started from the medial side of knee ( muscle belly of VMO). then got worse the following wk, spreading to ant knee (patellar tendon).

(I had osgood schlatter syndrome when i was a teenager, but never had a problem previously.)

I normally cycle 150-200km/wk, currently i cannot cycle due to I/T severe pain ( when it's at the worst: 6-8/10) I was planning to cycle 500km (100km/day) in 2weeks.

seen physio 7times over 12wks. seems to improve with physio, been doing VMO strengthening exs, soft tissue technique.

** on P/E,

obs: mm wasting over VMO
palp: slight laxity on L patella
am: full range flex,ext
pm: full range knee flex,ext,
OJ: nil hip/ankle pain
special test:
Thomas test: good iliopsoas lengths L=R, 80' knee flex L=R, however on passive knee flex, c/o pain over VMO on L.
ITB length: tight L ITB compared to R

irritability: once pain flares up, last 30min+. easy to flare up.

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