Ongoing anterior knee pain - cycling injury

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.

Hi just a few questions

which knee are you having difficulties with?
How long have you been cycling for ?
how far was the competion when you experienced this pain post comp?
any swelling?
sleeping patterns? how do you sleep, on your belly compressing the knee etc?
previous fractures ?

how old is your bike? is it set at the correct height? do you do any other sports?

some good information already provided but a little more if possible

[QUOTE=physicol;56712]

Hi just a few questions

which knee are you having difficulties with?
it's mainly the L knee.

How long have you been cycling for ?
cycled for about 5yrs, but never had problem since the competition.

how far was the competion when you experienced this pain post comp?
about 5months, i had physios before, but it helps for couple of days, then it comes back.

any swelling?
no swelling, ? maybe bit of warmth, but only slightly.

sleeping patterns? how do you sleep, on your belly compressing the knee etc?
i sleep on my back..

previous fractures ?
no prev #, but had osgood schlatters in teen.

how old is your bike? is it set at the correct height? do you do any other sports?
about 1.5y/o. not sure if it's in the correct height... but will be fitted soon. no other playing sports...

some good information already provided but a little more if possible






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