Cycling related Knee Joint Injury

[linbin]

hi
i want to add some more
we are now relating the knee pain to cycling.i think there is a need to ask about the type of job he does.what i mean is whether he is suppose to sit for prolong periods.the attitude of the leg he places there.
his extra carricular activities
current history of pain elsewhere ,mainly low back
previous history of muscle aches

as you suggested he should undergo a detailed assessment by a physiotherapist

[bmc]

Hi,
As I work with a lot of cyclists (about 60-70% of my patient load) I thought I'd add my two cents...

Firstly, I agree with the previous two posts - you need a proper assessment by a physio or sports medicine practitioner. If we are to be able to provide some intelligent advice on this forum however, we need a little more information about your knee pain, for example where (exactly) in the knee it is, is there any specific tender points to touch or is the pain only when you are loading the joint, are there any other movements that bring on the pain etc.

Thomas Bibu provided a thorough answer if it is one specific problem, although in my experience if you have only been cycling for four months it would not be the first thing I would suspect. If I was a gambling man I would put money on a more generalised patellofemoral joint synovitis, or perhaps an inflamed fat pad.

As for the bike set-up reccomendations for ITB friction syndrome I agree with almost everything Thomas suggested except the knee angle at the bottom of the stroke. Whilst 25-30 degrees is an acceptable angle for a fit (and flexible) competitive cyclist, it is not unusual for even the highest level professionals to be around 40. ITB friction syndrome patients most often get pain around 30 degrees of knee flection - the so-called "impingement zone." Lowering the saddle so that maximum knee extension is around 40 degrees often avoids this zone.

BMC

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