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Discussion Starter · #1 ·
I am 28 years old, 6', 175lbs and have been riding for just over a year consistently now. I typically average anywhere from 30-50 miles a week of moderate trail riding. Saturday I set out for a 15 mile ride at 5,500' with no problems. I ended the day with a concert which I was on my feet for a fe hours. Sunday morning, I woke up with pretty severe pain in my right knee primarily in the upper inside part of the kneecap. Does anyone have any suggetstions on what to do? Trying to stay out of the Doc's office for a couple days to see if I can just nurse it for a little bit.

I have iced it and taken minor pain medication to help with some of the pain.
 

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Discussion Starter · #4 ·
Did icing it help? Are you going clipless? Is it swollen?
Icing may have helped. I took some ibuprofen so that might have done it as well. I am running clips. Have been for about 10 months now. It doesn't look swollen.

I've had this, best way to deal with it is just rest

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I know everyone is different but how long did it take you to recover?
 

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Yea, it wasn't the first time it's happened to me, the first time was a lot worse. Took me almost 2 weeks. In pretty sure it's from over usage of the knee or lots of stress on the joint


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check foot angle

Decided to hit the doctors office today. Did a few resistance tests and some X-rays. Should find out more tomorrow.
I hope your test show it's nothing too serious. When you get back to biking check your cleat angle relative to your natural foot angle. I've cut and pasted some info below that might help you. best of luck
" Some knee problems result from incorrect placement of shoe cleats. Everybody has a natural angle that each of their feet prefers to be at; some are duck-footed, some are pigeon-toed, whatever. When you walk or ride with plain pedals, your foot assumes this angle, and everything is hunky-dory. If you use cleated shoes and matching pedals, it is important that the cleat is adjusted so as to permit your foot to be at its natural angle. If your cleats are misadjusted, the resulting twist on your lower leg will affect the alignment of the knee joint, and cause serious problems.This is less of an issue if you ride pedals with "float" (limited rotational freedom) in the cleat attachment. Most newer clipless pedals offer at least some float."
 

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Considering maybe removing the clips for a little bit to see if that helps out on the stress. Any thoughts on that?
Switching to flat pedals? That helps if the cleats are not aligned well, as mentioned here, but they do have zero float through the pedaling motion - your foot stays where you put it on pins - and can make it worse, not better.

If you think a random bout of pain is troublesome, wait until you in you forties+. :). Just rest it, and get one of those rollers to loosen up your leg muscles.
 

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Discussion Starter · #13 ·
I just thought it might have something to do with the angle of the toes (inward or outward) so that might help. I am already stretching on a roller and have taken the week off. Planning on trying to do a short ride Sunday to see how it feels.
 

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Keep icing it. Try flats or different cleats......being tired should not cause pain.....something is not right. And a x-ray will not show much...if this continues......get a MRI as it will show soft tissue....x-rays are good for seeing bone. Where are on your knee was the pain? Center like down the center under your knee cap? Left or right of your knee cap?
 

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Discussion Starter · #18 ·
Did a relatively flat 7.5 mile trail ride at about 20%. Felt pretty good but I didn't want to push it. Before the ride, I slid my seat back and adjusted the pad on the bottom of my shoes away from the toe.

The pain in the knee is in my right knee cap towards the inside, top at about 2-3 o'clock.
 

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Discussion Starter · #19 ·
After a solid 4 week build up back into riding, it came back again on a short and relatively flat mountain ride. Going to keep stretching and taking it easy. Any other suggestions? Trying to avoid another doc appointment for a little bit but I am sure it'll be needed within the next couple weeks.
 
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