bingemtbr said:
Found out my right leg is 3mm shorter than my left leg. Found a way to either shim my cleat or use an orthotic sole, problem solved. That was 16 yrs ago, havent' had knee pain since.
Curious- did a bike fitter determine that "one leg is longer than the other" or did a doctor confirm using x-rays that one or more bones is literally longer than the other? It could be either way, but I think it's important to be aware of the difference and who to trust for a long-term solution.
I find that many, many bike fitters will identify abberations and asymmetries on a rider and adjust the way the bike fits to accommodate for those issues, rather than deal with the underlying issue as a medical professional would.
A medical professional will measure those same abberations objectively, and most will just give you drugs for pain. A GOOD medical professional will determine if the problem is that your body is out of alignment, and adjust your body to align it and teach you how to maintain it through home excercise.
For example, I paid for a highly recommended bike fitter to set me up and he slid my cleats all the way up under my toes to force me into a KOPS position on a bike with a steep seat tube (rather than rotate the eccentric BB back or move the saddle) and put a shim under one cleat because "one leg is longer than the other."
Then I went to a really though sports physio/ chiropractor who analyzed x-rays and found that all the bones in my legs were proportional, my my pelvis was tilted on two axis, making one leg effectively longer than the other. After some adjustments and a ton of home workout, I was able to even it out so I did not need wedges, spacers, gimmicky insoles, etc.