![]() ![]() The patella is pulled subtly off-kilter and forces through the patello-femoral joint increase, causing diffuse pain anywhere around the kneecap. This means that over a long period of time, and often in spite of outward appearances, the muscles down the outside of the thigh become much stronger and tighter than these less-used medial muscles. Felix Smith / Our Mediaĭuring the push phase of pedalling, we seldom complete the last 35 degrees of knee extension – a movement which is largely under the control of the vastus medialis oblique (VMO) muscle. Even at the lowest point in the pedal stroke, the leg doesn't lock out. The scourge of cyclists and runners alike, it can completely floor you, causing pain when off the bike and ride-stopping agony when on it. ![]() However, if you’re reading this and you have anterior knee pain from cycling, chances are you’ve got what’s known as a 'patellar compression syndrome'. It should respond to ice, anti-inflammatories and physiotherapy, with or without strapping. If this area is persistently sore to the touch it’s definitely worth seeking medical help. The large quadricep muscles attach to the shin bone via the patella, so the forces of pedalling are transmitted across the patello-femoral joint whenever we bend our knees, essentially squashing it back against the thigh bone.Īlthough more common in explosive sports, the part of the tendon attaching the patella to the bony prominence below the kneecap can become inflamed (patellar tendonitis). Pain at the front of the knee – on and around the knee-cap (patella) – is the most common presentation of cycling overuse injuries, in part due to the anatomy of this area. Let's look at each of those in turn.Īrea 1: Anterior knee pain Pain under the knee cap is known as runner's knee and can plague cyclists as well. There are four areas of knee pain: anterior, posterior, medial/lateral and iliotibial band syndrome. The four main areas of knee pain for cyclists Physio is not just for the pros and could be a sensible investment. The scope of this article is limited to some of the more common overuse injuries, so if you’ve sustained an acute injury or experience sudden pain, or if your symptoms don’t improve with this very general advice, please seek appropriate qualified medical help. Don’t neglect core muscle strength – smaller core muscles can relieve much bigger limb muscles of surprisingly large loads.Look after your legs and they’ll look after you: stretch all the big muscle groups after each ride and treat them to the odd massage.Many problems with the knee can be avoided by not making sudden increases in your training regime or drastic changes in bike setup.While we can give you some basic strategies for getting out of trouble when plagued by knee pain, the old adage rings true: stay out of trouble in the first place. Remember the golden rule for cycling knee pain
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