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Knee Pain


If you suffer from knee pain either during or after cycling, here are some of the potential causes of your problem.

Knee pains are by far the most common complaint amongst us cyclists. The pure repetitive nature of cycling means that any abnormal load placed on the knee joint during the pedal stroke, builds and builds for the duration of your ride. More often than not, knee pain whilst cycling is the culmination of many weeks or months in the wrong position on the bike. This means that knee pain can seemingly come out of the blue, without any change to your cycling habits or position.

Pain either on the inside or outside of the knee is usually caused by a cleat position that does not marry up with your individual pedalling style. We all pedal differently according to our own unique anatomy, biomechanics, strength and flexibility. This means that there is no “one-size-fits-all” solution to cleat positioning. Within our Bike Fit service, we perform a full Physiotherapy assessment in which we test all aspects of your body’s biomechanics before we look at you on the bike. This means we can position your cleats appropriately for your body and pedalling style.

Pain at the front or back of the knee is usually resolved by setting the saddle in the correct position. A saddle that is too high can overstretch the hamstring muscles at the back of the thigh, causing tension where they attach to the knee. A saddle that is too low can overload the patellofemoral joint where the kneecap meets the femur (thigh bone), which results in compression injuries. 

It is also important to consider the fore-aft of your saddle position. That is, how far forwards or backwards of the pedal axle your knee lies when your foot is in the “3 o’clock” position of the pedal stroke. Using our 3D motion tracking software we can accurately take this measurement to allow us to set the fore-aft of your saddle perfectly.

If you have any questions about your knee pain please get in touch. Or, if you would like to resolve your pain, book our Bike Fit below.

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