Question: I’m new to road riding after years of BMX racing and mountain biking. I get pain in my knee when I ride long and hard. It’s the patella that hurts, not the tendon. What’s the cause? — David C.
Coach Fred Matheny Replies: Patellar pain can result from several things. In your case, it might be simple overuse combined with a position on the road bike that’s new to you.
Usually, pain on the front of the knee means the saddle is too low.
Or, it could stem from incorrect lateral adjustment of your cleats. This might be the case even if your cleats allow your feet to “float.”
Finally, too many hills in an overly large gear can cause the pain you describe.
Visit a qualified bike shop, cycling coach or physical therapist who specialize in bike fitting to make sure your bike fits properly. If your saddle height and cleat position check out, and you’re spinning moderate gears, have your knee examined by a cycling-knowledgeable physician.
Read more about knee pain and cycling:
Got knee pain? It might be your bike fit.
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