I've just started working as a messenger a few weeks ago and my knees have been killing me. It's happened in the past from time to time but not like this.
So I'm thinking it's Patellar Tendonitis, but I should probably get a doc to confirm that.
I've played around with saddle position and have been riding in lower gears which seems to help a bit but was wondering if any of you have experienced this and what you do about it.
Any luck with getting the NHS to foot the bill for a bike fit?
I suggest short course(ie take regularly three times a day for 3-5 days) of anti-inflammatories such as Ibuprofen, rest is ideal but not realistic with work(take with meals, stop if you get any pain in your belly) If its both knees and you haven't had any noticeable injury then its pretty unlikely to be anything too sinister(esp. if it settles with anti-infl., rest) "if pain persists see your doctor!"
Seat too high - or too low. Multiply your inside leg measurement in cms by .885 to get correct centre of b/b to top of saddle distance. Also important is saddle set-back. Roughly speaking, the big bone on the side of the knee should be level with the front pedal axle, when the cranks are horizontal. You might also look at using longer cranks, as this will give you more leverage, making the gear easier to pull. There's a fashion for 165s, but someone with inside leg over 73c should probably be riding 170 _at least_. My inside is 88 and I have always ridden 175s, except on the track, where there isn't the same constant stop-start that you have doing messenger work
I'm the bringer of doom and gloom when it concerns knees.
I think I was just unlucky.
as I've found out in the past few years It may have a lot to do with many other things.
I continued to work, stretching at every chance, glucosamine pills, ice on knees when home. reduced my already spin friendly 67" to a snail pace 63" then returned to gears. The last day I worked I dropped off at a first floor office and I had to slide down the banisters because it was too panful to walk down the stairs.
Do you ride fixed? Do you ride spds? Your feet might "roll" on the pedals which will cause your knee to twist. This can be stopped by having arch supports fitted.
Don't diagnose from the internet. That said The NHS will do nothing for you to begin with. "TAke these anti inflamatories and stop cycling, and come back in 3 months if it hasn't got better" cheers. next is 2 months of mickey mouse physio, then assesmnet with a surgeon, X-rays and scans then a camera thing they insert in your knee, then they remove cartilage and tell you you'll have to have this done every few years until there is no more cartilage left then its knee cap replacement time.
I've refused the cartilage removal coz i don't want MRSA and it seems daft to take something away you're already destroying. They estimate my knees will be due replacing by the time i hit 50!!!! I'm only 27 now. as i say I was unlucky. I'm also a bit bitter.
nomoreknees - how did you get on? Did you have patellae femoral/chrondomalacia?
I've ridden SS off road for years - this Summer I rode my roadie with 74" and my knee started f****g out. After a few months of grumbling (I had no idea what was causing it cos a spin on the fixer always seemed to sort it out) but the physio says no more big gears. I'm currently off the bike & going mad.
I agree with all of the above, especially with regards to cleat and saddle positioning.. Also it's worth bearing in mind glucosamine takes a while to kick in (a couple of months I think) so stick with it. I take glucosamine and cod liver capsules.
Remember not only have you increased the amount your using your knees, but most people prefer to spin more in colder weather as well. In 2001 I was doored and flew 18 feet and compressed my knee cap. I went to see a knee specialist and his advice was to keep riding, spin like crazy, and to ride everyday. Not sure how helpful that is to a long term damage problem, but there is my two cents worth anways.
Incidently, where are you working and how ong have you been out of the US?
I was a happy courier until i took a holiday and tried to do the pyrenees tour de fraance route and my knee c\ollapsed. Now i spend my days looking on gumtree for shit jobs... take care of those kneees.
too all you wining about your knee problems, as a student of chinese medicine/acupuncture any one complaining or showing signs of sore knees almost all of the time sets the alarm bell of for kidney problems. ie. too much boozing too little fluid intake, too much fluid intake all boils down to them two little bean shaped organs in the lower mid of your back...
so first word of advice screw the nhs go see a good acupuncturist/herbalist its going to take a few sessions ie like minimum of six. with a good acupuncturist who prctices herbs you could almost garuntee there will be improvement, im a short space of time.
so keep em knees warm drink less booze look after them kidneys there irriplacable.
and check out the rchm (regestra for chinese herbal medicine practitioners) to find your a reputable practitioner local to your area, it may save them knees from getting totaly ruiner by doctors too eager to operate, ie slice them knees to shreds for no reason .....
please please please try an alternative first before meds or surgery....
Also shiatsu for balancing the merdians. While your at it get some yoga therapy to go over your alignment and tracking in your body. Wisper me ill sort you out
woooha! knee problems??? zero8 here, old metro hack calling in. Tipper, is that you? Rude bwoy? Raaaated. You still in japan? shout out to all you sad fixed wheel fuckers...........oh and mr mallone..
I've had some knee problems before - it turned out it was because my pedals didn't have enough float. I got some speedplays and it sorted it out. If you think it's tendonitis, then it's best to get proper medical advice. If you fuck up your tendons it's big trouble - they can't repair themselves like muscles can.
acupunture, yoga, chinese medicine and last but not least DRINK LESS BOOZE?
you are fucking joking arent you..............i was a messenger for 10 years and a track racer for 7 years with no knee complains and i rode a largish gear for both and extreme standing starts on the track (those of you who know about the olympic sprint/kilo/h'cap will know exactly what i mean)
this is my advice for anyone who has probs with there knees:
seat height - arse on the saddle and heel to the pedal, you should just be able to lock your knee out with the crank parallel with the seat tube seat angle - should be perfectly flat (set it with a spirit level as its difficult to see the correct angle coz of the contour of the seat) pedal angle - sit on a table and let your feet dangle, thats the natural/relaxed line of your knee, then set your spd or what have yous to the same angle of the dangling feet (thats done by approximation) AND - pedal with even power through each rotaion DO NOT just smash the pedals down (to see if you are doing this properly, have a go on some free/warm-up rollers)
if they dont work, waste a fuck load of money on the above and give up cycling.....im gonna have another beer
I never got a term attached to it. basically as my doctor said: once things start to go bad it can effect the whole balance of the knee so you could end up with lots of different possible terms and individual diagnosis all sharing the same symptoms.
That's why self diagnosing from the internet is a waste of time.
At best I'm constantly aware of my knees, at worst they crunch loud enough to make those nearby cringe.
I'm almost certain the roll in my foot is having an effect too (maybe even the cause?), my heel collapses inwards as I pedal making the knee rotate, I notice this much more with spds oddly. with soft soles and platform pedals the shoes bend to twist the other way.
shoe inserts may help, £100 ish from feet people, or £25 for the specialized ones, but those will wear out.
best 25quid i spent in a long while. Yes as i spotted my feet roll due to high arches and the like. This was never picked up by either an NHS or private physio that I saw. The inserts rectify this.
Then I snapped my frame a week ago and have had to ride single free on my spare bike. I was dreading going back to single speed (even 63") so thought I'd look at some new pedals.
Evans (shudder) has speedplay frogs for £40 in their sale. Rated as the most knee friendly pedal out.
Dropped the cash and wow what a difference! going from time atacs to these is amazing.
seriously worth it, although apparently the cleats wear out quickly and at £30 a set (??!?!?!?!) that isn't funny.
There are three types of insert in the Specialized range, each with a different angle. How did you know which inserts to order? Is there any way of measuring?
You can't really guess which ones to go for (although no doubt a lot of people will which could lead to all sorts of extra problems)
You have to go to a bike shop...yup a real one not an internet outfit...that is trained how to fit them. You have to do a couple of exercises where they gauge the roll in ones knee/foot/hip alignment and also check how high your arches are and measure the natural angle of your foot which tells them which type of insert you need and how many angled spacers to fit.
they then get you to repeat the exercise whilst standing on the inserts et voila.
I rate Speedplays too. And likewise curse the price. What shoes have you got them in? I popped the the front part of the cleat on both shoes, which I think happened because my Sidi soles snapped.
Hey Bill ....erm not sure exactly which shoe as the label has worn blank on the tongue.
Shimano mountain bike shoes, current 5 years ago........actually can just make it out SH-M082 the older grey version of these: http://xoomgear.com/mountainbike/shoes/all_shoes/0/Shimano_SH-M082/524/
They aren't designed to take the frog cleats as the sole closes up towards the front of the cleat platform, which meant they sit at a raised angle and apply no pressure to the little floating bit (anyone else have no idea what I'm talking about????) in the cleat.
I remedied this by packing the space out with sections of innertube and all seems good.
Oh and the other problem is the raised walking edges on the soles on my shoes are so worn now that the cleat is proud of the sole by a few mm.
Cleats wearing out very very quickly and with the added bonus of putting nice little marks on soft stone flooring. Suppose i should get some new shoes now too.
I ride 81 inches and I have no problems with my knees. This is because I rode the track as a kid and learned how to pedal. pull up with your feet, don't just mash down on the pedals. the trick, like all those old time trial club men used to say is to pedal smaller gears quickly. anything under 80 rpm will give you trouble after a while. I average about 100 rpm.
Your saddle doesnt have to be level. tipping your saddle slightly forward will help your knees and your breathing and, for boys, your bollocks
Pedals are important, but an individual taste. personally I ride cheapo mountain bike SPDs (£10 pair + cleats) with shitloads of float and I pay attention to which way my feet are pointing, either out or parallel. i knew a guy who had Spds on one side of his bike and black looks on the other because this was the best thing for his knees. he looked a twat, but he could get his leg over his bike.
and before anyone says 81 inches is too big for courier work, it's not. I want a bigger chainring.
i spent my formative years doing time trials. I was pretty good, but then I got into drinking smoking and girls and It all went wrong. I managed to keep the legs though
100 rpm, 81" gear = 24.22mph average speed, in London = Bullshit.
Presume you live in the country with no junctions, lights, cars or peds?
Unless you are already over 30 or over 6ft you should expect knee problems in the future.....or end up looking like Tipper...and you don't want that! he worked on 81.
He's saying 100 rpm in manchester. When at traffic lights I jam the front brake on, do an endo and keep spinning, then when the light goes green i take off dragster style.
24 mph? is that all? thats shameful. Definitely need that bigger chainring....
Johnsatisfaction is flying along marylebone road and enters the edgeware road flyover and continues to head west on the westway. His cateye is reading 25miles an hour and this makes him happy. He thinks to himself if bill could see me now he would definately have a hard-on under his desk. His legs are feeling loose as they spin round and round like a gaggle of doped up bike couriers on a merry-go round in las vegas. His ipod is blearing and the sounds of meatloaf only seem to drive him faster. He is unable to hear the gravelly, grinding sound coming from his knees. He is also unaware that a blue royal enfield thunderbird with a Z slashed across the fuel tank is coming up fast from behind. It appears to have a 3m long iron jousting stick and has pulled into the emergency lane in which he is riding. John's ace controller crackles over the radio "johnyicantgetno how long till you are clear, you are taking all day?". There is no reply
john satisfaction is flying along marylebone road thinking, 'I'm a bit lost here, I was only meant to be going to salford.' he gets onto the edgeware road flyover and continues to head west on the westway. 'I'm in clash territory,' he thinks, so starts shouting the words to complete control in the broadest manc accent he can muster. If he had a cateye it would read 70 mph. he thinks, 'if bill could see me now, he wouldn't have a clue who i am. he would probably still get a hard on though.' his legs are feeling loose as he is a doped up bike courier. When you smoke that much weed, you don't feel anything. the munchies drive him on to thinking of meatlof, but he realises he would much rather have a greggs sausage roll. He hears the gravelly, grinding sound coming from his knees and wonders why he keeps putting stones in his cargo pockets. Using the force, he is aware that a blue royal enfield thunderbird with a Z slashed across the fuel tank is coming up fast from behind. he notice's the 3m long iron jousting stick and thinks, 'I could make some legs for a table out of that.' As it pulls into the fast lane where john is riding his controller comes through 'Johnicantgetno, where are you?' there is no reply, as john realises that he works for himself and that manchesters finest is making him hallucinate again. he nicks the jousting pole and bribes the occupant of car into taking him back to civilisation where he presents him with a nice little coffee table with iron legs and a blue car bonnet top.
............says the man that looks like he just hopped off of a grand national winner....actually, i think the first time i met you, i made a passing mention as to if you had possibly been a sheep shearer in your formative years, nothing funny about that though (pfffftt, har-har-har)
anyway it wasnt my thighs that were the problem, it was my 5 nads that gave me that unique gate