I agree with all the comments about the ceramic BB, useful for saving those last few grams of weight (if that's important to you), and pretty hardwearing for some off road applications, but the chance of actually feeling the differance when pedaling is virtually zero. The suggestions to fit gears seem like a good idea, and this would definately make a difference, another possible option (much cheaper and easier) would be to first try a lower single speed gear, a 48 x 18 is about 72 inches with a 27inch wheel, a touch lower with 700c rim, try a 48 x 20 or 21, this would certainly ease the pressure on your knees slightly, obviously you will have a lower top speed, but is this important.