Knee strengthening exercises?

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San Marco

Active Member
Location
Yorkshire
Hello all

Apart from my short commute to work on a hybrid, I've been trying to go out and cycle regularly on weekends on a road bike I bought last August.

The first few rides went fine, experienced a bit of neck pain after a while but it soon stopped.

However around October time after a few hours back from my ride I experienced a lot of pain on my left calf. This subsided and eventually went over the next 2-3 days, but it became a recurring issue over the next rides thereafter. I went to see a physio who checked my legs etc and told me I had to stretch properly before and after a ride. This is something I hardly ever did :shy:

Although I started stretching (a bit??) for the next few rides
I went to see the physio again as little had changed regarding this 'pulled calf' muscle pain that lasted 2-3 days after each ride. He checked me again and as he couldn't find anything wrong with my legs/knees, he said the cause of the pain was probably due to the mechanics of the pedaling than with the knee/muscle area. The fact it recovered was a good sign and he suggested going for a fitting session.

I'm 179cm in height and the bike is a carrera TDF with an 'L' frame size which according to the spec has a 58cm top tube. When I bought it I used one of those on line calculators to determine saddle positioning etc.

So in the interest to solve this nagging problem and determine my future commitment to cycling I decided to spend £95 (caar-ching !!) and get properly fitted. This was done at a place near my home which used video/software to follow stickers placed on you etc. A few subtle adjustments were done, esp. raising saddle height a bit, rotating handle bars, etc, and the lovely girl also tinkered with the cleat position on my shoes and even fitted some mini wedges on the left one.

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Next time I went out, the position on the bike felt more comfortable, I had no neck pain, etc. However the feel of a pulled muscle on my left calf was still there. Maybe less sharp, but same recurrance. Ohh well, must be that it needs a bit of time to fully recover I thought. And timing-wise it was the right moment as this was X-mas / New year.

I'm not a fair weather cyclist, but I'll have to say during Jan to mid Feb I didn't go out, it does get icy on some of the roads I use and almost had a fall before Xmas so during this time i used the static bikes at a gym I normally go to. I noticed there was no calf pain when I used these bikes, which was a good sign.

I was very keen to go out on the road again so I started going out at the end of Feb. I used my hybrid first time and didn't notice calf pain. Two days later i did 50km on my road bike and I was v happy!! ^_^. No calf pain. I'd like to stress out I did pay more attention to stretching pre/post ride.

I was keen so went out the next day again as I was experiencing the bug full on! However half way through this ride, about 50 mins after i set off, i started to feel this sharp pain on the top of my left knee cap. I wiggled it, tried to pay no attention and carried on. Sadly things got worse. To the point that I was still far from home and had to stop. There was something wrong, this wasn't calf pain but pain on the knee itself. I had to come back pedalling one-legged. I couldn't really do much with my left leg. Eventually got home and put some ice on the knee straight away, which helped.

I thought this was a one off, after all, it was my third ride in 4 days. I'm also in my early 40s, not early 20s any more :cry:

However sadly, and worryingly, this knee pain now appears earlier and earlier into a ride (40 min, 30min), on flat ground, 85/90 cadence. I shake knee, massage it, but there is no choice but to turn round and carefully come back home. Ice. Painkillers. Knee hurts for a few days.

I'm not happy folks. I feel frustrated, I want to get out there and improve, get fitter, tackle more hills, buy a better bike! , but now the 'old' skeleton and body seems to be throwing curve balls at me.

OR, should I think this also must have to do with those wedges that were fitted during the expensive fitting session I had?

After my last curtailed ride last week, in anger, i removed them from my shoe and placed the cleats so they match my original markings.
Due to commitments I've not been out this weekend so won't know if these wedges were the cause of my pain. If they are, I'll be naming and shaming the place where the fitting got done.

In the mean time, I've been reading about this type of pain and how it has to do with your VMO muscles, how these need strengthening to avoid this pain, etc.

Is this something I should focus on from now on??

Thanks for reading guys. Sorry it got a bit long, but I had to write all my ramblings here!!

Take care

Jose
 

vickster

Legendary Member
That was an essay! :biggrin:

Do not just focus on one muscle group if you believe knee pain is due to muscle imbalance - need to work them all, glutes, hamstrings, quads, calves etc. Go back to the physio to get a programme and check that your form is right. You'll probably need to start the stretching after riding again

Do you get any sort of leg/knee pain when not cycling? If so, it's probably time to see a doctor :smile:
 
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Mark White

Active Member
I've had knee problems on and off for 30 years, mostly caused by badly practised weight training when I was too young to know better. It tended to flare up through sitting in a fixed position too long, like when at a desk or on long bus journeys or drives,

The doctor decided on loose ligaments above the knee and gave me this exercise:

Extend the leg straight, off the floor
Point the foot down
Pull the toes back
Tense the thigh muscle
Relax, repeat

This was probably something like tense for 3-5 seconds, repeat 10 times to start with, and increase as the leg strengthens.

All that said, my knee problem came back after I switched to clip less and I spent a long while tweaking the right one (left is fine) until I was getting only the slightest discomfort after a ride. And after I did my longest ride a week or so ago, this just went away. So it fits with the previous poster suggesting that the general strength of the leg needs to be in balance and that this comes with time. Though riding with a potentially painful knee is worrying at best, and damaging at worst.

And in the last two days I've driven far too much and my knee is aching. So I know mine is not just bike related, and I've already told my wife I have to get out for a ride tomorrow. Purely therapeutic, of course :smile:
 
Sharp knee pain is what I have at the moment and it's stopping me riding. I'm waiting to see a sports specialist on the NHS, so I'll let you know how I get on. One cause could be your IT band but the knee is a complicated area, with lots of muscles inserting around it and you need an expert opinion, maybe two.
 

vickster

Legendary Member
Several bones and the meniscus cartilage can be responsible for pain as well as myriad of tendons and ligaments! The knee is the most complex joint there is and you don't want to damage it by overdoing it or falling off a bike :whistle:
 

albion

Guest
I'm back on my road bike with higher gears.

Now I did a 100er fine though slightly bonked by misjudging the distance.
Feeling fine the next day I did a local 20 miler, the difference been it was a hilly one.

Both knees were then killing me the next day so any overdoing there was certainly via lack of a granny gear.
The pain was never there in my younger days on a similarly or maybe worse geared bike.
 

JasonHolder

on youtube. learning to be a gent
Ideally need to work up to distance to get joints used to the stress and adapt accordingly. A lot of injuries are brought on by high motivation and big jumps in training increases.
Guilty as charged.
 

flyingfish

Senior Member
Location
Luton
I have been told I have a cartlige problem by my gp. it has got worse over a few months and finally went on a steep hill near here. Sounds similar to what OP describes. I will let you know more after my hospital appointment next week
 

vickster

Legendary Member
Meniscus cartilage or articular, neither great but former better than latter :smile:
 
OP
OP
San Marco

San Marco

Active Member
Location
Yorkshire
Thank you all very much for your responses !

@Mark W : thanks. I've been religiously doing the exercises you describe.

@vickster & @JASON : yeah. Probably i'm guilty by overdoing it.

I'm trying to ease myself back onto easy shortish rides st the mo. I went out with the cleats positioned as they were before I got fitted (still had the markings on), and my knee felt ok. Only been out for 60 - 90 min flat rides, trying to spin at 85-90 rpm.
So far so good, but I won't get all exited and try out for a 3.5 hour ride w big hills next weekend!
Fingers crossed.
Happy travels to all.
 

Mark White

Active Member
@Mark W : thanks. I've been religiously doing the exercises you describe.

I went out with the cleats positioned as they were before I got fitted (still had the markings on), and my knee felt ok. Only been out for 60 - 90 min flat rides, trying to spin at 85-90 rpm.
So far so good, but I won't get all exited and try out for a 3.5 hour ride w big hills next weekend!

I hope the exercises are helping, but please don't take what I've said as expert medical opinion :-) If the pain is better, great news and I hope it continues to improve. My weekday rides are similar to yours, but I do get a twinge more after a longer weekend ride, or after pushing harder on a bigger gear on a shorter ride like I did the other day.

Keep us posted how you get on with the longer ride, and keep spinning :-)
 

vickster

Legendary Member
Good luck. Make sure you understand what cartilage is being discussed, there are two types in the knee, and if surgery is advised, understand what the longer term consequences might be, especially if it is to trim the meniscus cartilage
 

flyingfish

Senior Member
Location
Luton
My OH is a secretary to a consultant at the Royal National Orthopedic Hospital. I am going to have plenty of advice before any operation. Luckily
 

vickster

Legendary Member
Cool, are you being seen there? One of the surgeons did my second knee op (albeit privately at Bushey Spire)
 
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