misaligned upper leg and lower leg

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nz6666

Regular
I have posted here before asking for bike fitting advice. I have then been to two bike fitters. None can solve my problem or even see the problem. Gradually, I found my problem is in the right upper leg and lower leg not aligned. When I bend my knee on one leg (holding the other), left knee and ankle is in a straight line, while the right not in a straight line, the knee tends to go inside of the ankle. If I stand with both legs straight, I can visually see the right knee a little bit to the left of the right lower leg. Not obvious but can be seen. My right leg can't put full strength on the pedal, always slips off (on flat) or twists (with clipless) because the misalignment. I have tried wedges, not much help. My right foot is in a extreme position (only right edge of the right foot can touch the pedal, so wedges are never enough). Strangely, that only affects cycling, I have no problem in walking, running, hiking. I began seriously cycling one year ago and hence noticed the problem. I am thinking if it's a muscle problem may it can be corrected by yoga or something, while if it's the bone problem I will probably give it up. Who should I go next? I think I need to have some x ray photo to reveal what's happening.
 

steve50

Disenchanted Member
Location
West Yorkshire
have you considered having an adapted cycle shoe made for your right foot?
 

aj101

Well-Known Member
Have you suffered a trauma to the area or has this come around over time? If it's the latter then somewhere in your chain you've got a serious imbalance. Good news is this can be fixed - a good Physio will tell you where the problem is and what muscles are overcompensating. Or my personal choice at the moment is a good TuiNa practitioner but this might not be to everyone's taste. A private physio might be a more better mainstream place to start.
 

vickster

Legendary Member
Perhaps go see a knee specialist. If you are in the UK, Adrian Wilson in Basingstoke is the man to see for diagnosis and potential surgical realignment of wonky legs. Get X rays and CT scans as required, will probably need to do it all privately however so won't be cheap if you don't have private healthcare.

Otherwise, try a cycling specific physio like Peloton in SW London or similar elsewhere
 

Citius

Guest
Unless it is actually giving you pain or discomfort (which you didn't mention) - just keep riding. Concentrate on producing power, not leg symmetry.
 
Location
Northampton
I find it difficult to understand what you described. My understanding is that there is a discrepancy in your leg length, perhaps more marked in the proximal part, meaning from hips to knee. But such a problem will invariably cause problems in running. Therefore it is unlikely.
However, if it is indeed the problem, it is important to understand the reason for that. This usually happens due to problems in hip, specifically, head of femur.
You need to go and see your GP and say exactly what you said.
He will need to undertake a proper examination of your hips and measure leg length. Then he may refer you to an Orthopaedic surgeon.
 

vickster

Legendary Member
If you get referred, make sure it's a surgeon specialised in lower limb realignment, not a general carpenter. It's major surgery, you will want an expert
 

aj101

Well-Known Member
I find it difficult to understand what you described. My understanding is that there is a discrepancy in your leg length, perhaps more marked in the proximal part, meaning from hips to knee. But such a problem will invariably cause problems in running. Therefore it is unlikely.
However, if it is indeed the problem, it is important to understand the reason for that. This usually happens due to problems in hip, specifically, head of femur.
You need to go and see your GP and say exactly what you said.
He will need to undertake a proper examination of your hips and measure leg length. Then he may refer you to an Orthopaedic surgeon.
I'm not sure that he wants his leg chopped off.
 

vickster

Legendary Member
Why would it be chopped off? It might be broken or cut and then plated back together again though!
 
OP
OP
N

nz6666

Regular
Thanks for all the replies, been busy during weekend. I don't remember any trauma occurred to my right leg. I have no pain in other sports, I even played football actively for couple of years (no injures). It may be born like that or something happened before I have a memory. Realign the leg is good but I am hesitate on that and my wife will never allow it^_^ . Tried all kinds, flat, toe clip without strap, clipless. Both clip and clipless retain the right foot but causes uncomfortable. I will take a note of those specialists mentioned here but I may go with a GP first
 

Milkfloat

An Peanut
Location
Midlands
If he is anything like my GP you will get told 'it's old age' at 39 and 'if it hurts when you do activity, don't do activity'. I ended up going elsewhere, having surgery and getting my life back.
 
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