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Discussion Starter · #1 ·
I have always had problems with my right knee. I went through physical therapy a while back for this, because I had sharp pain climbing steps or standing up. I had discovered long ago that if I could get my knee to crack, I would have less pain. At that time, I was overweight and out of shape, and from what the physical therapist told me, my muscles were too weak to hold the kneecap in place. So I've been swimming, and I no longer have pain while doing day to day activities or climbing stairs, so that's good. I've started riding again, and I have some pain in the right knee, although it's not horrible

I have been riding toe clips and cleats and want to go with modern pedals. I've always had some problems with the way my foot sits on the pedals, my left foot has toes pointing in, but my right foot has toes pointing out. I'm afraid to have my right foot firmly coupled with the pedal because of the knee pain. I'm thinking about playing with wedges and insoles, but I don't know if this will be enough.

Bottom line is I would like to see someone that could help me with these issues. I don't think I'm going to find a physician that can help. Any suggestions?
 

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I would look for a sports physical therapist that has some experience with fitting or assisting in bike fits.

Something I would do, because I'm poor, would be to pay attention to my body and it's reactions and movements, and make makeshift wedges and orthotics, and adjust them as needed. Should that work, I'd look into investing into a more permanent, like real orthotics.
 

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towerscum said:
Go see a doctor who has a backgound in cycling.

towerscum
I'm pretty sure that a physical therapist would be better than a doctor in this scenario. Generally doctors refer patients to physical therapists for something like this, because the PT is the expert in joint/muscle movement. Of course some PT's require that you get referred by an MD before seeing you.
 

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Discussion Starter · #6 ·
I guess that's the trick, someone who had enough time, money and determination to find a PT that was qualified to work on the mechanics of riding a bike. The PT I worked with was pretty good, she made some very effective orthotics for my walking shoes. But I'm pretty sure she was clueless about bicycle riding.
 

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haole from the mainland
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benInMA said:
I've had some issues like you describe... you probably have a leg length difference or some other asymmetry.
Me, too. Knee issues & leg-length discrepancy. It's the knee on my slightly longer leg that gives me issues. Going to see a specialist is on my to do list, but not something I've done yet.

For the OP, you may need an MD to write a prescription for PT. That's how my insurance plan works or is supposed to work as I haven't tried to get a PT Rx yet. The best PT in my town has all the relevant info & forms posted on his website.
 

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Discussion Starter · #10 ·
benInMA said:
I've had some issues like you describe... you probably have a leg length difference or some other asymmetry.
I suspect my right leg is shorter, but it's obvious that my right foot points toes out, and my left foot points toes in. So I'm crabbing to the left as I walk.

I'm in State College, Pennsylvania. Good place to be a football player that needs PT, not so sure about cycling.
 

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jake21 said:
Where are you located? Maybe someone here knows a good person for you to see.

Jake
Ditto on this question. My left knee gave me fits all the time and kept me to riding maybe once every week or two for about 10 years. I had it mri'ed and found nothing, had surgery, intense PT, had a custom frame designed and built, and had a pro fitting by a physical therapist who specializes in bike fitting for those of us with "issues". The designer's name is Zac Daab from Cascade Bicycle Studio in Seattle. I cannot recommend him enough. I'm going back to him in a couple of weeks for a cross bike. The PT/fitter's name is Erik Moen and he's in Seattle too. He was great to work with and has provided some follow up advice as well.

It has been a long and arduous road for me, but I am now up to around 150-200 miles per week, which is a long way from where I was last year at this time.
 
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