Help Good Knee doctor ?

Dec 7, 2012
63
1
18
Setagaya-Ku, Tokyo
#1
I seemed to have injured my knees. I say seem to as I have random symptom.

During the new years I did 80-100K ride for 3 days in succession. This distance should have been OK however they were on steep hills and hence were quite tough. I have not ridden the bicycle since then which is a shame but shoganai.

The symptoms I have are - generally weak knees. My knees seem to be weak to take my weight and frequently hurt (above the knee cap) and on the sides thereby straining my upper leg. I went to two different clinics, each time the X-rays came out fine, docs asked to use patch, stop cycling, use knee supporter etc. I have seen some improvement but the issue persists. Some days its better and the other days it gets worse (not sure if temperature has anything to do with this). On the bad days I find it difficult to stand continuosuly 10 mins in a single stretch. On good days I can walk few kms.

So x-rays are fine, docs say just chill however its about 7 weeks already. Any suggestions ? any doctor recommendation ? (In setagaya or Chiyoda/Minato-Ku preferred)

And at the risk of getting slapped - I should stay away from cycle right ?
 
Sep 2, 2009
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#2
Are you asking for the recommendation of a doctor or for us to diagnose/guess the problem and suggest solutions?
 
Dec 7, 2012
63
1
18
Setagaya-Ku, Tokyo
#3
it will be helpful if forum member can comment on diagnosis from experience although I appreciate it can be very vague. I say this given my X-rays are coming clean and I am not sure what to ask the Doctors I have visited. For the same reason I am also willing to try out a different clinic if there is a particular recommendation.

In short - both :)
 
Sep 2, 2009
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#4
Ok cool.

My experience- very bad IT-band pain was cured by proper cleat and saddle positioning combined with knee taping.
 
Dec 7, 2012
63
1
18
Setagaya-Ku, Tokyo
#5
Thanks James. I havent ridden since Jan 3rd though. Are you suggesting I ride out with necessary adjustments ? FYI I think my saddle height is perfect. I didnt use cleats back in January though...
 
Sep 2, 2009
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#8
Blimey, not sure what happened there!

Anyway;

Are you suggesting I ride out with necessary adjustments ? FYI I think my saddle height is perfect. I didnt use cleats back in January though...
No, just sharing my experience. Questions...

-How do you know your saddle is perfect?
-You were using flat pedals in January when the problems started?
-You have since switched to cleats, and the pain is the same?
-Which parts exactly are hurting on your knee(s)? Crack open Deluxe Paint IV on your Amiga and draw us a picture of the points it is hurting.
 

StuInTokyo

Maximum Pace
Dec 3, 2010
1,662
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#9
Have you ever had a profesional bike fit done? That is the first thing I'd spend some money on. Then if the problem persists, you should be looking for a doctor that specializes in sports related injuries, not the guy down at the local clinic that deals with all the old ladies and their chronic problems.

Just my point of view :D
 
May 22, 2007
3,617
1,454
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Kawasaki
halffastcycling.com
#10
I seemed to have injured my knees. I say seem to as I have random symptom.
You haven't said how old you are, Blue Star. This might make a difference in our collaborative blind diagnosis; T F BUNDY

Meanwhile, I and others I know have had great results in pain relief (not just knees) from reading and implementing the advice in 3 Minutes to a Pain-Free Life.

Blimey, not sure what happened there!
I think what happened, Owen, is that he thought you'd be more likely to be called James Owen than to be called Owen James. Statistically he's right. That's the problem with statistics. The fact that FarEast is actually called James just adds to the merry confusion, Owen. Apologies to Blue Star if he is defying statistics by being a she.
 

GSAstuto

Maximum Pace
Oct 11, 2009
945
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tokyo
www.roadfixie.com
#12
The whole knee pain thing is really a condundrum and everyone will have an opinion one way or the other. There are a few commonalities though:

1) Excessive weight. But only if the surrounding muscle support is not well developed.

2) Genetic.

3) Over stress / excercise. Not strengthening and building up the system as a whole.

4) Trauma.

5) Fit or alignment changes.

The fact that you did 80-100km 3 days back-to-back indicates either good conditioning or 'binge riding'. If you are in condition for this, then likely you'd spot the fit issues far in advance. If it's a binge riding issue, then you have likely caused some micro-damage to the tissues, and yeah, your doc is correct - you get the lucky '6 weeks off your bike' to heal. You might accelerate this by various therapies and drugs - maybe. (Where the MRI and sports specialist come in).




X- rays are useless - get an MRI on the knee.
 
Dec 7, 2012
63
1
18
Setagaya-Ku, Tokyo
#13
Let me answer all the questions
- I am 37 years old. No prior cycling experience, started in Q4 last year.
- Took this picture from internet - pain is right above patella, between patella and Tibia (pits on the sides when bend the knee) and some times Tibia. The feeling I get is - pemur is going to meet Tibia (scientifc names taken form the pic here). No pain inside or outside patella. Sone times I feel dull pain in what would be lateral meniscus in this diagram almost as if my knee could slightly bend the opposite direction
- Issue happened on my new canon dale caad 10. It was setup by the shop based on bioracer measurements (body measurement unit). The reason I think saddle height is correct is - my knees are just slightly bent and my position/bike is very very stable, no movement in entire body except the legs once I am mounted on the bike
- I bought the bike with cleat paddles but didnt use the cleats. I just havent ridden since Jan first week at all.

Hope this gives some idea

Edit - responding to GSAstuto
- I am not overweight, infact have lost a few
- yup family history of knee problem, mom has got bad knees
- well i just started riding bicycle with no prior experience and/or gradual build up
 
Jan 14, 2007
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Noda
japanichiban.com
#14
sounds like a pedalling technique problem....or a lack of supporting muscle.

you say your knees can't take any weight...(walking or riding?)

Should be no weight in or on your knees while cycling. Spin. Or use other muscles...there is nothing in your knee that will make you cycle better.

walking and standing pain?

build up those quads...

have been in rehab 6 weeks now building up my legs so my knees won't feel anything.

If it's a disease... could be arthritis...worn cartilage, debris in the joints, tendonitis, Get the MRI.

However...seeing as though you're new to cycling ...

It's probably a combination of cold wind on your knees...lack of technique...
I had this problem in my bad knee when I started serious riding about 10 years ago. It eventually got better. I just wore it in...kept it warm...that knee was missing the ACL though, so was some movement and friction in the joint that most people won't know about...

Anyway...good luck in finding a good Doc. and diagnosis. You could get 2nd and 3rd opinions as well and I reckon each answer may be different...

Don't let them put a titanium knee joint in just yet...
 
Sep 2, 2009
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#18
- Issue happened on my new canon dale caad 10. It was setup by the shop based on bioracer measurements (body measurement unit). The reason I think saddle height is correct is - my knees are just slightly bent and my position/bike is very very stable, no movement in entire body except the legs once I am mounted on the bike
- I bought the bike with cleat paddles but didnt use the cleats. I just havent ridden since Jan first week at all.
Again, this is just theory, but just because you feel stable does not mean it is correct. Also, the fact that the fit was one of those Bioracer ones, is also perhaps something to note.

So, you haven't been using cleats, but you have cleat pedals? What footwear have you been using to ride the bike with? Have you been slipping around on the pedals wearing trainers?

Also, what kind of gears have you been pedalling in? I know a lot of people mash too hard of a gear when they first start riding; could be another contributing factor...
 
Dec 7, 2012
63
1
18
Setagaya-Ku, Tokyo
#19
Owen, I wore just normal sports shoes, however they plant quite firmly on the panels. I can dig up the actual make but the paddles I have a relatively flat and can be used without cleat too.

Don't think I was in the wrong gears but it was quite tough paddle going uphill. I could feel lot of stress on knees while doing so.
 
Sep 2, 2009
5
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#20
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Is this more accurate?

Also, are you saying that this pain has been consistent since you started riding, and has kept you off the bike?

How fit / strong are you overall?