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Chondromalacia and the bike
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Having some chondro issues that doesn't bother me much on the run but affects my downstroke when biking. Sharp pain (4/10) when in the downstroke. Same pain occurs when walking up stairs due to the similar knee position.

First full IM is about 8 weeks away. Looking to see if others have had any successes, such as with cho-pat straps, knee braces, seat adjustments, etc. Just hoping to survive the bike enough to be able to finish the event.
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Re: Chondromalacia and the bike [MKATC] [ In reply to ]
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I had similar issues, and stretching and rolling the quads help a lot.
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Re: Chondromalacia and the bike [MKATC] [ In reply to ]
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I had months of physical therapy (including one session of dry needling), then a cortisone injection (7 months before my race) in my more troublesome knee, and then several more months of PT. As I understand it, the injection is OK out of competition, but I am not sure how long it stays in your system (and as I understand it, it has to be out of your system in-competition). The injection gave pretty quick relief and the PT seemed to be an important part of the process. Assuming 8 weeks is long enough to clear your system, the injection is something to consider doing now. BTW, post injection I had leg cramping (mostly in my calf muscles) like I had never had before (both while riding and while sleeping). That lasted a few weeks. Another reason to get it done as far before the race as possible.
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Re: Chondromalacia and the bike [MKATC] [ In reply to ]
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Road or TT position?

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Re: Chondromalacia and the bike [xtrpickels] [ In reply to ]
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Feel it in both positions on a P2. Was fine until I got a bike fitting. Started bothering me during the second ride afterwards. I had everything undone, and now I'm stuck with the problem. I'm looking for what others who have had a similar issue on the bike have done to get them through.
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Re: Chondromalacia and the bike [MKATC] [ In reply to ]
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Go see an experienced bike fitter.

Robert Driskell
Certified Master Body Geometry fit Technician
Certified Master Retul Fit Technician
Zipp Service Course Specialist
Bikes Plus Pensacola Florida
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Re: Chondromalacia and the bike [MKATC] [ In reply to ]
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R.I.C.E

I've had this as a recurring thing for many years. I think I must walk and run funny.

On the bike, I have found some relief by sliding my cleats as far backward on the shoe, as possible. If that works, great. From there, to get back to as much power as possible, move the cleats forward, only 1-2mm each time, until the pain comes back, then move the cleats back one setting.

Depending how far back you have to move the cleats, you may have to make adjustments to saddle height and setback (but only very slightly).

How old are you? if it doesn't settle down (or if it takes a long time to get better) check with a doctor to see if you have any Osgood Schlaters Syndrome (sp?). I was diagnosed with that as a teenager. It normally corrects itself as an adult, but not always or completely. That might be a factor. My left knee corrected itself, but my right is still not good. I suspect it's complicated by the fact that I managed to break my patella (very difficult to do since it's a floating bone so to speak), when as a kid I skied into a large jagged car sized rock. I perfectly hit the centre of my patella and split it. Damn. Your mileage may vary

TriDork

"Happiness is a myth. All you can hope for is to get laid once in a while, drunk once in a while and to eat chocolate every day"
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Re: Chondromalacia and the bike [tridork] [ In reply to ]
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tridork wrote:

How old are you? if it doesn't settle down (or if it takes a long time to get better) check with a doctor to see if you have any Osgood Schlaters Syndrome (sp?). I was diagnosed with that as a teenager.

I'm 43. No knee issues of any kind until the fitting was done. Been doing some RICE + NSAIDS and it has calmed down, I'm just being proactive in the event it doesn't dissipate as I get closer to my races.
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Re: Chondromalacia and the bike [MKATC] [ In reply to ]
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MKATC wrote:
tridork wrote:


How old are you? if it doesn't settle down (or if it takes a long time to get better) check with a doctor to see if you have any Osgood Schlaters Syndrome (sp?). I was diagnosed with that as a teenager.


I'm 43. No knee issues of any kind until the fitting was done. Been doing some RICE + NSAIDS and it has calmed down, I'm just being proactive in the event it doesn't dissipate as I get closer to my races.

Sounds like you're on the right track. Ignore my advice as it seems un-necessary in this case.
good luck and go hard!

TriDork

"Happiness is a myth. All you can hope for is to get laid once in a while, drunk once in a while and to eat chocolate every day"
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