Knee pain and cycling, IT band?

Hi everyone, first of all I am only a cyclist but everyone here is much more informative/entertaining compared to cycling sites :slight_smile: I have been having right knee pain since after a race May 2nd. It was a bit under 40 miles (circuit race) but cat1/2/3 combined so quite alot of attacking. It was a hard effort, but I have been racing and motorpacing since March so nothing out of the ordinary.

The race was sunday, I rode short/easy on monday then went out for about 3 hours on tuesday with some tempo around FTP. Normally I would give myself til wednesday before any long/hard rides, but I had the day off and felt good.

I started feeling pain with flexion sunday night. Mostly went away, and I did feel it a little on tuesday but the ride went well. Tuesday night, I was having trouble even driving, moving my foot from brake to gas pedal. The pain then will fade out after 1-3 days of riding easy.

Description of the pain:
-Moves from lateral, to inferior, to just above the kneecap. No rhyme or reason.
-Knee pops when extending leg around 45 degrees (always has, worse now)
-Little/no pain walking up stairs
-Pain descending stairs when my weight is on right (injured) leg, before left leg hits the next stair.
-Pain seems to be worse during easy rides. Also, hardly any pain when out of saddle (climbing or otherwise).
-Pain worse at top of the pedal stroke (most knee flexion)
-Not much pain on downstroke.
-If I grab my quad with my hand and pull towards my hip, it “pulls” my knee and replicates the pain.

I havent yet skipped a training ride or race because of this, but after hard rides or races I am close to crippled for 24 hours. I have taken prescription nsaid (dolobid/diflusinal) sparingly and it does seem to help, however I try to solve problems without meds. Also, my deductible is ridiculous so I try to help myself before paying out of pocket.

No bike position changes in the past year+…both of my road bikes have same geometry and measurements all around. Same shoes for past 8 months. My symptoms seem to line up with descriptions of IT syndrome, but any ideas/solutions are appreciated very much!

-Physiojoe

Shot in the dark here - one of my buddies had a similar problem. His speedplay pedal was wore down enough on one side that it cause his knee to angle slightly when riding, but he only experienced the IT band discomfort really when running. He changed out his pedal and the problem went away.

your patellar tendon is stressed out, IT band might contribute

search for “the definititive guide to ITBS” - we have a lot of good info in that thread
.