Just want to say thank you as I have the exact medial knee pain on my right knee. After moving the cleat towards outside of the shoe the sharp pain stopped. Although I still have some dull pain/discomfort but it's 10 x better than before. I'll try those strength/activation exercises and hopefully the pain goes away for ever!
I am doing a 2300km 3week long cycling expedition in the north of Norway in 5 days. I am very nervous cause the inner kneepain I am been strugling with. Your advice helped me before. Hope it will help know aswell.
I have pain on the inside of my knee with stairs and walking after my previous mountainbike ride last year. Been riding 3-4 times per week on racing bike and mountainbike, and replace my shoes and cleats for the first time in 4 years for the mountainbike. Because my shoe was rubbing the cranks sometimes.. i decided to put the cleat as far as possible to the inner part of the shoe (putting my feet as far away from each other and the cranks as possible with the shoes). Also riding with eggbeater cleats which have a lot of float. Could this potentially caused the problem, because there is more tension this way on the inner side of the knee?
Definitely! Cleat position is the most important part of the fit! When I do a bike fit I want my patients to feel the cleat under the ball of the foot under the 2nd toe :)
Hi Jay and sorry for the confusion. The epicentre of pressure should be under the ball of your foot between/in line with the first and second toes. If you feel more pressure on the outside of the foot you would move the cleat inward on the shoe or toward the bike. If you feel too much pressure on the inside of the foot and big toe then the cleat would move outward on the shoe away from the bike. That is how I fit people and it works 95% of the time.
Based on professional fitter advice, you should increase your Q angle for medial knee pain. Meaning, widening your stance not narrowing. You do this by moving your cleats to the inside of your foot. Do some research with the European bike fitters. Not the “Cycling Doc.”
Thanks for your comment but I think you are mistaken. If you widen your stance you will decrease the Q-angle - straighter thigh and leg means less Q ANGLE. If you bring the cleat out and the foot/knee in you would increase the q-angle - just like I did and what you said. Google Q-angle measurement. I also said this is NOT A BIKE FIT - this is what I did that worked for my fit, which also depends on one's saddle position amongst several other factors.
