8 Months of indoor Cycling and still cannot shake knee pains. Desperate for help!

Yes so my cleats were set up neutral. My feet are toes out naturally. So I adjusted my cleats to slight toes out and could feel the difference quickly. I also went back to a KOPS neutral position and it took a lot of stress of my quad and patella tendon. Took about a month for it to clear out but it did. I know people say don’t go only by KOPS but it works for me. I did the retul fit and it put my knee a couple mm forward of the pedal spindle. Just didn’t work for me. Hope any of that helps.

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