Hi! Since I do not know what to do any further with doctors I would like to ask you so maybe I can get any good advice. 2020 I rode around 14000 km withouth any knee problems (even though I know from hiking that my left knee is a bit vulnerable). At the End of 2020 and the beginning of 2021 I did the SSBase I+II without any knee problems (I skipped the low cadance intervalls though). In Febr. I did a 180 km race and from there on my odyssey started. I have had so much pain in my left knee that I was not able to walk properly steps down was the worst. I went to the doc and he said that I have a heavy inflamation in the knee something with the patella tendon. After a cortison injection (that did not help) he ordered a MRI Scan. The result was inconspicuous. He said I have a knee as a youngster (I am 44 years old). I waited until I did not feel anything in the knee and waited some weeks more (it was mid mai already). From there on it is always the same. I start very slowly and after a few rides I get pain in my knee. I ride a gravel bike. I did a 650 km ride with my E-Cargo bike and the family in Sweden last year without any problems. So I came back and made an appointment for Bike Fitting (my bike was fitted the last time March 2020 but I wanted to be sure) The appointment was postponed due to corona and in Nov. I finally got fitted. He found some things (like cleat position and adjusted the sattle) and said that should fit the bill. I put the bike on the indoortrainer to get back in form (I did 6 sessions) without any problems and went out and did a 40km ride 26 km/h avg so nothing heavy. Boom… knee pain. I waited now a couple of days and stated to go back on the indoor trainer and there I do not have any problems (today I did a 1h FTP Test without any problems). There are some theories I have It could be the cold. But I ride in the cold with the cargo bike and have no problems and I did it 2020 as well without any problems. I am never in the drops when I ride indoor. Maybe it is a stretching problem? When I ride outdoor I have long cycling pants on. Maybe they fix the kneecap which causes problems. But I haven’t had any problems 2020 and I wrote a lot in long pants. I do not know… these are just guesses. To specify the pain. It is not outside but inside of the leg. If you touch the kneecap it is in the little hollow directly beside it. Maybe one of you has a tip for me I am so annoyed not being able to cycle properly. Since I do not have a driver licence I do really everything with the bike and this handicapes me a lot… Have a nice day and thanks for reading!

More guesses from me and sorry it not a solution, I hope you find one soon. Indoors you perhaps ride at a more constant, comfortable cadence and force (left v right) is balanced, whereas out side its more varied and you naturally at points to balance, etc put more force through one leg.

Jon made a great post on knee injury - identifying and addressing, here: [image] [FAQ] How to Fix Knee Injuries for Cyclists (Knee Pain) Training Knee injuries are common and SO frustrating! Please share what you’ve done to fix them in this thread. DISCLAIMER: This post is LONG, but it’s meant to be a resource on what is working for me and a place for discussion on what is working for other folks. Cyclists and “knee problems” are as common a pair as shoes and socks, yet they are highly individual and in every scenario, an individual approach needs to be taken. What I am sharing in this post is what is currently working for me. I am not s…

Many thanks for your answers! I have had a look into Jons Thread and there are many approaches that I can try. I will go forward with this and (fingers crossed) hope it will help. I have read about pedaling techniques in his thread and remembered that I changed my one from mashing to spinning last winter. That might be one of the things that I will try. Best and take care!

TrainerRoad

Knee Pain only from Outdoor Riding

Training

IvyAudrain January 10, 2022, 10:05pm 3

Jon made a great post on knee injury - identifying and addressing, here:

Topic		Replies	Views
8 Months of indoor Cycling and still cannot shake knee pains. Desperate for help! Training	30	5817	October 16, 2019
Front/outside knee pain - symptoms Training injury	2	1875	May 6, 2019
Pain in lateral knee after 10 Minutes of cycling Training	10	193	August 10, 2026
[FAQ] How to Fix Knee Injuries for Cyclists (Knee Pain) Training injury	142	54519	September 5, 2026
Knee Pain Inside Training	26	839	August 27, 2024

Ask a Cycling Coach Podcast

This is the only podcast dedicated to making you a faster cyclist. Listen to the latest episode and more.

We Are Here to Help!

Browse hundreds of articles in our Support Center or contact our world-class support team to get back on track.

Privacy Policy Disclaimer Terms Cookie Settings

Knee Pain only from Outdoor Riding

Related topics

Get Faster with Adaptive Training

Ask a Cycling Coach Podcast

We Are Here to Help!