I’ve been recovering from an ankle post-tib injury (overuse running) since December 2020.
3 months on an ankle rehab program and most of my strength is back and although I get some discomfort it’s largely improved (for cycling, not tried running).
During this recovery period (in consultation with a physio overseeing rehab) we added a slight amount more toe out to my foot position, a 3 degree wedge under cleat and widened the stance width.
This was really comfortable for the first couple of months, zone 2 rides up to an hour or so.
My first longer and slightly harder ride last weekend I found I had medial knee pain afterwards for 4 days (appears to be the medial collateral ligament). In part I don’t feel I need the same support as I did.
I can see that all three of the tweaks could be causing the knee pain - normally I would just have a fresh bike fit (cleats and shoes, otherwise happy) but that’s still not possible.
I’m asking the impossible I guess but what would people undo or reduce first? I will try to get some video of my leg movements, which might give me my own answer…
What is really frustrating is if a friend was suffering with this I am pretty sure with a trainer, a mirror, and a bit of tape I could advise in seconds.