Here Are The Tips Of Dr.
Several studies in athletes show that knee injuries, including anterior pain and patellofemoral syndrome, are the most common overload injuries seen in sports medicine centers.
Overload injuries occur when the tissue undergoes repetitive loading at the submaximal level, leading to fatigue. When adequate recovery does not occur, an inflammatory response occurs, with release of vasoactive substances, inflammatory cells and enzymes, with consequent damage to the tissue, eventually resulting in evident clinical lesion.
In chronic cases, repetitive activity produces degenerative changes, leading to weakness, loss of flexibility, and musculoskeletal pain.
The causes of knee pain in cycling are basically due to: Anatomical Factors, Problems in Bicycle Adjustment and Training Errors.
As examples of Anatomical Factors we have stainless steel bottle:
Asymmetry of the lower limbs leading to pain in the iliotibial and posterior band, due to the consequent elongation in the shorter limb, with each pedal.
Pelvis largo (common in women), increases the lateral stress in the knee.
Flat feet and exaggerated pronation related to medial knee pain.
Weakness of the quadriceps, hamstring muscles, hip flexors and glutes, with consequent inefficient technique and overload.
Lack of flexibility of the lower limbs, leading to iliotibial band syndrome.
Adjusting The Bike Is Paramount:
The saddle too high or too far behind causes an exaggerated extension of the knee, irritating the iliotibial band, stressing the tendon of the femoral biceps, overloading the patellofemoral joint and generating posterior pain in the knee.
The saddle too low or too far forward generates hyperflexion of the knee, with anterior pain and stress of the patellar and quadricipital tendons.
The internal rotation of the tachycardus leads to the anterior and lateral stress of the knee and the external rotation to medial stress.
As Training Errors we highlight:
Very rapid increase in volume and / or intensity of training.
Excessive climb training.
Excessive training with low cadence and high strength.
Consult your doctor if you have knee pain in cycling, with proper diagnosis, treatment and prevention of future injuries will be ensured.”
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