Chance Suspended 4725 Posts user info edit post |
I have been battling patellar tendinitis for a few months now. I rode a lot on the road and mtb last year, and never had any knee trouble. However, I did notice from time to time I'd get pretty tight hamstrings and what seemed to be ITB issues. Early this year (Jan/Feb) I noticed it again, and thought I would move the seat up about 1cm on my road bike to open my thigh angle up thinking this would alleviate the tight hammy/ITB issues. Even though I had been professionally fit to this bike by Mike Beamon at InsideOut, I monkeyed with it anyway. I didn't do really any riding on my road bike after changing this because of work and other reasons. I did do a fair amount of mountain biking in Umstead/Crabtree/RR/Harris to keep my bike shape up.
Then on Easter, I finally had a chance to go out and ride it with my buddy. We put in 40 miles at around 19.5mph. Two days later, I went for an hr run at Umstead. The run felt great, the next morning, I felt awesome. The next morning however, I had the weirdest sensation in my left knee. It felt loose. Not particularly painful...that is, until I would try to turn while walking (think going around a corner into a hallway or something) and a sharp pain would come out. Over the next day or so, it turned into a little bit of a dull pain during the day also. I stayed off for 1 week, and then tried some easy mountain biking. This didn't seem to make it worse. Two weeks later, and a couple mtb rides in between, it felt a little better, but not 100%, so I went to Dr. Staker in Cary. He diagnosed it as paterllar tendinitis, and said it is caused by a strength imbalance between the quad muscles on the left and right side of your knee. One gets stronger, pulls on the patella tendon more and causes it to rub funny and get inflamed. He worked on it with ART massage a couple times a week for a few weeks, and said I could go back to running immediately, but to stay off the long rode bike rides for awhile. So, I did. And over the next few weeks, I got my run volume back up to ~15 miles a week, and got enough pain free strength back in my knee that I was able to hit just about any climb I wanted to over at RR, and some I hadn't hit in awhile. My knee felt great, barely any remnants of the tendinitis that I could tell.
Then, 2 weeks ago, in preparation for the triangle tri I did over the weekend, a buddy and I did a swim/ride brick (supposed to be all three, but I forgot my shoes). We swam, then rode 22 miles. There was a little bit of climbing, and I pushed it pretty hard in places, but overall, I didn't really obliterate it. And I'll be damned, a few days later I could feel a little bit of the knee looseness and dull pain had returned. Before this, when the tendinitis first happened, I thought it was a combo of the hard road bike after not having done it in awhile, followed by the hard run in Umstead with a lot of downhill sections (hell on the quads), and this still may be the case. But after the tendinitis popped up again after this road ride, I had decided the changing of the seat height a paltry 1cm must have done it.
So for triangle this past weekend, I put it back down to where it was before. Going into yesterday, my knee wasn't 100%, but it wasn't exactly bothering me. Today, the knee doesn't have that looseness that I felt from times before. It's sore, but I feel like this is just general soreness and possible residual effects of the tendinitis that hasn't gone away fully.
So anyway, thats a lot of words that bored you to death, but my take home message is, it very well could be an overuse injury. If it isn't better with a little rest, and you can afford it, get to a sports medicine doctor and get them to diagnose it, rather than a bunch of arm chair doctors on tdub. And lastly, if this is road biking, spend the $50 or so to get professionally fit to your bike. 7/9/2007 2:46:09 PM |