top of page

Knee Pain While Cycling:

What can cause it and how to avoid it!

Over 60% of cyclists have experienced a sore knee when cycling. Most riders will experience  knee pain cycling front of knee (anterior knee pain from cycling or medial knee pain when cycling) while others may suffer from pain just above or just below the kneecap. In some cases this may be due to overuse and following rest it will recover. However if it does not improve it could be patella or quadricep tendonitis and you should seek professional advice and support. Pushing through the pain is not a serious option.
From poor bike fitting to misaligned cleats and pedal stroke technique, various factors can contribute to knee pain from cycling. We will look into the key reasons behind getting a sore knee from cycling, providing insights into how each element potentially impacts your knees and offering solutions to keep you riding comfortably.

Knee Pain Chart

Knee Pain Cycling Saddle Height: How Saddle Height Can Cause Knee Pain When Cycling

​

Knee pain from cycling is a common issue with over 60% of riders experiencing it at one time or another. The incorrect saddle height can lead to knee pain when cycling so lets take a look at why it  can cause knee pain cycling and what you can do to check your saddle is at the right height.

​

Why is Saddle Height so important?

​

If your saddle is too high or too low it can have an impact on your pedal stroke and place unnecessary stress on your knees and even your lower back.  This can cause knee problems from cycling so by finding the right saddle height will help you deliver the power more evenly through your pedal stroke and help reduce the stress on your joints, tendons and muscles.

​​​​

A saddle that is too low can cause your knees to compress (an angle of less than 70 degrees) at the top of the pedal stroke This can lead to a range of issues, including:

​

  • Over Compression: A low saddle can increase the compression of the knee joint 

  • Increased Quadriceps engagement: With a low saddle, your quadriceps work harder, leading to potential overuse injuries and cycling anterior knee pain.

  • Increased stress and Tension: It places more tension on the ligaments and tendons around the knee, increasing the risk of patella tendonitis and other knee related issues from cycling.

​

Saddle Height Too High: Problems

​​

 

A saddle that is too high can cause your knees to overextend and causing you to reach for the pedals, potentially leading to the following problems: 

​

  • Hyperextension: Overextension of the knee joint at the bottom of the pedal stroke can strain the tendons and ligaments at the back of the knee.

  • Hamstring Overstretching: A high saddle can overstretch your hamstrings, leading to potential muscle strain and discomfort.

  • Reduced Power: A high saddle can decrease the efficiency of your pedal stroke, as you're unable to deliver power through your pedal stroke.

​

How can i tell if my saddle height isnt right? 

​

Some things to look for if you saddle is too low or too high.

  • Front Knee Pain when cycling: Often indicates a saddle that is too low.

  • Back of Knee Pain : Usually points to a saddle that is too high.

  • Hip Pain or Rocking: Can occur if the saddle height is forcing you to tilt your hips excessively to reach the pedals.

  • General Discomfort: Persistent discomfort while cycling can often be traced back to improper saddle height.

​

How to find the Right Saddle Height 

​

The right saddle height cycling is one of the key elements for preventing knee pain. It can also help the efficiency of your pedal stroke.  

Here are some options on how to find the right seat height for cycling:

​

1. Heel-to-Pedal Method

​

An old school method to determine the correct saddle height is the heel-to-pedal technique:

​

  1. Position the Bike: Place your bike on a trainer or or somewhere secure and stable.

  2. Adjust the Saddle: Sit on the saddle and place your heel on the pedal at the lowest point (6 o'clock position).

  3. Check your Leg Extension: Your leg should be fully extended without tilting your hips. If your leg is not fully extended or your hips are tilting, adjust the saddle height accordingly.​

 

2.  Hamley Method 109%

​

Another popular method is the 109% method using a saddle height formula. This involves measuring your inseam:

​

  1. Measure Your Inseam: Stand with your feet about 6 inches apart and measure from the floor to your crotch.

  2. Calculate Saddle Height: Multiply your inseam length by 1.09. This calculation gives you the distance from the top of the saddle to the pedal axle in the six o'clock position.

​

3. Lemond Method

​

The Lemond method also involves measuring your inseam and also uses a saddle height formula. The Lemond is probably one of the most popular ways to calculate your seat height for cycling.

​

  1. Measure Your Inseam: Stand with your feet about 6 inches apart and measure from the floor to your crotch.

  2. Calculate Saddle Height: The LeMond Method multiplies your inseam measurement in millimetres by 0.883. This number is the distance between the top of your saddle and your bike's bottom bracket

​

4. Professional Bike Fitting

​

For the most accurate and personalized adjustment, consider getting a professional bike fitting. A bike fitting Sussex specialist will take various measurements and analyze your riding style to set your saddle height and saddle fore and aft specifically for your riding style and based on your flexibility. 

​

Learn more about why a professional fitting can make all the difference in our fitting service overview.

​​​​​​

Conclusion

​

An incorrect saddle height can be one of the causes of knee pain in cyclists. By checking your saddle is the right height, you can reduce unnecessary stress on your knees. You can use simple methods like the heel-to-pedal technique or get a professional bike fitting Sussex, taking the time to check your saddle height can make a difference in your ride. 

​

​

​

​

 

Knee Pain Cycling Saddle Fore and Aft: How Saddle Fore and Aft Position Can Cause Knee Pain When Cycling

​

Now we have the correct height we need to set the fore and aft position of the saddle. The location of the saddle (fore and aft)and it can easily be overlooked and lead to knee pain when cycling if not set up correctly.

​

What is Saddle Fore and Aft Position

​

The fore and aft position of your saddle refers to the horizontal location of the saddle in relation to your bike’s bottom bracket. The position of the saddle can determine the alignment of your knees over the pedals and influences the biomechanics of your pedal stroke. If the saddle is too far forward or too far back, it can cause knee pain when cycling.

​

Saddle Too Far Forward, what to look for

​

When the saddle is positioned too far forward, it can cause stress at the front of your knee, leading to anterior knee pain (Pain in the front of the knee when cycling). Here are some of the potential causes and/or issues:

​

  • Patellofemoral Stress: Increased the load or stress on the patellofemoral joint (where the kneecap meets the thigh bone), leading to pain and discomfort in the front of the knee.

  • Quadriceps Overload: Your quadriceps muscles have to work harder to deliver a smooth pedal stroke, potentially leading to muscle fatigue and strain.

  • Increased Knee Flexion: Increased knee flexion at the top of the pedal stroke can contribute to overuse injuries and patellar tendinitis.​

  • ​

Signs your Saddle Too Far Back symptoms

​

Positioning the saddle too far back can also lead to knee problems when cycling, particularly at the back of the knee. The potential issues and causes can include:

​

  • Hamstring Strain: Over extension of the hamstrings at the bottom of the pedal stroke which can lead to muscle strain and discomfort. This can be caused by reaching for the pedal at the bottom of the stroke.

  • Posterior Knee Pain: The increased extension of the knee joint can put stress on the tendons and ligaments at the back of the knee when cycling, causing pain, discomfort and inflammation.

  • Inefficient Pedaling: A saddle too far back can disrupt the efficiency of your pedal stroke, making it harder to generate power and maintain a smooth cadence.

​

Signs Your Saddle Fore and Aft Position isnt right

​

The saddle fore and aft position is another critical area of bike set up that can help prevent knee pain when cycling. It can also have an impact on the efficiency of your pedal stroke.  

​

Here are some indicators your saddle fore and aft may not be in the right place:

​

  • Anterior Knee Pain when cycling: Pain in the front of the knee often suggests that the saddle is too far forward.

  • Posterior Knee Pain when cycling: Pain in the back of the knee usually indicates that the saddle is too far back.

  • Hip Pain or Discomfort when cycling: Misalignment can cause your hips to rock or tilt excessively, leading to hip pain.

  • General Discomfort when cycling: Persistent discomfort or difficulty maintaining a smooth pedal stroke can often be traced back to improper saddle position.

​​

How to find the Right Saddle Fore and Aft Position

​

Achieving the correct saddle fore and aft position can be very important in preventing knee pain when cycling. Here are some methods to help you find your best position:

​

1. Knee Over Pedal Spindle (KOPS) Method

​

What is KOPS? The KOPS method is a common technique used to determine the fore and aft position of your saddle:

​

  1. Set Up Your Bike: Place your bike on a trainer

  2. Position the Pedals: Rotate the pedals until they are horizontal (3 and 9 o'clock positions).

  3. Check Knee Alignment: Sit on the saddle and ensure your feet are clipped in or securely on the pedals. Drop a plumb line from the front of your kneecap (patella) on the forward leg. The line should intersect the pedal spindle (the axle of the pedal).

  4. Adjust the Saddle: If the plumb line falls in front of or behind the pedal spindle, adjust the saddle fore or aft until your knee is directly over the pedal spindle.

​

​

2. Professional Bike Fitting

​

For the most accurate adjustment, consider a professional bike fitting. A proper bike fit Brighton specialist will take various measurements and analyze your riding style to set your saddle position precisely. This personalized approach ensures optimal knee alignment and overall comfort.

​

​Discover more about our comprehensive bike fitting services and how they can elevate your cycling experience.

​

​

​

​

Conclusion

​

The fore and aft position of your saddle is a critical factor in preventing knee pain and ensuring a comfortable, efficient ride. By carefully adjusting your saddle position using methods like the KOPS technique or by getting a professional bike fitting Brighton, you can achieve optimal knee alignment and avoid unnecessary pain. 

​

Knee Pain Cycling Cleat Position:

How Cleat Position Can Cause Knee Pain while Cycling

​

One crucial factor in preventing knee pain is the correct positioning of your cleats. The alignment of your cleats on your cycling shoes plays a significant role in your overall biomechanics and can be a major contributor to knee pain in cycling. Let's explore how cleat position affects cycling knee pain and how to ensure your cleats are properly set up.

​

Understanding Cleat Position

​

Cleats are the interface between your cycling shoes and the pedals. Their positioning affects your foot alignment and the distribution of forces through your legs while pedaling. Improperly positioned cleats can lead to misalignment, causing sore knees from cycling and other related issues.

​

Forward or Backward Cleat Position

​

The fore-aft position of your cleats (how far forward or backward they are on your shoe) can significantly impact your knee health:

  • Cleats Too Far Forward: Positioning the cleats too far forward can increase the stress on your quadriceps and the patellofemoral joint (where the kneecap meets the thigh bone), leading to anterior knee pain or frontal knee pain cycling

  • Cleats Too Far Back: Cleats positioned too far back can cause overextension of the knee, leading to strain on the hamstrings and posterior knee pain.

​

Lateral (Side-to-Side) Cleat Position

​

The lateral position of the cleats (how far to the left or right they are) affects your foot's natural alignment and can cause issues if not correctly set:

  • Cleats Positioned Too Far Inwards (Medially): This can lead to a knock-kneed position (valgus alignment), increasing stress on the inner knee and potentially causing medial knee pain.

  • Cleats Positioned Too Far Outwards (Laterally): This can cause a bow-legged position (varus alignment), leading to lateral knee pain and discomfort on the outer knee.

​

Cleat Angle (Float and Rotation)

​

The angle at which your cleats are positioned (toe-in or toe-out) is crucial for knee alignment:

  • Fixed Cleats: These do not allow any movement and can cause significant knee stress if the alignment is not perfect.

  • Float Cleats: These allow a certain degree of rotational movement (float), accommodating natural leg movement and reducing knee strain. However, if the float is not sufficient or is misaligned, it can still cause knee pain.

​

Signs Your Cleat Position May Be Incorrect

​

Recognizing the signs of incorrect cleat positioning can help you make necessary adjustments before knee pain becomes a significant issue. Common indicators include:

​

  • Anterior Knee Pain (Front of knee pain cycling): Often caused by cleats positioned too far forward.

  • Posterior Knee Pain (Back of knee pain cycling): Usually results from cleats positioned too far back.

  • Medial Knee Pain (Inside knee pain cycling): Indicates cleats might be positioned too far inward.

  • Lateral Knee Pain (Outer knee pain cycling) : Suggests cleats may be positioned too far outward.

  • General Discomfort: Persistent discomfort or difficulty maintaining a smooth pedal stroke can often be traced back to improper cleat position.

​

Finding the Right Cleat Position 

​

Proper cleat positioning can help prevent knee pain and enhance your cycling performance. Here are some steps to achieve the correct cleat setup:

​

1. Adjusting Fore-Aft Position

​

  • Identify the Ball of Your Foot: The cleat should be positioned so that the ball of your foot is directly over or slightly behind the pedal spindle. 

  • Make Adjustments: Move the cleat forward or backward to achieve this position. A good starting point is to have the cleat centered under the ball of your foot. The general goal is to have the 1st MTP (metatarsal-phalangeal) in front of spindle, and the 5th MTP slightly behind it.

​

2. Adjusting Lateral Position

​

  • Check Knee Alignment: When clipped in, your knees should track straight over the pedals without moving excessively inward or outward. However many cyclists have very large lateral movements of their knees and suffer no ill effects at all. If in doubt seek guidance from a professional bike fitter

  • Fine-Tune the Position: Adjust the cleats medially or laterally to ensure your knees remain in a neutral position throughout the pedal stroke.

 

3. Setting the Cleat Angle

​

  • Neutral Foot Position: With your feet on the pedals, ensure they are in a natural, comfortable position without feeling forced.

  • Adjust the Angle: Rotate the cleats slightly to match your natural toe-in or toe-out position. Using float cleats can help accommodate slight variations in foot movement, reducing knee stress.

​

4. Professional Bike Fitting

​

For the most precise and personalized adjustment, consider a pro bike fitting. A pro bike fitting specialist will analyze your biomechanics and riding style to set your cleat position accurately, ensuring optimal alignment and comfort.

​

​

​

​

​

Conclusion: Cleat Position Knee pain 

​

The position of your cleats is a critical factor in preventing knee pain from cycling and ensuring a comfortable, efficient ride. By taking the time to correctly adjust your cleats—considering fore-aft, lateral, and angular positions—you can optimize your knee alignment and reduce the risk of pain. For the best results, consider a professional bike fitting to complete the setup to your specific needs. 

Seek professional help if you are experiencing knee pain!

 

Before looking into potential causes of knee pain during cycling, it's essential to emphasize the significance of a proper bike fit. A well-fitted bike can alleviate many issues related to knee discomfort by ensuring optimal alignment and biomechanics. Therefore, we strongly recommend consulting with a professional bike fitter to address any persistent knee pain. A good bike fitter will refer you on to a physio or chiropractor if your biomechanical issues are beyond a bike fit. 

 

Remember, individual experiences may vary, and it's essential to listen to your body and seek professional guidance if needed.

​

If you’re experiencing discomfort, our articles on knee painback pain, and neck and shoulder pain during cycling provide valuable insights.

Knee Issues Summary

LOCATION

Potential Cause

Potential SOLUTIONS

Anterior Knee Pain Cycling or Pain behind Kneecap Cycling

Tendonitis

​

​Patella misalignment

Raise saddle

​

Fit shorter cranks

​

Ensure foot is in its natural position

Medial knee pain cycling

Menisci degeneration

​

Ligament strain

Bring feet inboard

​

Ensure foot is in natural position

​

Use pedals with less float

​

Support fore-foot varus

​

Increase arch support

Lateral Knee pain cycling

Iliotibial band

​

Menisci

degeneration

​

Move feet outboard

​

Ensure foot is in natural position

​

Reduce saddle height

​

Support fore-foot varus

​

ITB stretching exercises.

Reduce saddle height

​

Increase arch support

​

Hamstring stretching exercise.

Hamstring over-extension

Posterior Knee pain cycling

Reduce saddle height

​

Quad stretching exercise.

Fat Pad irritation

Anterior Knee pain cycling

bottom of page