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Date: 15 Nov, 2010
The Cycle Clinic By Craig Baldwin 

Bike fitting FAQs Part 2

 
Q I get knee pain when running and more recently i have started getting knee pain while cycling! Is this the same issue?

A The most likely cause of your knee pain would be iIliotibial band syndrome (ITB syndrome for short). A tight ITB can cause lots of issues when running such as causing friction and pain to the outside of the knee joint, at the lateral epicondyle - the end of the femur (thigh) bone. The ITB crosses bone and muscle at this point; between these structures is a bursa which should smoothly interact with very little friction. However, when inflamed, the iliotibial band does not interact smoothly, and unfortunately pain is the result. It is very important if you are suffering symptoms of ITB syndrome that you see your physio so that he can give you a program to help fix the problem, Treatment involves lots of stretching, massage and treatment is usually very successful.


Q I get very numb hands when cycling. Is there something i can do to stop this?

A if you are suffering from numbness and tingling in the hands you may need to have your position checked, excessive weight distribution to the front end of the bike puts a lot of pressure on the ulnar nerve which is a nerve that runs the entire length of your arm to the hand, pressure on this nerve will cause tingling and numbness. Correct balance on the bike and good weight distribution between you hands and core muscles are very important. A good padded set of gloves is also a must and remember to keep your arms relaxed when riding as this will help take the road vibration away which can also effect the ulnar nerve.

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