Reasons why you might experience knee pain during indoor cycling Incorrect seat adjustment “Seat height and seat distance are the main perpetrators of knee pain. Stretching will help prevent your soreness from transforming into pain and stiffness. bestpractice.bmj.com, last updated March 2018. Fever is present (although the absence of fever does not exclude septic arthritis); the person is systematically unwell. Next review due: 12 December 2020, Pain after overstretching, overusing or twisting, often during exercise, Pain between your kneecap and shin, often caused by repetitive running or jumping, Unstable, gives way when you try to stand, unable to straighten, may hear a popping sound during injury, Teenagers and young adults with pain and swelling below kneecap, Kneecap changes shape after a collision or sudden change in direction, Pain and stiffness in both knees, mild swelling, more common in older people, Warm and red, kneeling or bending makes pain and swelling worse, Swelling, warmth, bruising, more likely while taking anticoagulants, Hot and red, sudden attacks of very bad pain, put as little weight as possible on the knee – for example, avoid standing for a long time, use an ice pack (or bag of frozen peas wrapped in a tea towel) on your knee for up to 20 minutes every 2 to 3 hours, you cannot move your knee or put any weight on it, your knee locks, painfully clicks or gives way – painless clicking is normal, your knee is badly swollen or has changed shape, you have a very high temperature, feel hot and shivery, and have redness or heat around the knee – this can be a sign of infection, refer you to hospital for a scan or specialist treatment (for example, surgery). Pain at the front of the knee – on and around the knee-cap (patella) – is the most common presentation of cycling overuse injuries, in part due to the anatomy of this area. Expert reviewer, Mr Damian McClelland, Trauma and Orthopaedic Consultant, and Clinical Director for Musculoskeletal Services at Bupa Immediately after an injury, you can help yourself by resting your leg, using an ice pack and taking painkillers, such as ibuprofen. Pain is often sharp, inside the knee joint and a residual ache can be present. You may have pain on the outside of your leg just around your knee or pain that spreads up your thigh. Sharp, shooting pain just above or below the knee is most often tendonitis. Tendonitis. This tightness might be even more so in your knees. These are the medial and lateral tibiofemoral compartments, the patellofemoral compartment and the superior tibiofibular joint. You may have swelling from fluid collecting or your knee may click or lock (get stuck in one position). Oxford: Oxford University Press 2014. oxfordmedicine.com, Knee ligament injuries. It’s more common: There are several medical conditions linked to outer knee pain. Lateral simply means outer side. It refers to pain on the outer side of your knee (so the right side of your right knee, and the left side of your left knee). Photos are only for illustrative purposes and do not reflect every presentation of a condition. nlm.nih.gov, last updated October 2018, Meniscal tear. Or, you could have severe throbbing knee pain that causes you to wake up in the middle of the night. It has been reviewed by appropriate medical or clinical professionals and deemed accurate on the date of review. You may also have some swelling over your knee. The pain in your knees can be mild, dull aches that keep you awake at night. Difficulty weight bearing, particularly in children. 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