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Knee pain is a frequent complaint among cyclists. Knee pain is usually associated with a seat position that is too high, too low, too far forward or too far backward.

  • A seat that is too high will cause pain in the back of the knee.
  • A seat that is too low or too far forward may cause pain in the front of the knee.
  • Improper foot position on the pedal, or improper cleat alignment, can cause pain on the inside or outside of your knees.
  • Individual anatomy may also result in knee pain. Cyclists with slight differences in leg length may have knee pain because the seat height is only adjusted for one side. Shoe inserts or orthotics can help correct this problem.

Another cause of knee pain is using too high a gear. Try to use a gear that allows you to pedal quickly, from 70 to 100 strokes per minute.