Hi everyone! Im new here in The Bile Fit Academy, and Im very pleased to be here! Ive been suffering pain in the front-inner part of the right knee for some weeks, especially when pushing the pedal down with the foot horizontal and parallel to the ground. If I tilt my foot slightly to push more with the metatarsals, the pain is reduced. When pulling the pedal by exerting force with the hamstrings (round pedalling), there is no discomfort, only when pushing the pedal down. I am attaching videos from various angles (front, back and side) as well as images of the cleat adjustment on my cycling shoes (Shimano RC7). As for my medical history, I have had ACL surgery on my right knee. On the other hand, my left knee tends to swell from time to time, especially the lower area of the kneecap (Hoffa's fat pad). After reviewing several documents on bike fitting and cycling-related injuries, I suspect that it may be a goose foot injury, but I am not 100% certain. I have been doing many strengthening and activation exercises for the gluteus maximus, gluteus medius, abductors, adductors, and core prior to cycling sessions to send signals to my body to activate and push the pedal with my glutes and not so much with my quadriceps, as this could be one of my biggest problems, but the discomfort has not yet disappeared. I hope someone in the community can help me solve my knee pain problems! THANKS!!!

Hi all Sorry for the delay. Looking forward to the masterclass later today. Please find attached. The information you ask me for to help with my Position on the bike. Thanks again for this help. Take care all. Kind regards Chris Grosvenor

Hi All, Hoping for some help and advice. A fairly long post so please bear with me. I think the medical terminology for my problem is that I have an ‘Osteophyte’ on my Ischial Tuberosities, or, in plain language, an arthritic bony lump on my sit bones (in my case the left one) which is causing me quite a bit of pain. As far as cycling is concerned, I’m not sure what I can do about it. But first a bit of history and an explanation how I got to this point. I’m 70 years old and took up cycling 10 years ago when advised by a surgeon to quit or seriously cut down on my distance running due to a torn knee cartilage. I like to keep myself reasonably fit so bought a Cannondale Synapse Al 105. Had a bike fit a couple of months later and all seemed OK. As the length of ride increased I started suffering from numbness issues in the nether regions! Went back to where I had the bike fit but they weren’t very helpful at all and just kept telling me ‘Your bike fit is good so it’s probably a saddle issue mate.’ They did give me an old Fizik saddle I think just to get rid of me. That did improve the numbness a bit but didn’t cure it completely. So then over a period of time I trialled various saddles without much success. Eventually, went for saddle pressure mapping and saddle fitment at a local bike store. They recommended flipping the handlebar stem to raise the handlebars and, ultimately, my position. They also recommended and fitted a Specialized Bridge Comp Saddle (with MIMIC technology). This seemed to do the trick and was OK for a while. Then, about 3.5 – 4 years ago I started getting pain in my perineum area after riding for about 20 mins and in the same spot each time. This was when I discovered a hard bony lump on my sit bones. At the same time I upgraded my bike to a Synapse Carbon 3L. Went somewhere different and better this time for the new bike fit and again saddle pressure mapping. The saddle pressure mapping picked up the bony lump straight away. The recommendation was to flip the handlebar stem once more, thus lowering the handlebars and my position and taking the pressure of the arthritic lump. As far as the pain was concerned this worked, but the numbness issue eventually returned. A friend of mine offered me a loan of his Selle Italia SLR Boost Endurance Superflow saddle and that did the trick. So I purchased my own SLR Boost Superflow and everything has been good for about 2.5 yrs.