November 25, 2011
Inside/Medial Knee question just came in…, so – It could be bursitis (inflamed bursa at hamstring tendinous insertion point) – possibly caused by Excessive traction of the tendon over the bursa, externally rotated tibial position, which would either be due to anatomical irregularities or related to cleat position. Have you ever had a Pro Bike Fitting or a Physician indicate any leg length discrepancies (one leg longer than the other – very common – even if it’s a millimeter or two)? A good Pro Bike Fitter will catch this. Sometimes Physicians have cause to look here and have identified, sometimes not. All said, do you have shims or wedges under your cycling shoe cleats? Also could be a minor medial meniscus tear. Depending on if this has been a chronic problem, or just surfaced, you probably should see a Sports Med/Ortho Doc to diagnose what’s going on. An MRI will be ultimately needed if they determine the need to see all of the soft tissue issues – that an X-ray will not pick up.