Knee injury - alignment issues using clipless pedals?
Knee injury - alignment issues using clipless pedals?
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272BHP

Original Poster:

6,594 posts

257 months

Wednesday 31st December 2025
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I have pretty much always ridden with flat pedals and have also had fairly injury free knees. In the autumn I got my first ever road bike and fitted Shimano SPD-SL pedals and bought new firmer road bike shoes. Spent a while adjusting the cleats till they felt right and went on a few spirited rides in October.

Bike has sat in the house since as I woke up one morning with achy knees and that along with a run of atrocious weather meant I had not taken the road bike out and just used my flat pedalled hybrid instead. The achy knees feel almost like what I see arthritis described as. In the recent cold weather they are worse than ever. I do a fair amount of gym training as well and this has totally impacted on how I can realistically train legs as well.

In December I noticed that my quadriceps muscles had atrophied quite markedly and in recent days even the skin is sagging around the area which is quite alarming I must say. I can only imagine this all started with the clipless pedal use although I remain open to the possibility it was coincidental.

Has anyone experienced anything similar?

donaircooleone

440 posts

198 months

Wednesday 31st December 2025
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272BHP said:
I have pretty much always ridden with flat pedals and have also had fairly injury free knees. In the autumn I got my first ever road bike and fitted Shimano SPD-SL pedals and bought new firmer road bike shoes. Spent a while adjusting the cleats till they felt right and went on a few spirited rides in October.

Bike has sat in the house since as I woke up one morning with achy knees and that along with a run of atrocious weather meant I had not taken the road bike out and just used my flat pedalled hybrid instead. The achy knees feel almost like what I see arthritis described as. In the recent cold weather they are worse than ever. I do a fair amount of gym training as well and this has totally impacted on how I can realistically train legs as well.

In December I noticed that my quadriceps muscles had atrophied quite markedly and in recent days even the skin is sagging around the area which is quite alarming I must say. I can only imagine this all started with the clipless pedal use although I remain open to the possibility it was coincidental.

Has anyone experienced anything similar?
Sort of similar, I ended up making a physio appointment which pointed to hamstring issues for me to work on. Might be worth seeking physio?

Have you ramped up your mileage which coincided with the new pedals/cleats/shoes?

Are you using the YELLOW cleats? As someone recently converted to SPD (I chose this mainly for free float, ease of use and shoes that can be walked in easily) I did find getting your fit checked out very useful - a lot of these offer cleat adjustment and shoe fitting.

Could try slamming the adjustment as far back as possible and getting some extra floaty degrees.

smn159

14,770 posts

238 months

Wednesday 31st December 2025
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You do need time to adapt to a new riding position, plus of course the bike and cleats need to be set up correctly.

If it were me I'd take the guesswork out by having a proper bike and cleat set up done. It really is worth it IME.

stargazer30

1,691 posts

187 months

Wednesday 31st December 2025
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You will find cycling legs and gym legs are different. It literally is a different type of muscle. A guy who can squat 200kg will be rubbish on a bike ( other than in a sprint) and an endurance cycling veteran would snap in half under that 200kg bar!

The knee pain could be any number of things. A bike fit is your best bet to start with.

Edit: strength training is recommended for cyclists to strengthen bones and avoid muscle imbalances but the weight needed is a lot less than your average body builder type.

Edited by stargazer30 on Wednesday 31st December 17:59

272BHP

Original Poster:

6,594 posts

257 months

Thursday 1st January
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I was using the yellow cleats yes.

I think I will take the guess work out of it and get some flat pedals I think and go back to just cycling in trainers. I did that for 55 years of cycling and never had a problem. Hopefully my legs recover but at my age these things are not always guaranteed. If they do then I will ease back into the clipless pedals with short gentle rides over a much longer period.

For now though I will concentrate on using all my know how and the proverbial kitchen sink on getting my legs functioning properly again - today seems a good day to start that process.

gareth h

4,132 posts

251 months

Thursday 1st January
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I had knee problems when I tried to replicate the stretched riding position of an old Kona to a full sus I had just bought, I adjusted the saddle back as far as it would go, couldn’t work out what was causing the problem until I did some research which suggested it was the knees being too far behind the pedals.
Saddle properly adjusted and all the issues went away.

272BHP

Original Poster:

6,594 posts

257 months

Thursday 1st January
quotequote all
gareth h said:
I had knee problems when I tried to replicate the stretched riding position of an old Kona to a full sus I had just bought, I adjusted the saddle back as far as it would go, couldn t work out what was causing the problem until I did some research which suggested it was the knees being too far behind the pedals.
Saddle properly adjusted and all the issues went away.
I haven't been on the road bike in quite a few weeks but I will pay attention to everything when I get back on it. I did not get a proper bike fit but the guy in my LBS is very knowledgable and spent a few minutes looking at me sat on the bike and adjusted a few things when I first got the bike.

My thinking is that I got a different kind of bike, different pedals, different shoes and trying a different riding style and in my usual gung ho enthusiasm went at it too fast and too hard - I tend to be stupid that way smile