Do you have any shims or Inserts in your shoes ?

[ASTANA]

Another Quesetion. Still struggling with knee problems from my ITB. The fisio that I'm at right (benita de witt) now is not keen on built ins or any other shims and wedges. They belive one's body should addapt and be strengthend to work for your spesific sport in a natural position and setup.

 

What it feels to me is my meft knee moves side to side when pedalling - thus creathing a sircle, while my right leg seems to do the job - up and down only

 

I've heart from ppl that had similar problems who went to weages and stuff and its fixed now.

 

What do you gus reccomend?

 

[Naas V]

 

She's talking nonsense. Those type of adaptations can take years and cyclists don't have time

 

Test the inserts for a month or two and make a decision then.

 

Since I started using it, discomfort almost disappeared and I can pedal much harder(bigger gears) on climbs nowadays. Not completely solved but more than 50% immediate relief in my case. You can actually make your own by cutting away front and back-ends of normal shoe inserts - be creative - they need to be wedged. I recently arrived at a race without mine and could immediately feel the difference(discomfort) So I folded my armwarmers, put it inside and it helped a lot. New inserts are about R500-600 - I think Specialised makes them.

 

I would say the problem with your left knee can also be a style problem. I see lots of cyclists making "circles". Try/concentrate pulling and pushing inwards all the time(close to the top tube) - easy at first, like during LSD rides.

 

This is very important - say you have to apply presure from the top, which leg is going to collapse first? The one who pedals in circles(like you're "bakbeen" or the one that pedals straight up and down?

 

[ASTANA]

bump - more info on shims and inserts. No one has problems with ITB or knee pain ?

[Red Zone]

I ride with inserts in my road shoes and spinning shoes and with BG MTB shoes, I would suffer with serious ITB without them. Also have them in my running shoes.

 

IMO you body cant adapt, that would take breaking bones and resetting them so that your feet no longer pronate. I would see a podiatrist who can take casts of your feet and build custom inserts for you shoes. I saw a guy - Dallas Fell who sorted me out. Or buy the BG stuff

[Guest colonel]

Go back to Jeroen.

[ASTANA]

yeah, still waiting for him to reply. but according to him a few months ago I didn't need those - normal shoes will be fine

[Guest Big H]

When we were still doing road running I started to suffer quite seriously from an inflamed ITB. I went to a sport doctor (Philda de Jager) She took a high speed video of me running on the treadmill. She then sent me to a guy who specialises in making sport prosthetics (spelling???) who made a cast of my feet and made me prescription inserts. The ITB was gone and my times drasticaly increased because the fear that I would hurt myself was gone.

 

With cycling I have never had any problems with the ITB.

[SwissVan]

 

Added 2 x BG Valgus -1.5mm shims in my left shoe a year ago to correct knee movement (was moving outwards at the top of the stroke).

 

Also have a 3mm shim under the right shoe cleat.

 

The BG shims definetly decreased the amount of knee outward movement.

 

I never had problems with my knee's during cycling, the above are for lower back pain issues.

 

 

 

 

[ASTANA]

Cool. Where did you do the BG setup - at a shop or do they have more technical stores that do that ?

 

Most of ITB stuff come from the hips/lower back area anyway and then comes out as pain on the side of the knee.

 

Big H - yeah ITB mostly a running injury / problem but in my case the pain is on the side of the knee at the small bone there and on the back of the knee - after my ride.

 

 

I can run for as long and as far as I like - No pain whatsoever

 

[SwissVan]

 

BG set up was done at my LBS.

 

TBH not convinced that i need them valgus shims, while it stopped the so called excessive outward movement the juries still in session deciding if it helps the real problem.

 

 

 

 

[ASTANA]

 

 

BG set up was done at my LBS.

 

TBH not convinced that i need them valgus shims' date=' while it stopped the so called excessive outward movement the juries still in session deciding if it helps the real problem.

 

 

 

 

[/quote']

 

?

 

[SwissVan]

 

BG set up was done at my LBS.

 

TBH not convinced that i need them valgus shims' date=' while it stopped the so called excessive outward movement the juries still in session deciding if it helps the real problem.

 

 

 

 

[/quote']

?

 

The wedges stopped my knee from going in circles, but I'm not convinced that they are doing anything regarding lower back pain, which is why i went for a BG set up in the first place.

 

 

 

 

[danlate]

i also used to have knee problems. then i changed to specialized shoes, with standard bg, blue, insole and some time atac pedals. never had knee problems since. i dont know the correct term for the knee problem i had.

 

 

 

the combination of the time pedals and spesh shoes helps alot.

 

 

 

Speedplay pedals have a similar feel.

[The Doctor]

yeah' date=' still waiting for him to reply. but according to him a few months ago I didn't need those - normal shoes will be fine [/quote']

 

The movement you are referring to is known as mediolateral deviation of the knee. It is due to movement at the subtalar joint below the ankle when your foot corrects it's position during the power phase of your pedal stroke. This is normally due to either a rearfoot varus (which is corrected with plates between the shoe and the cleat) or a forefoot varus (which is corrected inside the shoe).

 

In your case your rear foot is completely neutral and your forefoot is sitting in 5 degrees of varus (which is the upper limit of normal). At the time that you saw me you were not injured. As you are on the limit, I did not prescribe any wedging at the time.

 

Considering your current injury, you should insert a 1.5mm body geometry wedge into the left and right shoe and also lower your saddle by 2-3mm.

 

If you still have pain then please call my secretary at <?: PREFIX = SKYPE /> 021-659-5644  and ask her to book you in for a consultation. Tell her that you are injured and that you were told to bring your bike along as well.

 

By the way. You only emailed me yesterday so the wait is not that long!