Cycling knee pain is rarely a minor issue. Because the pedalling motion repeats thousands of times, small setup errors can create a lot of load very quickly. That is why knee symptoms often become one of the clearest signs that the position is not working well enough.
You work directly with me, Lloyd Thomas. I look at how you take load, how stable the pelvis is and how the bike distributes stress over repeated pedal strokes rather than only chasing the painful spot.
Knee pain rarely comes from one factor alone. Saddle height, saddle setback, cleat alignment, stance width, foot support, crank length and cockpit balance can all contribute.
The important step is to stop guessing and identify which factors are actually driving the issue in your case.
I start with how you move off the bike and then analyse the position under load. I am not only interested in where the pain is. I want to understand why your system keeps driving stress into that area.
The order matters. I identify the biggest lever first and make the changes that actually make sense for your bike and riding.
Use the next step that best matches your situation, then move into the right service or advice page.
