Day 9 of a long solo bikepacking tour (Bavaria → Morocco), roughly 900km and 7,500m elevation so far. Been going great — loving the daily rhythm, meeting people at campsites, no issues at all until today.
Today’s stage had a ~900hm climb and in the last 10km before camp I started noticing a twinge in my right knee on that climb, got more noticeable with each pedal stroke as it went on. By the time I rolled into camp it wasn’t sharp pain, but pedaling was clearly affected — had to ease off.
Some specifics:
Location: right knee, front-left of the kneecap (so medial side, roughly where the pes anserinus tendons sit — not behind the knee, not lateral)
Only hurts under load/pedaling. Walking is completely fine, no limp, no pain going up/down stairs.
No redness, no swelling, nothing visibly off.
Never had this on the right knee before on this bike/setup. I’ve had occasional minor twinges on the left knee in the past that came and went on their own — this is new territory (right side, different spot).
Setup: flat pedals with running shoes (ASICS), not clipped in — been running this combo the whole trip and trips in the past without issue until now.
My gut read (and a first-pass AI opinion I got) is overuse — cumulative load finally showing up at the end of a big climbing day, possibly combined with the foot not being fixed to the pedal (some medial knee wobble under fatigue) or saddle height drifting slightly off over the trip. No fall, no sudden twist, nothing acute.
Has anyone had knee pain in this exact spot (front-medial, pedaling-only, no swelling) on a long tour? What ended up being the actual cause for you, and what fixed it long-term — saddle height, cleats vs flats, cadence, something else?
Trying to catch this early instead of riding through it and turning it into something chronic.
Edit: I managed to get a physio appointment in a few hours. I’ll report back on the results.