What to Do if You Have Anterior (front side) Knee Pain When Cycling

1. Raise your seat slightly by half an inch.
2. Lower your gear so you are pushing an easier gear with higher cadence.
3. Focus on using your hamstrings not just your quads.  During your pedal stroke pull back instead of just pushing down.
4. Check your clip-less pedals to make sure they are in a neutral position and not too internally or externally rotated.
5. Consider clip-less pedals that allow for some float. This gives some movement with internal and external rotation.
6. Wear shoes with stiff sole.
7. Consider a bike fit if the above fails. If in Louisville, Kentucky, Curtis Tolson is a certified bike fitter.