An X-ray examination revealed that my kneecaps are one centimetre too high. This is why the tendon insertions in my knee become inflamed again and again when I regularly ride my racing bike - at least that's what my orthopaedist says. He also says that kneecaps that are too high are congenital. Is there still a way - without surgery - to prevent the inflammation and pain, or do I have to give up road cycling? R. Macha, by e-mail
In the case of a high kneecap, as you have been diagnosed with, the kneecap exerts increased pressure on the joint cartilage during the flexion phase of the knee. Constantly recurring pressure, for example when pedalling while cycling, can lead to permanent damage to the cartilage - and even osteoarthritis. In my experience, however, it is not the incorrect position that causes problems, but over-intensive training or an incorrect sitting position on the bike. Try to optimise your riding position and give your knee enough time to recover between training sessions. Reduce the volume and intensity of your training and regularly stretch your quadriceps muscles - this is a tried and tested measure for kneecap elevation.
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