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Reasons for knee pain are hard to identify, it can come from anything. Mine
comes when I don't keep them warm enough. A certain feature of a mountain bike
where we move around seems to be the last to blame. No1 culprit is always a
Clinical issue, either from injury or genetic then no2 is insufficient hip
stability which is adressed by lifting stuff on the gym or doing lots of
legitimate Yoga. Most bikes these days have 74+ seat angles. To me personally
it makes little sense how it could make it worse for the knees because the
steeper the SA the closer your body is to running position which we evolved to
through last several hundreds of thousands of years. I'd sooner expect fatbike
riders to be complaining on knee pain due to the humungous Q-Factor. Have you
exprimented with crank arm length? What pedals do you run? Low hip stability +
clipless pedals with lots of float, making your foot unstable is a very bad
combo. To sum up knee pain: Doctor > Gym > crankset/ pedal type then
keep them warm and pedal standing as much as you can, let your body work as it
is built by evolution.
Cheers! Good luck, I hate to be out from riding because of knee pain, it's one
of the worst feelings to not be able to trust a knee when wanting to push
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