[font=Arial]Being a knee surgery alumni, perhaps my experience may be useful.[/font]
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[font=Arial]When I started cycling almost a year ago I elected to go with SPD cleats straight up, and chose a MTB for its shorter gearing because of the hilly nature of my intended commute (via Spit Bridge in Sydney), and my fragile right knee. Even after a couple of goofy falls with the cleats, I'd never go back to flats - not even for off-road.[/font]
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[font=Arial]I deliberately stay seated and spin in a higher cadence (between 95 and 105) when climbing, to ease the pressure on my knees. I set my seat using the leg-straight-with-heel-on-pedal trick, except for steep trail descents. If you don’t have a computer with cadence, PM me and I can email you a spreadsheet that will calculate your cadence for any gear based on speed, wheel diameter, and chainring / cluster tooth count.[/font]
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[font=Arial]Even with short gearing, high seat and high cadence, I'd still frequently get sore knees in those early months, especially if I rode too many days in a row. A day or two off the bike was enough to recover – so long as I eased off immediately and did not try to push through it. [/font]
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[font=Arial]The secret is to listen to your body. I know it can be frustrating having to wait for it to recover, but is a process that will not be rushed or hurried up, more so where joints are concerned. It takes as long as it takes, and you need to think long term. It’s important to maintain consistency with your rehab exercises too – not just when the knee gets sore again. Make haste slowly! [/font][font=Wingdings][font=Wingdings]J[/font][/font][font=Arial][/font]
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[font=Arial]After almost a year my knees are now stronger than they’ve been for more than a decade, thanks to cycling - and a little patience.[/font]