I had the exact same issue after switching to longer cranks. ITB pain
kicked in at about 40 miles. After several weeks of pain, rollers,
frustration, and lowering  my saddle, the saddle height seemed to be
the main issue. I had not lowered saddle enough to compensate for the
longer crank. I was able to ride 100 miles last week pain free.



Michael_S wrote:
> No, I figured out that I need a wider Q a long time before trying the
> Varus wedge shoes. It was like " why do I alway feel better on the
> bikes with triples?" oh! thats why....Q.
>
> Specialized also makes inserts for other shoes that have the wedge
> built in.
>
> On Sep 26, 3:33 am, Steve Palincsar <palin...@his.com> wrote:
> > On Sat, 2010-09-25 at 13:34 -0700, Kathryn Hall wrote:
> > > I'm sure you know this, but to summarize, tread depends on model of
> > > crank and bottom bracket width, which in turn is dependent on
> > > clearance at the chain stays.  What I can say from my experience is
> > > that the narrowest tread can be had with a TA Pro 5 Vis or VO Grand
> > > Cru crank providing the chain stays allow a narrow bottom bracket.  If
> > > you want a wider Q factor, you only need insert a wider bb.
> >
> > > Having said that, today, after not having been on my bike for a couple
> > > weeks, I rode a new bike with about 5-7 wider tread than my old bike.
> > > I noticed the difference immediately in my foot placement but put it
> > > out of my mind and rode in a spirited ( for me ! ) manner.  That is, I
> > > applied myself with some effort, and pedaled at times from the knee,
> > > if that makes sense, and at times from the hip.  At the end of the
> > > ride the most noticeable thing for me was a lack of left knee pain
> > > that had been plaguing me for some time.  What I initially noticed
> > > with some annoyance turned out to be a blessing in disguise.  But
> > > we'll see - it's really too soon to say anything definitive.
> >
> > Which is to say, your knee pain was possibly improved by going to a
> > higher Q?- Hide quoted text -
> >
> > - Show quoted text -

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