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@mikec
@Husy @apc
After another couple of physio sessions he believes it is what you describe above. The hip flexers and vastus lateralis are extremely tight and swollen leading to the knee being pulled out of alignment and not tracking correctly in it's groove. He has given me a series of stretches which I am trying to stick to.
I think he is right about this and I am back on the bike commuting only at it does not seem to make it worse. In fact I think lack of cycling was making it worse, mentally anyway. Another thing I noticed was the effect this has on my ham strings. I have started swimming, both in an attempt to resolve this and to build up stamina and I am getting terrible cramps in my hamstrings. Its almost as if my entire left leg is a little out of kilter.
I really hope to resolve it soon as I need to get back on track
I am still going to see a knee specialist just in case