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What kind of knee pain? What pedals and shoes? Do you position your feet into a similar location to the pedal spindle on flats vs. clipless or is the pedal forcing your foot somewhere different?
Could it be that your position to begin with was wrong.
hippy-
Not sure I can describe it accurately, but there is some pain in the front part of the knee if riding with vans on the flat part of the pedal,
Pedals are the SH500 same as @chris0 up there.
No such pain when using the same pedal with clipless shoe (Shimano xc5) on the same seat height or when I was using MKS gamma before.
daveaa
Same here, had to lower the seat else knee pain in longish ride in flat.