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@Noblevelo
I've had a bout of knee pain years ago when I was still riding the track - I was off the bike for a year and was endlessly backwards and forwards to specialists, but none of it helped.
In the end I cured it by abandoning clips & straps and getting clipless with some float. I'd stuck to clips & straps because of being mostly a track rider, but swapping was no problem. Been fine ever since.