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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.
LFGSS
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Just signed up...
Been riding a fixed since, er... 1980 I reckon. Soon moving to a remote village in the south of France where I will be the only fixed rider for miles.