Hello there,

I wasn't aware of it until I went for a bike fit, but I also ride pigeon toed. I have never ridden without clipless pedals (well, when I was a kid, but not since taking up cycling again as an adult) so I'm not sure how I ride otherwise, but I've found that after my bike fit and them altering my cleats- so that I could ride pigeon toed "naturally" without twisting my ankle while clipped in- that it has actually helped my knee troubles/pain. It's just natural for me to ride that way, and was unnatural for me to try to keep my feet straight. Anyway, I'm not sure exactly what the man did to my cleats/pedals to make it so that I would ride pigeon toed naturally, but it has really helped. Maybe a trip to a bike fit guy would give you some answers...Maybe your situation is totally different as well, so good luck and I hope whatever you find out that it keeps you from a trip to the ortho!!...