Mine was a bit different- the only time it didn't hurt (once it started bothering me, which was either after a significant climb and/or after about an hour of moderate riding) was if I would stand to climb. It would start as an ache beside my knee and progress to a pretty sharp pain at the knee, traveling down my shin and finish with an achy ankle. The knee/shin pain would stop completely off the bike, but my ankle would ache a bit for a day or so.