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How PT Can Address Common Cycling Injuries

Writer's picture: Felicia SciortinoFelicia Sciortino

Updated: Jan 30

As a triathlete or avid cyclist, you put in countless hours on the bike, pushing your limits and chasing your goals. But all that time in the saddle can sometimes lead to aches, pains, or even injuries that slow you down. The good news? Many cycling-related issues are preventable with the right knowledge and care. In this post, I’ll walk you through the most common cycling injuries and how physical therapy can help you stay strong, pain-free, and ready to tackle your next ride or race. Let’s dive in!



1. Knee Pain (Patellofemoral Syndrome or IT Band Syndrome)

  • Cause: Poor bike fit, overuse, or imbalanced muscle strength.

  • Prevention/Treatment: Adjust saddle height, change cleat position, strengthen quads and glutes, and/or incorporate mobility routine.



2. Lower Back Pain

  • Cause: Prolonged time in a flexed position, weak core or glute muscles, poor positioning on bike.

  • Prevention/Treatment: Cycling specific core and glute strength and/or adjust bike fit to ensure proper posture.



3. Hand/Wrist Pain (Cyclist’s Palsy)

  • Cause: Prolonged pressure on the ulnar nerve from handlebars.

  • Prevention/Treatment: Rule out and address neck issues, temporarily wear padded gloves, vary hand positions, and adjust handlebar angle or height. A PT can address nerve irritation via manual therapy and exercises, and recommend ergonomic adjustments.

4. Neck and Shoulder Pain

  • Cause: Poor bike fit or lack of mobility or strength in neck/mid-back.

  • Prevention/Treatment: Strengthen neck back muscles, mobilize thoracic spine, and ensure proper bike fit.


5. Achilles Tendinitis


  • Cause: Lack. of strength or improper pedaling mechanics.

  • Prevention/Treatment: Ensure cleat alignment and strengthen calf muscles. PT can help correct pedaling mechanics and manage inflammation.

6. Saddle Sores

  • Cause: Friction and pressure from prolonged rides. Imbalances in low back or hip stiffness can cause increased friction unilaterally.

  • Prevention/Treatment: Use a well-fitted saddle (I always recommend BiSaddle- see below for discount code), wear proper cycling shorts, and stand frequently during rides. Identify and correct imbalances in muscle tightness or pedal mechanics.


How I Can Help:

  • Bike Fit Assessment: I'm happy to take a look at your bike set up to identify any glaring deficits. For a more detailed look, I recommend bike mechanics or PT's who use the Retul System.

  • Strength and Flexibility Training: I develop personalized programs that address cycling-specific strength and flexibility. No cookie cutter approaches here!

  • Recovery and Pain Management: Techniques such as manual therapy, dry needling, and myofascial release can help reduce pain and inflammation.


Cycling injuries are often preventable with the right care and preparation. Don’t let pain keep you off the road—schedule a free consult today to optimize your performance and prevent injuries!


Bisaddle Discount Code: SCIORTINO15

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