Cycling Injury & Performance
Cycling is one of the best low-impact ways to stay active — but it’s not without its challenges. Research shows that up to 50% of cyclists experience at least one overuse injury every year, most commonly in the knees, low back, neck, and shoulders (Clarsen et al., 2010, British Journal of Sports Medicine). Many of these problems aren’t because your body is “broken” — they’re often linked to how you’re positioned on your bike.
Even the smallest adjustment in seat height, handlebar reach, or cleat alignment can make the difference between comfortable, powerful riding and chronic pain. That’s why bike fitting isn’t just for elite cyclists — it’s one of the most important steps in keeping every rider healthy and efficient on the bike.
What the Research Says
The most common cycling overuse injury is anterior knee pain, often linked to poor saddle height or positioning (Bini & Hume, 2016, Sports Medicine).
Low back pain affects 30–60% of cyclists, usually from prolonged posture and weak core/hip control (Burnett et al., 2004).
A proper bike fit combined with strength training improves efficiency, reduces pain, and decreases injury risk (Van der Walt et al., 2018).
Our Approach to Cycling Injuries & Performance
At Timber and Iron Physical Therapy, we combine physical therapy with professional bike fitting to help you recover from injury, prevent future problems, and ride more efficiently.
Every cyclist we work with begins with a comprehensive cycling assessment that includes:
A full bike fit evaluation (seat height, saddle fore/aft, handlebar position, cleat alignment)
Movement analysis on and off the bike
Strength, flexibility, and mobility testing of the hips, knees, back, and shoulders
Review of training load, riding style, and goals
From there, we design a plan to help you:
Reduce pain and irritation so you can enjoy your rides again.
Optimize your bike fit for comfort, power, and injury prevention.
Strengthen key muscles (hips, core, glutes, and quads) for endurance and efficiency.
Build durability so you can handle longer rides, tougher terrain, or higher training loads.
Treatment & Services We Provide
Professional bike fitting for injury prevention and performance
Cycling position and movement analysis
Instrument assisted soft tissue mobilization (IASTM)
Soft tissue mobilization
Myofascial decompression (cupping)
Blood Flow Restriction Training (BFR)
Joint mobilization for improved hip, knee, and spinal mobility
Strength and conditioning programs tailored for cyclists
Cycling should feel strong, smooth, and enjoyable — not painful. With the right bike fit and a personalized plan, you can ride longer, perform better, and keep your body resilient on and off the bike.