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  • SMARTPHYSIO

are you a cyclist? Here comes the tour de france!




With the Tour de France approaching, cycling enthusiasts are excited to be inspired by the elite athletes. However, it’s important to be aware of the common injuries associated with this demanding sport and how physiotherapy can play a crucial role in both prevention and recovery.


Common Cycling Injuries

  1. Knee Pain

  • Patellofemoral Pain Syndrome (PFPS): Often referred to as "cyclist's knee," PFPS is caused by the repetitive motion of pedaling which can lead to irritation of the cartilage under the kneecap.

  • Iliotibial Band Syndrome (ITBS): This occurs when the iliotibial band, a ligament that runs along the outside of the thigh, becomes tight or inflamed.

  1. Lower Back Pain

  • Prolonged periods of bending forward over the handlebars can lead to muscle strain and discomfort in the lower back.

  1. Neck Pain

  • Sustaining a forward head posture while cycling can strain the muscles and ligaments of the neck.

  1. Wrist and Hand Pain

  • Handlebar Palsy: Prolonged pressure on the handlebars can compress the nerves in the wrist, leading to numbness and pain.

  • Carpal Tunnel Syndrome: Repeated stress on the wrist can exacerbate this condition, causing pain, tingling, and weakness in the hand.

  1. Achilles Tendinitis

  • Overuse of the Achilles tendon, the band of tissue that connects calf muscles to the heel bone, can cause inflammation and pain.

How Physiotherapy Can Help

1. Assessment and Diagnosis

  • A physiotherapist can accurately diagnose the cause of your pain or discomfort, ensuring that the right treatment plan is put in place.

2. Personalized Treatment Plans

  • Strengthening Exercises: Targeted exercises to strengthen weak muscles, particularly in the core, hips, and legs, can help to improve cycling posture and reduce the risk of injury.

  • Flexibility and Stretching: Regular stretching routines to improve flexibility in the hamstrings, quadriceps, and back can alleviate muscle tightness and reduce strain.

  • Manual Therapy: Techniques such as massage, mobilization, and manipulation can relieve muscle tension and improve joint mobility.

  • Electrotherapy: Modalities like ultrasound and electrical stimulation can reduce pain and inflammation, promoting faster healing after an unjury 

3. Bike Fit Analysis

  • Ensuring that your bike is properly fitted to your body can prevent many common cycling injuries. A physiotherapist can conduct a bike fit analysis to make sure your saddle height, handlebar position, and pedal alignment are optimized.

4. Ergonomic Advice

  • Guidance on proper cycling posture and techniques can significantly reduce the risk of developing chronic injuries. This includes tips on how to distribute weight evenly and maintain a neutral spine position.

5. Injury Prevention Education

  • Education on how to avoid overtraining and the importance of incorporating rest days into your cycling routine is vital. Physiotherapists can also advise on appropriate warm-up and cool-down exercises.

Practical Tips for Cyclists

  • Warm-Up and Cool Down: Always start your ride with a gentle warm-up to prepare your muscles and finish with a cool-down to help with recovery.

  • Stay Hydrated: Proper hydration is crucial to prevent muscle cramps and fatigue.

  • Listen to Your Body: If you experience pain, don’t ignore it. Early intervention can prevent a minor issue from becoming a major problem.

  • Regular Check-Ups: Periodic visits to a physiotherapist can help keep potential problems in check and ensure you stay in top cycling form.

As you prepare to enjoy the benefits of cycling and being outdoors this summer please remember to be safe, especially in London. Wear a helmet and a sensible amount of reflective gear as well bright coloured clothing.

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