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Injury prevention is a real mission for Carter PT, and I have been doing presentations about how to recognize the factors that contribute to injuries and address those issues before a problem occurs. In this video, I teach a group of personal trainers about some of the most-common cycling injuries and how we treat cycling pain in our Austin-based physiotherapy clinic.

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Treatments For Common Cycling Injuries & Cycling Pain


(Please excuse grammatical errors, as this is simply a transcription of conversational speaking)

With true cyclists, they’re clipped in and they’re pulling up as much as they’re pushing down. So I see a lot of—not just the psoas/hip flexor stuff with them—but a lot of TFL (tensor fasciae latae). And that usually is involved with really tight IT bands.

Rarely, I’ll have a cyclist—and I see a number of them—come in without a pretty tight IT band/TFL. And I touch it, and they’re like ‘Oooh!’ They feel great when you’re done, but it’s kind of torture to get through it. Definitely teaching them to get on a lacrosse ball or foam roller and really get into these areas here.

I know some people say to lay on a ball to get the psoas. I’m not a big fan of having people do that. There’s just a lot of stuff going on in there, and I feel like you should have skilled hands weaving through viscera to get down to that and not just laying on a ball in the abdomen.

There’s a lot of complex things there. If they have any kind of impingement of the hip. It’s going to cause them on that side to kind of rotate and lift up, especially in aero position. If you’re riding up top it’s usually not an issue. But I’ll have them bring in their trainer and bike. And I’ll watch them, and first of all say, ‘How symmetrical are we looking here—lifting one hip versus the other?’ That’s usually going to identify the issue, and if they feel that pinch there or it can be a number of different tightnesses or weaknesses.