Sports We Treat & Train

Cycling Injury Physical Therapy & Recovery

Cycling is repetitive by design — thousands of identical pedal strokes per ride. When something's off in your body or your position, the bike finds it, every single ride.

Road cyclist on a training ride at sunset
iStock #1402134774 — license before launch

Common cycling injuries we treat

Cycling injuries are almost all overuse or position problems — which makes them unusually fixable.

Cyclist's knee (patellofemoral pain)

The most common cycling complaint — front-of-knee ache that builds through rides. Saddle height, cleat position, cadence, and quad/hip strength all factor in; small changes produce big relief.

Low back pain

Long hours in flexion catch up with desk workers who ride. Hip mobility and trunk endurance usually matter more than a new saddle — though position gets checked too.

Neck & shoulder pain

Holding the head up in a road position strains necks, especially on longer rides. Mobility work plus cockpit adjustments (reach, drop, hoods) resolve most cases.

Numb hands & fingers

Ulnar nerve compression from bar pressure — the pinky-side tingling that builds on rides. Position, padding, and nerve-glide work beat just toughing it out.

Hip pain & impingement

The closed hip angle at the top of the pedal stroke aggravates stiff or impinged hips. Often felt as groin pinching on climbs or in the drops.

Achilles & foot pain

Cleat position and pedaling mechanics load the Achilles and forefoot. 'Hot foot' and heel pain usually trace to setup plus tissue capacity.

How we get you back in the saddle

Assessment, recovery, and strength plans from doctors of physical therapy — we work with you until the problem is resolved and you're back at peak performance.

Assess

A full evaluation of your injury and your sport-specific movement — we find the cause, not just the sore spot.

First visit

Recover

Hands-on treatment and a plan to calm pain and restore motion. Injury care is typically covered by insurance with a referral.

Insurance-based

Rebuild

Progressive strength and mobility work targeted at what your sport demands — so the problem doesn't come back.

Either track

Return

A graded return to play, with optional performance training to come back better than before the injury.

Direct, cash-based

Why cyclists come to us

Cycling pain sits at the intersection of body and machine, and we treat both sides: measure your mobility and strength, watch how it maps to your position, fix the tissue, and flag the setup changes worth making. Riders come to Haslett from road, gravel, and trail communities across Greater Lansing.

Cycling questions we hear a lot

Is it my body or my bike fit?
Usually both, in a loop — a body limitation forces a compensated position, and the position feeds the pain. We assess your movement off the bike and how it maps to your setup, and we’ll coordinate with your bike shop’s fitter on the equipment side.
Why does my knee only hurt on the bike?
Because cycling repeats one exact motion thousands of times — a tracking issue too small to notice walking gets amplified 5,000 times an hour. That’s also the good news: adjust the pattern and the relief is often just as dramatic.
Is cycling injury treatment covered by insurance?
Typically yes, with a physician referral — knee pain, back pain, and nerve symptoms are standard orthopedic care. Performance work (FTP building, event prep) runs through the cash-based Endurance program.
I'm training for a century/gravel race. Can you help me get stronger, not just pain-free?
Yes — that’s the Endurance & Running program, which covers cyclists and triathletes too: strength for endurance athletes, durability work, and training-load guidance for the event on your calendar.
Start Here

Not sure which track you need? Let's talk.

A free 15-minute discovery call with a licensed physical therapist — not a salesperson. We'll listen, ask the right questions, and tell you honestly whether insurance-based PT, the Performance Lab, or a simple home plan is the right next step.

Prefer to call?(517) 339-4050

Schedule a Discovery Call

We respond within one business day. No obligation, no pressure — ever.