What are some of the common issues you see in cyclists in your clinic?

I was asked this question by a personal trainer after a presentation I gave on injury prevention. And here was my answer…


VIDEO TRANSCRIPTION (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 high 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 UGH! 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 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 the 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. I’ll watch them and first of all say how symmetrical are we looking here, 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.

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