Dr. Larissa Roux MD MPH PhD, CCFP Dip Sport Medicine Physician

Sports Medicine itb syndrome educational video.
Knee Pain
  • Front of knee (patellar pain): Usually from a saddle that’s too low or pushing big gears at low cadence.
  • Back of knee: Often from a saddle that’s too high or overextending at the bottom of the pedal stroke.
  • Other causes: Cleat alignment and stance width can also mess with knee tracking.

Cycling Injuries & Physiotherapy & Sports Medicine

Fix:

  • Aim for a slight bend (~25–35°) at the bottom of the pedal stroke
  • Keep cadence higher (80–100 rpm) instead of grinding
  • Check cleat alignment so knees track straight (not drifting inward/outward)

Dr. Larissa Roux MD MPH PhD, CCFP Dip Sport Medicine Physician

Sports Medicine bike seat neuropathy educational video.
Back Pain
  • Often due to poor bike fit or limited flexibility, not just “reaching too far.”
  • Tight hamstrings and weak core muscles force your lower back to compensate.

Fix:

  • Shorten reach (shorter stem or adjust saddle forward slightly)
  • Reduce handlebar drop if you’re not very flexible
  • Add core work (planks, dead bugs) and hamstring mobility

Dr. Larissa Roux MD MPH PhD, CCFP Dip Sport Medicine Physician

Sports Medicine cyclist palsy educational video.

Dr. Larissa Roux MD MPH PhD, CCFP Dip Sport Medicine Physician

Sports Medicine road rash educational video.

Dr. Larissa Roux MD MPH PhD, CCFP Dip Sport Medicine Physician

Sports Medicine patello femoral pain syndromeeducational video.

Dr. Larissa Roux MD MPH PhD, CCFP Dip Sport Medicine Physician

Sports Medicine saddle sores educational video.
Saddle Soreness / Pain
  • Not just friction—also pressure on soft tissue and poor saddle shape.
  • Many riders stick with the wrong saddle way too long.

Fix:

  • Use quality bib shorts and chamois cream (as you said)
  • Make sure saddle width matches your sit bones
  • Keep saddle level (tilting too much causes pressure or sliding)
  • Stand briefly every 10–15 minutes on long rides

Dr. Larissa Roux MD MPH PhD, CCFP Dip Sport Medicine Physician

Sports Medicine cycling pfps educational video.

Hand Numbness

  • Compression of the ulnar or median nerve from too much weight on hands.

Fix:

  • Shift weight back (engage core, don’t lean heavily on bars)
  • Adjust brake hoods angle so wrists stay neutral
  • Use padded gloves and consider thicker bar tape
  • Move hands around regularly
Neck / Shoulder Pain
  • Usually from tension + poor posture, not just reach.
  • Locking your elbows transfers shock straight to your upper body.

Fix:

  • Keep a slight bend in your elbows (“soft arms”)
  • Relax your grip—don’t death-grip the bars
  • Adjust bar height/reach if you feel stretched
  • Change hand positions frequently