Physiotherapy advice and special offer for LFGSS members

hi there,

I have been seeing a rheumatologist and physio for the last few years. Having moved I am currently between Physios. I want to improve my back condition AND start training for longer rides. Do you BUPA?

Hi Kam,

Our clinics are BUPA and AXA PPP registered so there would be no problem treating you.

PM if you have any personal queries.

Michael.

Seems a lot of you live quite central. We have clinics at Kentish Town, Hornsey and Broadgate. I'm based at our Kentish Town clinic and have the most cycle-specific knowledge. The offer was intended for forum members thay I see myself but as some of you already know I can arrange for Physio at the other sites with colleagues.

How you all doing folks?

We've now seen about ten of you 1:1 and have had dozens of personal queries. Keep your questions coming and I'll do my best to keep your wheels spinning.

Michael.

Thanks Michael for the help. It is greatly appreciated and well worth the effort! I can now walk again!!!!

Thanks Michael for the help. It is greatly appreciated and well worth the effort! I can now walk again!!!!

Glad to hear you're improving Mr Breaker

Hi folks,

I seem to be treating a lot of you in my NHS workplace too! It seems that fixie knees don't like to cross-train and attempt running / football and hardcore clubbing in heels...

Thought the attached links might give some helpful info regarding knee pain in cyclists. I'm not endorsing the information contained but think it gives a good overview of commonly encountered problems.

http://www.cptips.com/knee.htm
http://www.cptips.com/knee2.htm

Stay safe.

Michael.

In response to some requests:

Yes, Bike Fitting Sessions are available in the clinic if you want a comprehensive assessment of both your presenting problem and your bike ergonomics. We can then adjust your set-up accordingly to optimise your rehab outcome thus adressing your symptoms and an often major contributing factor.

Michael

FYI, some of you have asked about this and there is another thread specifically regarding this. Here is a brief introduction into why your hands get numb on those long bubmpy rides.

http://www.hughston.com/hha/a_15_3_2.htm

And a nice summary regarding low back pain.

http://www.tri247.com/article_3319.html

Hi Mr Rip,

Have you got any ideas or knowledge about iliopsoas/gluteus media problems in relation to cycling? My left hip has been giving me jip for about 6 months now, could it be something to do with overuse or bike set up?

Cheers

@defpoints: I am by no means a physiotherapist or bike fit expert, but generally speaking, pain in the hips can indicate something as straightforward as a saddle that's a little too high.

Was wondering if it might be something like that as it is quite high... thing is it feels fine when i'm riding, it's more off the bike stuff and sudden twisting that hurts. Anyway i'll lower it and see, thanks.

def that sounds like me, i got it looked at and it was a back problem refering the pain to my hip

Hi Mr Rip,

Have you got any ideas or knowledge about iliopsoas/gluteus media problems in relation to cycling? My left hip has been giving me jip for about 6 months now, could it be something to do with overuse or bike set up?

Cheers

Mr Def,

The iliopsoas (2 muscles) are located at the front of the hip and act in stabilising the hip joint and also in flexing the hip in certain positions (cycling being one). The gluteals form the bulk of the buttock region and are more involved with hip extension (cycling again) and also rotation. Depending on where you feel your pain - saddle height is one possibility - or possibly a muscle imbalance where some muscles are too tight / too weak / too loose. Could also be a hip impingement / labral tear / something referred from the low back.

If you give me more details like aggravating activities / location / symptoms I can be more specific.

Regards,

Michael.

I'll be talking about Physiotherapy and Cycling related issues live on the Bike Show on Resonance FM 104.4 on Monday 11th Jan at 6.30.

Tune in for some velvet toned information :-)

my back is funny, if I had a consultation could you recommend a new walk for me?

my back is funny, if I had a consultation could you recommend a new walk for me?

Might be better to address the back and let you walk your own walk but more comfortably?!

Hi Michael, thanks for taking the trouble to reply. The pain is right 'in' the joint of my left hip, but on the outside and maybe a bit to the front if that makes any sense. It is a sharp sudden thing rather than a dull ache. It is rotation that hurts it, its most noticeable when i try and play football, or kick with my left leg. The kicking motion you make when swimming breastroke also hurts. But like I said, cycling feels fine and I barely notice it, walking, climbing stairs etc is also all fine. I had one physio session a month back and I have another on thursday; they gave me some stretches to do, but it feels like taking some time off the bike over xmas has helped it heal some, which makes me think its cycling-related rather than football or something else. I have adjusted my saddle height following the 109% rule and it may well have been ridiculously high before--but again, it felt comfortable. I've got a feeling i was sitting too far forward on the saddle in order to compensate for the height though... Anyway, be really interested to hear what you think, props to your knowledge and helpfulness good sir. Ben

Hi Michael, late to this thread but I think I'll be there with you- beer and radio show, excellent!I'll be covering fit/position.
Cheers,
Scherrit.

Hi Michael, thanks for taking the trouble to reply. The pain is right 'in' the joint of my left hip, but on the outside and maybe a bit to the front if that makes any sense. It is a sharp sudden thing rather than a dull ache. It is rotation that hurts it, its most noticeable when i try and play football, or kick with my left leg. The kicking motion you make when swimming breastroke also hurts. But like I said, cycling feels fine and I barely notice it, walking, climbing stairs etc is also all fine. I had one physio session a month back and I have another on thursday; they gave me some stretches to do, but it feels like taking some time off the bike over xmas has helped it heal some, which makes me think its cycling-related rather than football or something else. I have adjusted my saddle height following the 109% rule and it may well have been ridiculously high before--but again, it felt comfortable. I've got a feeling i was sitting too far forward on the saddle in order to compensate for the height though... Anyway, be really interested to hear what you think, props to your knowledge and helpfulness good sir. Ben

Stretching will probably be useful but you need to make sure any muscle imbalance/weakness is addressed to ensure your femoral head is sitting centrally within the acetabulum. You sound like you have some symptoms of impingement. If there was no preceeding trauma then your symptoms should improve with reduced irritation and corrective exercises.

Let me know if you need a second opinion.

Regards,

Michael

Hi Michael, late to this thread but I think I'll be there with you- beer and radio show, excellent!I'll be covering fit/position.
Cheers,
Scherrit.

The Bike Whisperer?

Look forward to meeting you on Monday.

The Bike Whisperer?

Look forward to meeting you on Monday.

yeah he is, sorry you can blame me for that :) //a

Just a quick note to say I took Michael up on his special offer, and it was excellent. It was really nice having a physio who knew about the specifics of cycling, and how it related to my long standing back problem. Very much recommended!

Just been reminded of this thread listening while listening to the bike show on resonance. Hearing Kentish Town mentioned rang a bell, I'm assuming it's the same Michael?

Been meaning to get my slightly-dodgy left ankle checked out for a while, will be in touch.

Here is the link to The Bike show Podcast:

http://thebikeshow.net/wellbeing
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enjoy.