Relieving Shoulder Pain Naturally

Each visit improved my condition! “I came to Canyon Sports Therapy upon recommendation of a running friend who told me she thought the therapists and doctors were “magic”. At that time I needed some magic. I was in a lot of pain. Lots of tears while driving long distances and sometimes in the night. My first visit with Brad was amazing. When I left, I felt there was hope. I drove that day and while the pain was not gone, it was tolerable. Each visit improved my condition. I am so grateful for all the help. The little things that were painful, I now do without thinking. The harder things, I can do knowing I can manage without pain. Thank you so much!” - P.P. PATIENT RESULTS UNDERSTANDING CYCLING

Cycling is a repetitive sport, with a rider averaging up to 5,400 revolutions per hour. This can cause soft tissue breakdown in the legs, pelvis, low back and neck resulting in pain and inability to ride. Causes of overuse injuries and tissue breakdown are numerous and can be multi-factorial including: muscular imbalances (weakness, inflexibility, leg malalignment, leg length discrepancy), improper bike fit, training error and inappropriate pedaling mechanics. Research has demonstrated that as little as a five percent change in saddle height affects knee joint kinematics by 35 percent and knee joint torque by 16 percent. Canyon Sports Therapy is staffed by physical therapists who have specialized training in cycling mechanics. We are uniquely qualified to evaluate your individual cycling anatomy, biomechanics and of course address any associated cycling soft tissue pain. Our focus is specifically on your riding posture, joint mechanics as well as addressing how optimally all your bike’s components are adjusted. This has been found to be an important component for the cyclist interested in preventing injury or returning to cycling after injury as well as the cyclist wanting to enhance their performance. Knee pain in cyclists falls into three categories and is typically associated with inappropriate bike fit or inadequate training. Common causes of knee pain in cyclists: Medial pain is located on the inside of the knee due to friction between the knee cap and thigh bone. This pain may be associated with riding with a seat that is too low or having a

pedaling cadence that is too slow. Decreased hip flexibility can also be associated with inner knee pain. Lateral pain is located on the outside of the knee typically due to friction of the Iliotibial band over the fat pad or bone of the femur. This painmay be associated with inappropriate cleat and pedal position, inappropriate position of bike seat, leg length discrepancy and/or improper ankle position while riding. Anterior pain is located directly in front of the knee due to excessive compression forces between the knee cap and thigh bone. This pain may be associated with a seat that is too low, too far forward and/or riding with a low pedal cadence. Pelvic, low back and neck pain is associated with one or more of the following, poor posture, limited flexibility, postural strength, improper frame size and or excessive crank arm length, misaligned cleat position, leg length discrepancy and seat and or handle bar/stem alignment. If you are a cyclist interested in exploring the limits of your ability without pain or fear of injury a biomechanical cycling evaluation is a must.

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