Deakon, Robert T. MD, FRCSC
Sports Medicine & Arthroscopy Review:
December 2012 - Volume 20 -
Issue 4 - p 200–205
doi: 10.1097/JSA.0b013e3182688fa0
Abstract
Cycling-related injuries account for 20% of all
injuries occurring during triathlons. Traumatic injuries caused by falls
or accidents are thankfully rare but can be highly variable and very
serious in nature. The best approach to these injuries is prevention.
The majority of complaints arising from cycling are due to overuse or
poor technique. The knee joint, lower back, neck, and Achilles tendon
are the most frequently affected anatomic sites. Anterior knee pain,
lower back and neck myofascial pain, iliotibial band friction syndrome,
and Achilles tendonitis are the most common diagnoses. Initial treatment
should always use rest, ice, compression, and elevation. Muscle
strengthening and stretching as well as other physical modalities are
helpful in the subacute setting. The need for surgery is rare. Improper
bike fit contributes to the causation of a significant number of these
conditions. Bike geometry may also be altered to alleviate symptoms.
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