Cycling and Lower Back Pain

This is a common problem in cycling that is seldom discussed. There are many causes of back pain in young cyclists.

To answer the question, lower back pain in a young cyclist without any other problems or history of back pain is often due to mechanical factors (versus intrinsic problems inside your body). The most common is bike fit, then bike fit and then bike fit.

In my experience, many cyclists are riding bikes that are too big for them and many cyclists lack proper flexibilityand/or their core strength is lacking. Take the time and have your bike fitted to your body. Also, back pain can arise from anatomical causes like leg length discrepancy or misalignment of your spine. This is a very good time to talk to your therapist.

So much of what cyclists do is hunching forward—working on computers, riding bicycles, eating at dinner tables all contribute to bad spinal health. Poor spinal health is common in young cyclists and often due to bad posture (on and off the bike) and injury. If you favor one side of your body or the other due to injury or poor posture, your back eventually takes the strain. An imbalance in the spine will cause overuse of the lower back.

Lack of flexibility, such as excessive hamstring tightness, also contributes to lower back pain. Leg length discrepancies (LLD) are common and consider that the average person has a LLD of three to six millimeters. Generally, most authorities on bike fit will correct a LLD greater than six millimeters. If this is a problem for you, then go to a reputable source who has experience with LLD, because it is easy to over-correct and cause a knee pain that will take you out for months.

Is Your Riding Style Causing You Pain?

Finally, riding style can cause lower back pain. Lower back pain may arise in cyclists that push big gears, especially while climbing. The angle of your back in relation to the bike can increase or decrease the strain on your back.

Consider this analogy: If you lift a 25-pound object with your back flexed towards 90 degrees (as in the TT position), it would take 140 lbs of force; however if your back is only flexed 45 degrees (about halfway), the force decreases to 120 lbs. Consider alternating climbing positions by standing up and changing the angle of your back, especially during long rides or climbs.

Core strength is very important in lower back pain. Any back rehabilitation program includes some type of exercise directed at improving core strength. Core strength is not just your abdominal and back muscles that you can touch or see; it is rather a collection of hundreds of muscles both big and small that collectively work together to give you core stability. Consider going to a gym where they focus on core strength such as Pilates or some types of yoga.

The key words are bike fit, core muscle stability and riding style—all of these likely contribute to back pain. Fixing these problems are best left to the experts.

Sheddon Physiotherapy and Sports Clinic can help you with strength and flexibility.

Our friends at Racer Sportif in Oakville have the skill and expertise needed to help you find the right bike and bike-fit.

By Dana Clark

Anson Ly, B.Kin | Health Blog