Lower Back Pain from Cycling: Tips for Prevention - Rehabilitation

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Lower back pain?


Dear Doctor: I spend an hour every day cycling on flat roads, but I've been experiencing lower back pain lately.
I'm still relatively young, so I'm wondering what might be wrong.
What should I pay attention to before cycling? Thank you!

Zhuo Bingguang, 20~29 year old female. Ask Date: 2008/07/13

Dr. Chen Xianchang reply Rehabilitation


Hello Sir: I would like to respond to your questions and provide the following suggestions: 1.
Cycling primarily benefits cardiovascular function and lower limb muscular endurance, but it does not significantly help the back muscles.
In fact, maintaining the same posture and exerting passive force can lead to soreness.
2.
It is advisable to start with flexibility exercises to stretch the back muscles, and to regularly strengthen the back and abdominal muscles through resistance training.
Lastly, I wish you safety and happiness!

Reply Date: 2008/07/13

More Info


Lower back pain from cycling can be a common issue, especially if proper techniques and precautions are not taken. It’s great that you’re engaging in regular exercise, as cycling is an excellent cardiovascular workout. However, discomfort can arise due to various factors related to your cycling posture, bike fit, and overall body mechanics. Here are some tips for prevention and management of lower back pain while cycling.


1. Bike Fit:
- Seat Height: Ensure your saddle is at the correct height. When your pedal is at its lowest point, your knee should have a slight bend. If the seat is too low, it can cause strain on your lower back.

- Saddle Position: The saddle should be positioned horizontally so that when your pedals are parallel to the ground, your knee is directly above the pedal axle. Adjusting the saddle forward or backward can help maintain proper alignment.

- Handlebar Height: If your handlebars are too low, it can cause you to lean forward excessively, putting strain on your lower back. Adjust the height to a comfortable level that allows you to maintain a straight back.


2. Posture:
- Core Engagement: Engage your core muscles while cycling. A strong core supports your spine and helps maintain proper posture, reducing the risk of back pain.

- Back Position: Keep your back straight and avoid hunching over the handlebars. A neutral spine position is crucial for preventing strain.

- Relax Your Grip: Avoid gripping the handlebars too tightly, as this can lead to tension in your upper body and back.


3. Warm-Up and Stretching:
- Warm-Up: Before you start cycling, take a few minutes to warm up your muscles. This can include light stretching or dynamic movements to prepare your body for exercise.

- Post-Ride Stretching: After your ride, perform stretches focusing on your lower back, hamstrings, quadriceps, and hip flexors. Stretching can help alleviate tightness and improve flexibility.


4. Gradual Increase in Intensity:
- If you are new to cycling or have recently increased your riding duration or intensity, do so gradually. Sudden increases can lead to overuse injuries, including lower back pain.


5. Strengthening Exercises:
- Incorporate exercises that strengthen your core, glutes, and lower back into your routine. Exercises such as planks, bridges, and back extensions can help build the necessary strength to support your cycling posture.


6. Listen to Your Body:
- Pay attention to any discomfort or pain. If you experience persistent pain, it may be wise to take a break from cycling and consult a healthcare professional. Ignoring pain can lead to more severe injuries.


7. Consider Professional Help:
- If you continue to experience lower back pain despite making adjustments, consider consulting a physical therapist or a professional bike fitter. They can provide personalized advice and adjustments based on your specific needs.


Conclusion:
Lower back pain while cycling can often be attributed to improper bike fit, poor posture, or inadequate core strength. By ensuring your bike is properly fitted, maintaining good posture, warming up, and incorporating strength training, you can significantly reduce the risk of discomfort. Remember, it’s essential to listen to your body and seek professional advice if pain persists. Cycling should be an enjoyable activity, and with the right adjustments, you can continue to ride comfortably and safely.

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