Cycling & Mountain Biking Injury Rehab in Roanoke, VA
Whether you’re on the road or trail, cycling injury treatment and sport-specific physical therapy can help you recover from knee pain, wrist pain, neck pain, lower back pain, hip pain, and other pains from cycling. At Alchemy Sports Performance and Rehabilitation, we help cyclists and mountain bikers get to the root cause of their problems, restore optimal movement, and rebuild the strength and resilience needed to ride pain-free again.
Where the Injury Hits
Pain or discomfort in the knees (front, behind the knee, or around the patella)
Hip or groin pain due to overuse or imbalance
Low back or lumbar irritation from prolonged posture or poor core stability
Neck, shoulder, or upper back stiffness — common on long rides or with poor bike fit
Ankle, foot, or cleat-related discomfort from improper foot mechanics or saddle position
Tendon irritation (e.g., IT-band, hamstring, hip flexor, Achilles) from repetitive pedaling
Overworked or fatigued muscles in hips, glutes, quads, hamstrings, or calves
How it Holds You Back
Pedal stroke feels inefficient or weak — less power with each revolution
Difficulty climbing hills or standing out of the saddle because of pain or instability
Poor endurance — early fatigue or soreness mid-ride
Uncomfortable posture on the bike leading to back, neck, or shoulder pain
Frequent aches after long rides or inability to recover between rides
Hesitation to ride as often as before because of recurring discomfort
Risk of a minor pain creeping into a more serious chronic injury
Loss of confidence, shorter rides, or skipping your favorite trails or commutes
How We Treat Cycling-Related Injuries
Hands-on manual therapy and joint/muscle mobilization
Detailed movement and posture assessments (on and off the bike)
Strength and mobility training tailored to cycling demands
Bike-fit awareness and technique coaching — to optimize pedal stroke and posture
Progressive loading plans to safely rebuild endurance and power
Return-to-ride programming — tailored to your schedule, level, and goals
Injury-prevention strategies to help you ride consistently without pain
Cycling injuries and pain rarely stem from just one issue. More often they’re a combination of poor biomechanics, overuse, muscle imbalances, and subtle movement faults. At Alchemy, we dig into the root cause, calm irritations, and build you back to stronger, more efficient riding. Every rehab plan is customized to your cycling style, goals, and the specific demands you place on your body. Our treatments include:
FAQs About Cycling & Mountain Biking Rehab
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Recovery time depends on the type and severity of the injury, but most athletes start feeling noticeable improvement within a few weeks. What matters most is consistent rehab and a plan that rebuilds strength and movement at the right pace.
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Often, yes — and we actually want you to stay active when it’s safe. We’ll help you understand what movements are okay, what needs to be modified, and what should be avoided for now. The goal isn’t to shut you down; it’s to find the best way to keep you moving while your body heals.
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Most athletes see the best results with 1–2 sessions per week at the beginning of rehab. The exact frequency depends on your goals, the injury, and how your body responds, but we’ll map all of that out together on day one.
What to Expect During a Session
Whether you’re coming in for hip pain after long rides or knee strain from overuse, we start with a thorough assessment. Then we craft a rehab plan specific to you — combining manual therapy, corrective exercises, mobility work, and functional movement training. As you improve, sessions shift focus toward strength, endurance, and riding mechanics.
If you’re ready to get back to climbing, cornering, and cruising pain-free — we’re ready to help.