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Cycling Pain: Causes and Solutions for Each Area

Photo: Unsplash

Updated on January 10, 2025

Cycling pain: a common problem

According to studies, 80% of cyclists experience pain at some point. The good news: most are related to position and can be solved by simple adjustments.

Knee pain

Front knee pain (kneecap)

  • Cause: saddle too low, cadence too low, cleats too far forward
  • Solution: raise the saddle, increase cadence (80-100 rpm)

Back of knee pain

  • Cause: saddle too high, excessive extension
  • Solution: slightly lower the saddle

Back pain

Lower back pain is often caused by too aggressive a position, insufficient core strength or a stem that's too long.

Solutions

  1. 1.Raise handlebars (spacers, positive angle stem)
  2. 2.Slightly shorten the stem
  3. 3.Work on core strength (planks, etc.)
  4. 4.Regularly stretch hamstrings

Neck pain

A position that's too low forces you to raise your head, which fatigues neck muscles. A stem that's too long or a poorly positioned helmet can make it worse.

Solutions

  • Raise position (higher handlebars)
  • Check helmet adjustment
  • Take regular breaks
  • Strengthen neck muscles

Hand numbness

Too much weight on hands compresses nerves and causes tingling. Handlebar angle and vibrations can make it worse.

Solutions

  • Rebalance weight (move saddle back, raise handlebars)
  • Adjust handlebar and hood angle
  • Use padded gloves
  • Install thick bar tape or gel plugs

The importance of complete analysis

Pains are often interconnected. A saddle too high can cause knee AND back pain. That's why a comprehensive analysis of your position is essential.

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