Physiotherapy | Misuse

Home » Blog » Physiotherapy | Misuse
Our physiotherapist with knowledge and experience in cycling explains in this blog what you can do to quickly get back in the saddle after an injury.

It is busy on the cycle path. In 2019, the bicycle was the most used means of transport in the Netherlands, after the car. According to the latest estimates from trade associations BOVAG and RAI, there are 22.8 million bicycles in the Netherlands.

Every year, 1.5 million Dutch people get on their racing or touring bike one or more times a week. The number of mountain bikers is growing rapidly, there are now more than 520,000 people who are regularly active. More and more Dutch people are discovering cycling as the ultimate challenge to stay and get in shape. In almost no sport is relaxation and effort so close together. Cycling has many faces. It is a fantastic combination of technique, ability, fitness and courage. While recreational cycling mainly provides relaxation and a feeling of freedom, the sporting reward for cycling, mountain biking and cross-country skiing is the feeling of growth, fitness, strength and power. And the great thing is that these things can be measured not only during competitions, but also during individual training.

With the increasing interest in participating in sports more intensively, the number of sports injuries is also increasing. Precisely because cycling can be started without a trainer or supervisor, injuries are lurking. After a short period of getting used to it, you usually feel comfortable. But there are various injuries that can permanently end the fun and relaxation in cycling, mountain biking and cycle racing. Stay alert!

3.5 million athletes are injured every year; 1.4 million of these need to be treated by a doctor or specialist. Behavior, training and equipment together form the basis for healthy sports practice. But sport also means seeking out and pushing boundaries. Speed, taking risks or a moment of reduced concentration can often lead to accidents.

Usually the question is not how one sustains an injury, but how to recover from it as quickly as possible. A fall, overload or work-related complaints can seriously hinder your cycling pleasure. Our physiotherapist with knowledge and experience in cycling will quickly pinpoint the sore spot and help you get back on the saddle quickly.

Not only the bicycle, but also the body sometimes needs extra attention.

What does the physiotherapist do?

Every body and every complaint is different. Therefore, every treatment plan is unique. During the intake, your request for help will be listened to. A physical examination is then started to identify where the complaint may be coming from. During this examination, tests are performed and a comparison is made between the left and right parts of the body or joints. A treatment plan is drawn up based on the feedback from the recognizable complaint.


To make the diagnosis even better, ultrasound can be used. Through imaging, the physiotherapist can see which form of overload or inflammation may be present. The results of the ultrasound are discussed with the patient. The result of the ultrasound is important to determine even more accurately what degree of strain the patient can or may have during the injury. Advice can also be given on how long the complaint will last.

Mobilizing/manipulating joints

Certain joints may cause pain, stiffness, tingling or reduced range of motion. The manual therapist can use active and passive mobilizations and manipulations to improve the pain, tingling and freedom of movement of the joints. Following this, exercises are given to optimize the tension and mobility of these joints or regions.

Massaging/dry needling of muscles

Many repetitive movements can lead to overload of the body. Too much tension can cause pain or limitations while cycling. It is therefore important to discharge the body. Massaging and dry needling can be used to relax muscle groups.

Dry needling focuses on so-called trigger points. Trigger points are small hardenings and/or pain points in the muscles. They can cause pain with or without radiance, restriction of movement, stiffness and reduced strength when contracting the muscles. Dry needling is performed by inserting a needle into the trigger point and the patient may experience a “twitch”. The after-compensation can cause some muscle pain and a sore feeling. The performance of Dry Needling will always be decided in consultation with the patient.

Shock wave therapy for tendon problems

The device is placed on the part of the body that needs to be treated. This exposes the body part to powerful shock waves, which triggers a repair mechanism in the targeted tissue. This is because micro damage occurs to the tissue, which triggers improved blood flow, renewed cell repair and increased metabolism. Shockwave therapy can help with shoulder, knee and elbow complaints, among other things.

Medical taping

Medical taping can be used for various types of musculoskeletal complaints. It is used to support joints, strengthen weakened muscles or relax tense muscles. It can also be used for posture correction and pain relief, for example when turning the knee inwards.

Exercise therapy
Exercise therapy is becoming increasingly important in cycling. Muscle strengthening exercises improve explosiveness and strength-endurance. Both sprinters and climbers benefit from strength exercises. These exercises mainly target the lower body and torso, and can be performed in different ways for the legs, buttocks, calves and core muscles. Based on the objective, a tailor-made training schedule is drawn up.

Do you recognize yourself in this blog post or do you have questions about it?

Please feel free to contact us, we will be happy to assist you!