Cycling with hip pain and bike set-up changes that may help
Dr Nicola Tik

Your hip has started aching during or after rides, maybe at the front near your groin or on the outside of your hip. Cycling is often comfortable with hip pain, but your bike set-up and how you ride can make a real difference. A few changes can help you keep pedalling while your hip settles.

Why cycling can affect your hip

When you pedal, your hip bends and straightens thousands of times on a ride. At the top of each pedal stroke, your hip is bent quite a long way, especially if your saddle is low or you lean far forward. This can squeeze the front of the hip. Pushing hard in big gears and climbing steep hills add more load.

Where you feel the pain can give a clue:

In most cases, the hip is irritated rather than damaged.

Saddle height

Saddle height is one of the most useful things to check:

Saddle position and handlebars

Some other changes that may help:

Small changes, a few millimetres at a time, can make a noticeable difference. A bike shop or bike fitter can help if you are unsure.

Cleats and pedals

If you use clip-in pedals, cleats that hold your foot at an awkward angle can twist your leg and load your hip. Setting them so your feet sit in their natural position, or using cleats that allow some float, can help.

Ride length and how you ride

Some changes that can help while your hip settles:

Reading how your hip responds

A mild ache during or after a ride that settles within an hour or so is usually fine. If your hip is sorer the next morning, make the next ride shorter or easier.

Movement off the bike

Long spells sitting on the bike, then sitting at a desk, can leave your hip stiff. Some ideas:

VIDA’s Pomodoro stretches, in the top right corner, can remind you to get up during focused work.

Building hip strength

Strong hip and buttock muscles help steady your pelvis on the bike. Something to try two or three times a week:

If you would like to follow along, VIDA has short videos of bridges, sit to stands and lunges you can use at your own pace.

When to get it checked

You should get it checked by a GP or physiotherapist if your hip locks or catches, if it keeps you awake most nights, if you cannot put weight on your leg, or if pain spreads down your leg with numbness or tingling.

Building back up

As your hip settles, you can gradually bring back longer rides, hills and higher gears, one at a time. If your hip pain has been around for a while, this usually happens over months rather than weeks. Your VIDA pain check-in is a good way to keep track of how your hip responds.

What to take away

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