Hamstring Tendonitis and Cycling question

[physiobob]

Inside or outside of the knee? Might just be a small bursitis type issue as the hamstrings rub on the bone at the insertion points. If so it is a mechanical issue and the bike setup needs to be checked. Tight ITB (therefore gluteals) need releasing and strength to balance out any over dominance that they are playing. No to surgery. No to other invasive techniques. Rest, frictions, biomechanical correction and time. Lots to consider on the biomech front.

[drekkly]

Inside or outside of the knee? Might just be a small bursitis type issue as the hamstrings rub on the bone at the insertion points. If so it is a mechanical issue and the bike setup needs to be checked. Tight ITB (therefore gluteals) need releasing and strength to balance out any over dominance that they are playing. No to surgery. No to other invasive techniques. Rest, frictions, biomechanical correction and time. Lots to consider on the biomech front.

Thanks Bob. It's on the outside of the knee. Getting a full bike fit tomorrow so that's that sorted. But then still need to get rid of the bursitis. You say rest but how much? I had 17 days off the bike but not real improvement. Are we talking total rest ie no running either?

[Aaron Ebejer]

I think Periodization is key here; when it comes to how much activity you should do and how much rest you can should have.

Its also going to be trial and error on your part as you will know when your overdoing it. Try 2 days on 1 day off at first and see how you get on, decrease your overall mileage and slowly build up whilst getting the corrective therapy for the issues mentioned above by Physiobob. I would also recommend using the RICE protocol after training and during pain:

• Rest
• Ice
• Compression - Not necessary in this case
• Elevation

Most importantly, don't forget to stretch.