29/01/2026
Here’s a nice Case study from the series. This gentleman was presenting with sit bone pain and hand numbness. Turned out a lot of his sit bone symptoms were coming from a proximal hamstring tendinopathy identified in the pre physio bike fit assessment.
Have a read through the bike fit steps and his review
Main symptoms was the onset of R sided proximal hamstring tendinopathy and hand numbness.
1) We assessed you in the pre bike fit screening and diagnosed the proximal hamstring tendon as the source to your R buttock symptoms when cycling
2) We then picked up a significant leg length difference with the R leg shorter than L
3) We measured your angles and pressure mapping and could see obvious reaching on the R side (as well as the L, but more on the R) with a saddle that was too high and also saddle pressure mapping showing excessive pressure on R side. Foot mapping showed less force through R foot also.
4) We then fitted you with an 8mm shim, and moved the cleats into a better position and retested to find some improvement saddle pressure mapping data, but you needed a drop in saddle to further improve things.
5) Found the ideal saddle height and levelled the saddle from a -4deg tilt to 0deg. This allowed you to sit into the saddle
more and in combination with the lower saddle height, increased your weight force through the saddle, taking more
weight from your arms and hands.
6) We finished with the addition of footbeds to find a subjective improvement in your contact/feel/comfort and objective
improvement in your foot mapping
The review
: I guess the easiest way to say how I'm getting on is by stating that Ive recommended John to about 10 people! So my feedback would be that whatever he did it worked! Your feedback to me was very informative and I feel the cost has paid off in the long run as pain, numbness and niggles are something I don’t think about which I don’t think you can put a price on.
