Creation of a Multidisciplinary Cycling Medicine Clinic: Analysis of the First 9 Years

Cyclists present with a broad range of musculoskeletal and neurologic injuries, both traumatic and overuse. The Spaulding Cycling Medicine Clinic is a cycling-specific multidisciplinary sports medicine clinic, employing a collaborative approach to management of cycling injury. This paper outlines the clinic structure and the demographics, training habits, injuries, and biomechanics of 323 adult patients across the first 9 years. The most common areas of chronic discomfort in this group were the knee, hip, and lumbar spine, and knee pain was the most frequent complaint that motivated patients to seek care. Neck pain was noted as an area of discomfort more frequently than as a chief complaint. Patients with a chief complaint of low back pain were more likely to demonstrate posterior pelvic tilt and lumbopelvic asymmetry on the bicycle. This is the first work we know of to comprehensively evaluate demographics, clinical presentation, and bicycle fit for a large sample of cyclists.