Bike-Fitting Services

Ride Pain-Free. Ride Strong.

If age, old injuries, or just the wear and tear of life are holding you back from fully enjoying your bike, we can help. At Focus Physical Therapy, our bike fits aren’t just about adjusting your saddle or handlebars — they’re about getting you back to riding comfortably, efficiently, and without pain.

Led by expert physical therapists with advanced training in bike fitting, our approach goes far beyond standard adjustments. We tailor every fit to your unique body — your history, your anatomy, your movement patterns, and your goals.

Whether you’re looking to ride longer without discomfort, train harder without injury, or simply love cycling again, we’ll help you find your ideal balance of comfort, power, and performance.

Your ride. Your fit. Your freedom.

Real Riders. Real Results.

No two cyclists — or their bodies — are the same. At Focus Physical Therapy, we specialize in bike fits that go beyond standard measurements. Every fit is tailored to your unique anatomy, history, and riding goals — whether you’re recovering from surgery, logging long miles, or just trying to ride pain-free.

Here’s a glimpse into how our personalized approach helps real riders:

  • Mary came in with persistent neck and upper back pain. By narrowing her handlebars and modifying her cockpit, we helped her shoulders relax into a more natural position. We also built a simple off-bike routine to prevent her desk posture from creeping onto the bike.

  • Rob had hip impingement surgery a decade ago and was battling left hip pain, right-sided low back pain, and numbness in his hand. We uncovered how his long cranks were forcing his hip into compression and throwing off his pelvic alignment. By shortening his cranks and realigning his cockpit and shifters, we helped restore balance, reduce nerve tension, and get him riding strong again.

  • Mike, an endurance rider and racer, came to us with a host of nagging issues. Through precise cleat, saddle, stem, and brake lever adjustments, we optimized his position for comfort and performance. We also identified that his flexible feet were contributing to foot hot spots — and recommended the right insoles to solve the issue.

  • Kevin didn’t have pain — and he wanted to keep it that way. With a brand-new performance bike, he came in to fine-tune his setup. Small but meaningful changes to his cleats, saddle, and cockpit helped align his legs and maximize his efficiency, comfort, and power output.

These are just a few examples of the many cyclists we’ve helped. Whether you’re dealing with pain or just want to ride your best, we’re here to dial in your fit and keep you doing what you love.

 

We offer:

A comprehensive bike fit. During the 1.5 – 2 hour process, we look at the following:

  • Adjustments to
    • the foot-pedal interface
    • saddle height, fore-aft and tilt
    • stem length & drop/rise 
    • handlebar size and positioning
  • Tools include laser guidance, the Fournier stem sizer and more
  • Head-to-toe assessment of strength, flexibility and joint mobility
  • Functional assessment of balance and neuromuscular control
  • Assessment of injuries and weaknesses on the bike
  • Personalized home exercise program to address any strength or mobility limitations and to rehabilitate injuries

Price: $300

A La Carte

We offer the following a la carte services

  • Choose new bicycle saddles, cleats/pedals and handlebars
  • Setup cleat position for new shoes
  • Transfer established fit to other bicycles

Price: $150 each up to one hour.

Beyond Cycling

If cycling isn’t your only sport, consider adding a running or multisport athlete service. Our running analysis is key for cyclists who also run, since the movements and strength/flexibility requirements are different between the sports and imbalances are common. Ask about our programs specifically for runners.

You may benefit from a bike fit if you experience:

  • Knee pain while riding
  • Hand numbness
  • Neck pain
  • Low back pain
  • Saddle discomfort
  • Foot numbness
  • Difficulty generating power
  • Excessive fatigue on long rides

A proper bike fit can improve comfort, efficiency, and confidence on the bike.

A physical therapist bike fit evaluates not only your bike position but also your mobility, strength, injury history, asymmetries, and movement patterns.

The goal is to optimize the interaction between your body and your bicycle rather than simply adjusting the bike to generic fit guidelines.

Yes.

A well-executed bike fit can improve comfort, aerodynamics, power production, pedaling efficiency, and endurance by allowing you to ride in a position that suits your individual anatomy and goals.

Knee pain while riding your bike can happen if the saddle is too low, too far forward or back or if the cleats are incorrectly positioned. Our complete bike fit reviews these areas and more to accurately identify and eliminate the source of the pain.

Foot numbness can be caused by:

  • Cleat position
  • Shoe fit
  • Excessive foot pressure
  • Nerve compression
  • Saddle position
  • Limited mobility
  • Pedaling mechanics

Determining the exact cause requires evaluating both the rider and the bicycle.

Hand numbness often results from excessive weight through the handlebars, poor bike positioning, nerve compression, or limited mobility in the shoulders, neck, or upper back.

A bike fit can help identify the contributing factors and reduce pressure on sensitive tissues. Just a few of the things we look at include cockpit reach and rise using a Fournier bike stem sizer, handlebar width, hood and control lever placement and saddle stability.

Yes! Our spin bike fit looks at the same points of contact as our full clinical bike fits, just in the comfort of your own home.

Other Staff PT

doer of amazing things

Burke Selbst PT OCS gcfp

Lover of all things movement. Inspired by success stories great and small and coming back stronger.