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Courage Kenny Rehabilitation Institute

CycleSMART therapist measures a how well a cyclist fits on his bike.

Jeff Gorzek, PT, DPT, takes a detailed measurement of joint angles to determine how well the rider is positioned on his bike.

To make an appointment,
call 612-262-7900
or 888-691-0045.

Biomechanical evaluation and injury treatment locations

Cyclists can have their biomechanics assessed and injuries treated at these Courage Kenny Sports & Physical Therapy locations:


A program for beginner to advanced cyclists, CycleSMART helps all cyclists ride more efficiently and comfortably.

"I went out for my longest ride of the year, and I was completely pain-free.

Your adjustments to the bike, and to my riding posture, were really helpful. Thanks for the great work!"

Email from Chuck to his CycleSMART therapist

The "SMART" in our name means "Skilled Movement And Rehabilitation Team." It refers to our physical therapists with special training in preventing and treating cycling-related injuries.

Musculoskeletal evaluation

The therapist performs a complete musculoskeletal evaluation to identify physical limitations or weaknesses that could lead to biomechanical issues resulting in pain while cycling.

Posture and body mechanics, on and off the bike, can play a significant role in cycling position and risk for potential overuse injuries. Your therapist can help you address your limitations and improve your pain with cycling.

Cycling overuse injuries

CycleSMART is designed to prevent and rehabilitate overuse injuries associated with cycling.

Cycling overuse injuries like these are often caused by improper position of the cyclist on the bike:

  • back pain
  • foot pain and numbness.
  • neck pain
  • hand pain and numbness
  • iliotibial band friction syndrome, patellar tendon pain or kinds of anterior knee pain ?
  • patellofemoral pain syndrome ?
  • shoulder pain

Biomechanical evaluation of the cyclist

The repetitive nature of the pedal stroke in cycling can cause small deviations to become large, painful problems. The way a cyclist sits on the bike can be a result of poor core weakness or postural issues. This can lead to an inefficient pedal stroke.

During a CycleSMART evaluation, your position on the bike and pedal stroke will be assessed, using video analysis if necessary. Combining the physical examination and the biomechanical assessment leads to an individualized set of exercises that can help you achieve pain free cycling. This assessment is not a bike fitting.

If you are seeking a bike fitting, please contact your local bike shop.

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Patellofemoral pain syndrome

Patellofemoral pain syndrome, also called PFPS, is a condition marked by pain under or around the patella (kneecap). The pain usually occurs or worsens with activity or after sitting for a long time.

Learn more about PFPS in our health library.

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Anterior knee pain

Anterior knee pain is pain that occurs at the front and center of the knee. It is common in bicyclists.

Learn more about anterior knee pain in our health library.

Helping athletes recover

Melissa's story

After she broke her leg during a practice last spring, Melissa Borman — aka Battlegirl Skatetastica — didn't know if her roller derby days were over.

Referral and payment

Therapy services are typically billed to your insurance. Please contact your insurance company regarding your therapy benefit and obtain a medical referral if required by your insurance plan.

Retail services for biomechanical assessment are not billable to your insurance. Payment for these services is collected in full at the time of the visit:

  • musculoskeletal evaluation
  • video analysis, as indicated, per individual assessment by therapist
  • education on appropriate exercises to improve the cyclist's position.

Initial appointment

The initial appointment is a 90-minute, one-to-one session with a physical therapist, trained in treatment of cyclists.
Cost: $150