I had a bike fit with Neill in august and he fixed the issue I was having (right foot numbness which was only a symptom of the underlying problem) in one session. Neill's work is priceless.
@@aRlyWeakCyclist Similiar to what Neill shows in this video but for a different reason. I was riding with my right leg forward putting more force through the right foot which caused the numbness as well as increased strain on my right wrist., arm, shoulder and neck. The reason in my case is that I have limited range of motion in my left hip because of arthritis which prevents my left leg to come up all the way during a pedal stroke (when the left leg comes up the leg/knee rotates to the outside instead of tracking parallel to the top tube). I compensated by twisting my hip similiar too what can be seen in this video. I always thought it's the shoes or the shoes being too tight, restricting blood flow although I never had numbness issues in my left foot which was puzzeling. As it turned out I was mainly pedaling with the right leg. 😀 I watched Neills videos for a while and when I was up in Noosa this year for the Noosa Classic I booked a bike fit. The solution for my problem was increasing the Q-factor, raising the seat (as high as possible) and shortening the stem so that I can sit more upright. The numbness has almost gone (it was 9 out of 10, now it's 2 or 3 out of 10) and I have another leg to pedal with. I can't recommend Neill highly enough.
As a Student Physio who loves cycling this is brilliant content. Love that you focused on prescribing off the bike work for Craig. Cheers Neil and Congratulations Craig.
I think it really needs to be tailored to the specific individual. There's probably quite a few different combinations of muscle imbalances that can lead to the same problem along with any other abnormalities. That being said I have the exact same hip rotation as shown in this video. I'd love to know what they did to correct it and see how it works for me. I'm sure I can also find a good local PT who would love to have a patient to help too.
I guess you would do single leg step up. A lot of lunges with weight and single leg bridges and deadlifts. What I was wondering is that he said he has just to work on one glute. I guess you would always train both sides and the discrepancies would go away step by step.
Amazing. I'm come to see this video late, but I'm super excited to look forward and see how much Neil is able to help Craig. I'm really inspired by Craig's determination and his love for cyling. Really glad to see that he is working with such a top class physio as Neil.
Brilliant work. I just found your channel not knowing your background. I knew in the first few sentences I was listening to a Physio. I'm a P.T. in the states and a newer rider. Such an amazing combination of knowledge you have from the medical side and mechanical bike fitting side. You made a light bulb turn on in my head. Thank You.
Can you please do more on asymmetrical fits please! What exercises and stretches do you recommend for this particular issue? A lot of people deal with this we would love more info !!!!❤
Glad you are liking the videos! Each case is individual, so the homework varies between each client. Craig had to do a lot of contralateral strength training in particular, as well as sacro-iliac joint anterior rotation stretches for his right ilium - but I've seen riders like this who sit obliquely forward on the right, who have a jammed LEFT ilium for example - they are all different. - Neill
This is awesome info! I have the same issue but my pelvic asymmetry is the opposite to Craigs. No one seems to have been able to help me but you have hit the nail on the head! I will take this info to myself and see if it helps. thanks Neil!
Great video as always. I am suffering pelvic asymmetric which I believe is related to surgery after tib/fib ankle surgery after dislocation and fractures to both. This translates to incredible sensitivity to saddle discomfort. Another trip to bike fitter required as I don’t want to tackle the complexity of this myself.
The stretch he was showing on the bench is also good for stretching the psoas muscle, repeat for both sides, and a few other movements. If you have low back pain, a shortened psoas muscle could be the cause so it’s good to add stretches in for that if anyone has low back pain.
I think i have that. Trial and error. Thought LLD too. Tried shims and all sorts of cleat position and wider pedals to remedy to no avail. Latest was core exercises and single legged strength exercises, bulgarian squats and glute min/med exercises. Bit of mobility work in the hips. Ditched shims, feet close to bike, cleats far back for stability. I think it’s working.
Wow! This rings true for me also. If I put my hands on the front of my pelvis the right side is noticeably forward of the left side. The right leg of my shorts sits about 25 mm above the left leg. Hopefully I can find a Neill here in Florida. Thanks for the eye opening video. You da' man!
How does moving the foot forward or clear back on the left help them rotate the pelvis to the right ? I would assume that a forward foot would put more pull on the hamstring with would increase posterior tilt on the left Iliam resulting in a left facing pelvis. Essentially the opposite of what we would want to accomplish. Would love to understand exactly what your method does as a short fix method to rebalance the pelvis.
Absolutely phenomenal video. A few years ago I found I have this same asymmetry and I'm pretty sure it's the cause of right knee problems I've been having for the past five years. I've been thinking about finding a physical therapist to help fix it since it seems entirely caused by muscle imbalances but I don't have much faith in finding a physical therapist who really knows what they're doing to fix my issue. Only one way to find out though! I need to see who I can find locally and get a PT appointment.
Surprisingly, not yet. He's a good compensator and his connective tissue is obviously very resistant to inflammation! It would only be a matter of time though. - Neill
From shifting the left cleat back, the saddle height gets affected. Do you leave the saddle height the same from the right cleat, or do you drop the saddle by how far you moved the left cleat back.
Exactly the same issue but left hip forward/right hip back, I can feel how squint I am on the bike and my left foot looks like it's constantly trying to unclip! My cleats are already slammed back so I'll try pushing the left cleat forward to push the left hip back a little. I'm trying to figure out what state of imbalance the muscles are in largely by how bad they feel when my masseuse gets into them, left ham and right quad are usually worse and by Neil's logic they're the muscles I should be working to drag right hip back forward. Am wondering about the role of the QL above the rearward hip as well, my right QL always feels tight and I think it's referring pain down the leg as well. Chicken or egg?
G'day Ian, I wish I could help but I'd just be guessing without seeing you in person. The variances in these patterns are close to infinite, and figuring out the causality is the hard part. As an example I've seen riders who sit this way because the Q factor is too narrow, or the seat too high, or....... the list goes on. - Neill
@@roadcyclingacademy Neil mentioned that changing cleat position was temporarily solution. Can this be used permanent solution for leg length difference (and hip mobility isses -> mechanical) or should it be fixed with spacers? Or possibly combination of both?
Neill quick question. When you see a patient with so much asymmetry would you expect the power balance to be "off". I mean, would you expect a 50-50% power balance since the rider is compensating for the asymmetry anyways or would you expect a shift in the balance (say 55-45% as an example)? Thanks!
Good question. Often they will still present close enough to 50/50 but some will skew out a lot. I think Craig was still fairly close to 50/50 but if you pulled the torque analysis out of his power meter, you'd see different force application timing across the two legs as he effectively has two different seat setbacks for his two legs. The "area under the curve" is often surprisingly symmetrical though! - Neill
Neil, what kind of single leg isolation movements did you prescribe here? I’ve been suffering with something like this for 2 years, and I’ve been desperately trying to strengthen my right glute with minimal success. My right quad is significantly more developed than the left, but my glute and hamstring sucks on that side!
I have the same thing as you. From videos I don’t sit on the bike crooked but my right quad is way stronger and I always feel the burn in it. Left leg quad is never sore but I can feel the glute working for sure. Even when I do split squats the same muscles take dominance so I don’t think mine is a bike fit thing. Wish I had answers, because now I have what the doctors think is piriformis syndrome in the right leg.
This bike was really easy to assemble th-cam.com/users/postUgkxMesz3KOGEmwmvyKQfLfrRSUXLFzfVHZA and required very few adjustments out of the box. The wheels did not require any truing/adjustments. The frame had some small scratches, but nothing major.I did replace the seat though - the seat it came with was very uncomfortable. The tires need to be re-inflated every 4-5 days, but this appears to be quite common for the narrow 700x25 tires.Overall, in my opinion, this bike looks and rides like a much more expensive bike.
I have exactly the same issue but it’s been like it for decades so I’m likely fucked! I’ve been to so many physios but they just aren’t able to understand what is going on the bike and what off the bike exercises to advise. I’ve probably had more success doing single leg squats. Neil, come to Vancouver and I’ll take you on the best MTB rides you’ve ever done and you can fix my imbalance.
Watching Neill work makes me want to fly to Australia and get my fit done
haha! It makes me want ti drive down the road more. Cam
I had a bike fit with Neill in august and he fixed the issue I was having (right foot numbness which was only a symptom of the underlying problem) in one session. Neill's work is priceless.
Same here, I've got a 12mm shorter left leg, and often my power on the bike 47/53 (L/R) or even 45/55.
@@rwo5402 and what was your issue? If you don't mind me asking.
@@aRlyWeakCyclist Similiar to what Neill shows in this video but for a different reason. I was riding with my right leg forward putting more force through the right foot which caused the numbness as well as increased strain on my right wrist., arm, shoulder and neck.
The reason in my case is that I have limited range of motion in my left hip because of arthritis which prevents my left leg to come up all the way during a pedal stroke (when the left leg comes up the leg/knee rotates to the outside instead of tracking parallel to the top tube).
I compensated by twisting my hip similiar too what can be seen in this video. I always thought it's the shoes or the shoes being too tight, restricting blood flow although I never had numbness issues in my left foot which was puzzeling. As it turned out I was mainly pedaling with the right leg. 😀
I watched Neills videos for a while and when I was up in Noosa this year for the Noosa Classic I booked a bike fit. The solution for my problem was increasing the Q-factor, raising the seat (as high as possible) and shortening the stem so that I can sit more upright. The numbness has almost gone (it was 9 out of 10, now it's 2 or 3 out of 10) and I have another leg to pedal with. I can't recommend Neill highly enough.
As a Student Physio who loves cycling this is brilliant content. Love that you focused on prescribing off the bike work for Craig. Cheers Neil and Congratulations Craig.
Cheers Scout, Cam
@roadcyclingacademy6476 how about an update one year on?
Absolutely love this format of video where it goes through the process of initial assessment, diagnosis, plan of action, and progress.
I'd like to see what exercises/stretch homework he was given. Lots of us out here have imbalances we'd like to work on off the bike.
This x1000.
Yup!
I think it really needs to be tailored to the specific individual. There's probably quite a few different combinations of muscle imbalances that can lead to the same problem along with any other abnormalities.
That being said I have the exact same hip rotation as shown in this video. I'd love to know what they did to correct it and see how it works for me. I'm sure I can also find a good local PT who would love to have a patient to help too.
I guess you would do single leg step up. A lot of lunges with weight and single leg bridges and deadlifts. What I was wondering is that he said he has just to work on one glute. I guess you would always train both sides and the discrepancies would go away step by step.
Probably one of the best bike fitting related videos on TH-cam so far. Amazing content!
And I guess everyone here would beg and scream for a video where you show us some exercises for symmetry problems ;)
Another great video. Love the way Neil uses off the bike solutions as well to help. Keep up the good work.
Amazing. I'm come to see this video late, but I'm super excited to look forward and see how much Neil is able to help Craig. I'm really inspired by Craig's determination and his love for cyling. Really glad to see that he is working with such a top class physio as Neil.
Another brilliant video - please keep doing more of these case study style videos as they’re so insightful.
Brilliant work. I just found your channel not knowing your background. I knew in the first few sentences I was listening to a Physio. I'm a P.T. in the states and a newer rider. Such an amazing combination of knowledge you have from the medical side and mechanical bike fitting side. You made a light bulb turn on in my head. Thank You.
Could you release a video with a few SI joint stretches for cyclists? Or mobilizations you did for him?
Can you please do more on asymmetrical fits please! What exercises and stretches do you recommend for this particular issue? A lot of people deal with this we would love more info !!!!❤
Glad you are liking the videos! Each case is individual, so the homework varies between each client. Craig had to do a lot of contralateral strength training in particular, as well as sacro-iliac joint anterior rotation stretches for his right ilium - but I've seen riders like this who sit obliquely forward on the right, who have a jammed LEFT ilium for example - they are all different. - Neill
@roadcyclingacademy6476 Neil do you have any names of the exercises and SI joint stretches to try?
This is awesome info! I have the same issue but my pelvic asymmetry is the opposite to Craigs. No one seems to have been able to help me but you have hit the nail on the head! I will take this info to myself and see if it helps. thanks Neil!
Great video as always. I am suffering pelvic asymmetric which I believe is related to surgery after tib/fib ankle surgery after dislocation and fractures to both. This translates to incredible sensitivity to saddle discomfort. Another trip to bike fitter required as I don’t want to tackle the complexity of this myself.
The stretch he was showing on the bench is also good for stretching the psoas muscle, repeat for both sides, and a few other movements. If you have low back pain, a shortened psoas muscle could be the cause so it’s good to add stretches in for that if anyone has low back pain.
Agreed on all counts. It's basically a psoas stretch with overpressure on the ilium to stretch it into anterior rotation more heavily - Neill
this is the stretch that really helps me out in daily life too.
I think i have that. Trial and error. Thought LLD too. Tried shims and all sorts of cleat position and wider pedals to remedy to no avail. Latest was core exercises and single legged strength exercises, bulgarian squats and glute min/med exercises. Bit of mobility work in the hips. Ditched shims, feet close to bike, cleats far back for stability. I think it’s working.
man, i wish there was a bike fitter like this where i live
Thanks a lot! Please, please do a follow up video in a couple of months to show how its been going and what you have changed in the meantime.
Wow! This rings true for me also. If I put my hands on the front of my pelvis the right side is noticeably forward of the left side. The right leg of my shorts sits about 25 mm above the left leg. Hopefully I can find a Neill here in Florida. Thanks for the eye opening video. You da' man!
I would think with the pelvic torsion rotated like that, to scoot the seat forward so the sacrum is on the wider part of the saddle supported.
How does moving the foot forward or clear back on the left help them rotate the pelvis to the right ? I would assume that a forward foot would put more pull on the hamstring with would increase posterior tilt on the left Iliam resulting in a left facing pelvis. Essentially the opposite of what we would want to accomplish. Would love to understand exactly what your method does as a short fix method to rebalance the pelvis.
Absolutely phenomenal video. A few years ago I found I have this same asymmetry and I'm pretty sure it's the cause of right knee problems I've been having for the past five years.
I've been thinking about finding a physical therapist to help fix it since it seems entirely caused by muscle imbalances but I don't have much faith in finding a physical therapist who really knows what they're doing to fix my issue. Only one way to find out though! I need to see who I can find locally and get a PT appointment.
Amazing. God like bike fitting knowledge
Best fitter in the game easy, come to the UK for a month
Other than the mentions of what was physicallyl wrong, did he have pain anywhere? Pain after certain time/efforts? Great video.
Surprisingly, not yet. He's a good compensator and his connective tissue is obviously very resistant to inflammation! It would only be a matter of time though. - Neill
Neill can you recommend any fitters in the US close to or in Texas?
This is off Steve Hoggs website who trained Neal. www.stevehoggbikefitting.com/fitters/jerry-gerlich/
i wish i had a skillful bike fitter like you in korea.
What were the exercises that were prescribed?
From shifting the left cleat back, the saddle height gets affected. Do you leave the saddle height the same from the right cleat, or do you drop the saddle by how far you moved the left cleat back.
Exactly the same issue but left hip forward/right hip back, I can feel how squint I am on the bike and my left foot looks like it's constantly trying to unclip! My cleats are already slammed back so I'll try pushing the left cleat forward to push the left hip back a little. I'm trying to figure out what state of imbalance the muscles are in largely by how bad they feel when my masseuse gets into them, left ham and right quad are usually worse and by Neil's logic they're the muscles I should be working to drag right hip back forward. Am wondering about the role of the QL above the rearward hip as well, my right QL always feels tight and I think it's referring pain down the leg as well. Chicken or egg?
G'day Ian, I wish I could help but I'd just be guessing without seeing you in person. The variances in these patterns are close to infinite, and figuring out the causality is the hard part. As an example I've seen riders who sit this way because the Q factor is too narrow, or the seat too high, or....... the list goes on. - Neill
Question : if you pull one cleat back, will you need to put a shim under the cleat further back to counter act the extra reach of that leg
Don't they want that foot to "reach" forward more to bring the hip around. Not a length issue
Not in Craig's case but yes, this can happen! - Neill
@@roadcyclingacademy Neil mentioned that changing cleat position was temporarily solution. Can this be used permanent solution for leg length difference (and hip mobility isses -> mechanical) or should it be fixed with spacers? Or possibly combination of both?
That's a monster stem...jealous haha
Neill quick question. When you see a patient with so much asymmetry would you expect the power balance to be "off". I mean, would you expect a 50-50% power balance since the rider is compensating for the asymmetry anyways or would you expect a shift in the balance (say 55-45% as an example)?
Thanks!
Good question. Often they will still present close enough to 50/50 but some will skew out a lot. I think Craig was still fairly close to 50/50 but if you pulled the torque analysis out of his power meter, you'd see different force application timing across the two legs as he effectively has two different seat setbacks for his two legs. The "area under the curve" is often surprisingly symmetrical though! - Neill
Anyone knows who can do this in Europe?
Neil, what kind of single leg isolation movements did you prescribe here? I’ve been suffering with something like this for 2 years, and I’ve been desperately trying to strengthen my right glute with minimal success. My right quad is significantly more developed than the left, but my glute and hamstring sucks on that side!
I have the same thing as you. From videos I don’t sit on the bike crooked but my right quad is way stronger and I always feel the burn in it. Left leg quad is never sore but I can feel the glute working for sure. Even when I do split squats the same muscles take dominance so I don’t think mine is a bike fit thing. Wish I had answers, because now I have what the doctors think is piriformis syndrome in the right leg.
I need this man as my best friend😂
This bike was really easy to assemble th-cam.com/users/postUgkxMesz3KOGEmwmvyKQfLfrRSUXLFzfVHZA and required very few adjustments out of the box. The wheels did not require any truing/adjustments. The frame had some small scratches, but nothing major.I did replace the seat though - the seat it came with was very uncomfortable. The tires need to be re-inflated every 4-5 days, but this appears to be quite common for the narrow 700x25 tires.Overall, in my opinion, this bike looks and rides like a much more expensive bike.
What size is his bike? And what height is the rider? Hope u cud answerr pls
Absolute legend
The correlation = causation in this case Neill! 🤣
haha
In the future, Smart Bikes will drag their lazy riders in for Human Fitting
I have exactly the same issue but it’s been like it for decades so I’m likely fucked! I’ve been to so many physios but they just aren’t able to understand what is going on the bike and what off the bike exercises to advise. I’ve probably had more success doing single leg squats. Neil, come to Vancouver and I’ll take you on the best MTB rides you’ve ever done and you can fix my imbalance.