1. How about a cyclocross bike instead? Off road capability, road ability too, and not much more $$ than a really good hybrid. Keep an extra set of tires and you can really kick. Surly Cross Check, Kona Jake, Jamis Aurora, and more!

2. What was it Eddie Merckxx said? "Ride lots."?

3. New saddle that fits you better? Low-rise shorts that fit your butt better?

4. What kind of wedges did your PT put in your running shoes and your cycling shoes? They may need to be adjusted, or you may need a footbed that suits your foot better.