All I can say is that you need to do strength training as well as stretching. And don't slack on it. Because I'm sitting on my butt wishing I could ride for the second straight week in a row and getting depressed.
Your PT should be able to tell you what the deal is muscle wise. But if they are as poor as the ones I'm going to (insurance wise) then good luck. I am fortunate to have found a woman that is a Dr in PT and I pay her $50 a visit just for manual deep tissue for an hour.
I was also fortunate enough to become a personal trainer and chose the NASM certification which puts emphasis on getting your posture right before going on to working out with weights.
Without watching you do an overhead squat or anything else, it's not just your lower body you need to pay attention to. I'm going to take a stab and say that your knees go in if you squat. In that case, you overtight muscles as well as weak ones. And then it just goes down the line. When your knees go in due to the overtight adductors and weak gluteus medius/maximus to name a couple of muscles that are involved. You need to definately have a weight training program when you are kicked loose from PT and they should help you with that.
My issue with alot of PTs that I have seen is they are used to see people that are less active than we are. When I told them that I was doing up to 100 miles per week and half of them were mtn bike ones, they didn't know what to do. And they advertised all over the place they dealt with 'athletes'. They have athletic trainers, which for you, is your best bet. Athletic trainers are used to injuries and can help you. I'm a personal trainer and I can help prevent injuries but athletic trainers (which are certified through a national certification and you HAVE TO go to a school that is certified to train you as well, it's not at all like a personal trainer!) are good for when you are injured and really want to get through it as well as train to keep from being injured. Ask when you go to your PT visit if they have one there, they usually do. And then ask them to evaluate you and get rid of the imbalances once and for all.
It's not a general blanket "I did this, this and this" at all, everyone is different. You might find out you need orthotics or you might have one leg that is slightly longer than the other and need to address that. For that one, it's not as easy as a lift in one shoe when biking but you actually need to address it between your shoe and your pedal when you ride! So you can see how it's a journey and boy, it just never seems to end...it's hell getting old![]()



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