WHO THIS IS FOR
IS THIS YOU?
Cyclists with persistent lower back pain during or after rides
Your back aches during long rides, stiffens after riding, or has become a chronic issue that limits how far and how often you can ride.
Riders who are about to invest in a bike fit
You want to understand the relationship between bike position and back pain so you can have an informed conversation with your fitter.
THE ROADMAN VIEW
The Roadman view
Lower back pain is the single most common complaint Anthony hears from the Roadman audience, and the frustrating thing is that it is almost always fixable. The problem is usually a combination of factors rather than a single cause, which is why people struggle to solve it on their own. They raise their handlebars and it helps a bit, but the pain does not go away entirely. Or they start doing planks but keep riding a bike that is 20mm too long in the reach. You have to address fit, strength, and flexibility together.
The most common pattern Anthony sees is a rider who bought a bike based on the manufacturer's size chart, has never had a professional fit, has a desk job that leaves their hip flexors tight and their core dormant, and then rides for 3-4 hours at the weekend. That combination produces back pain almost inevitably. A 60-90 minute bike fit and 15 minutes of core work four times a week usually resolves it. It is not complicated, but it does require doing all three things, not just one.
EXPERT EVIDENCE
WHAT THE EXPERTS SAY
- Phil BurtFormer head of physiotherapy at British Cycling, bike fit specialist
Lower back pain accounts for roughly 60% of the overuse complaints I see in bike fit clinics. The most common cause is excessive saddle-to-handlebar drop combined with a reach that forces the rider to extend through the lumbar spine rather than the thoracic spine. Shortening the stem by 10-20mm and adding 10-15mm of spacers under the stem resolves the majority of cases. The remaining cases almost always involve core instability that allows pelvic rocking during pedalling.
PRACTICAL APPLICATION
DO THIS WEEK
Get a professional bike fit focused on back position
Tell the fitter that back pain is your primary concern. They should assess saddle height, saddle fore-aft, reach (stem length), handlebar drop, and saddle tilt. A modest reduction in reach (shorter stem) and increase in handlebar height (spacers or a higher-rise stem) is the most common fix. Expect the fit to take 60-90 minutes and cost 100-200 GBP.
Build a core stability routine of 15 minutes four times per week
Focus on anti-extension and anti-rotation exercises: planks (front and side, 3x30-60 seconds), dead bugs (3x10 each side), bird dogs (3x10 each side), and pallof press holds (3x20 seconds each side). These build the deep stabilisers that prevent pelvic rocking on the bike. Consistency matters more than intensity.
Stretch hip flexors and hamstrings daily
Tight hip flexors pull the pelvis into anterior tilt, increasing lumbar extension loading on the bike. Tight hamstrings do the opposite, pulling the pelvis into posterior tilt and rounding the lower back. A 5-minute daily routine of half-kneeling hip flexor stretches and standing hamstring stretches (30 seconds each side, twice) addresses both.
COMMON MISTAKES
WHAT CYCLISTS GET WRONG
MISTAKETrying to fix back pain by only adjusting the bike without addressing core strength.
FIXBike fit addresses the external load, but weak core muscles mean the spine absorbs forces it should not. Both must be addressed simultaneously for lasting relief. A perfect fit on a weak core still produces pain.
MISTAKECopying a professional rider's aggressive position.
FIXProfessional cyclists have years of progressive adaptation, exceptional core strength, and professional physiotherapy support. An amateur copying a pro position is likely to develop back pain within weeks. Your position should be based on your flexibility, strength, and riding goals — not someone else's.
MISTAKERiding through persistent back pain assuming it will toughen up.
FIXCycling back pain that does not improve within 2-3 weeks with position adjustments warrants professional assessment. Persistent pain can indicate disc irritation, facet joint dysfunction, or other conditions that require specific treatment. Early intervention prevents chronic issues.
FAQ
FREQUENTLY ASKED QUESTIONS
Should I raise my handlebars if my back hurts?
Does saddle position affect lower back pain?
Are recumbent bikes better for back pain?
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