Cycling Physiotherapy: Triathlon Bike Fitting

Cycling Physiotherapy: Triathlon Bike Fitting

Ride Stronger. Stay Comfortable. Run Better.

A triathlon bike fit is about more than simply adjusting your saddle or handlebars. Your position on the bike can affect comfort, aerodynamics, power, efficiency, and how you feel when you transition to the run.

Our Clinical Triathlon Bike Fit, led by Cindy Li, Physiotherapist and triathlete, combines physiotherapy assessment with individualized bike-position adjustments to help you find a sustainable, comfortable, and effective aerodynamic position.

This service is best suited to beginner and intermediate triathletes on a dedicated triathlon/TT bike or a road bike with clip-on aerobars, who want to optimize their position using adjustments to their existing bike setup, such as the saddle, cleats, and aerobars.

Who Can Benefit?

A clinical triathlon bike fit may be especially helpful if you:

  • Experience pain, numbness, or discomfort while riding in the aero position, including in your neck, low back, hands, hips, or saddle area
  • Have difficulty maintaining your aerodynamic position for longer rides
  • Are transitioning from a road bike to a dedicated triathlon bike
  • Are using clip-on aerobars for the first time
  • Want to optimize your position for power, comfort, and aerobic efficiency
  • Are preparing for a Try-a-Tri, Sprint, Olympic, 70.3, or full-distance triathlon
  • Are returning to triathlon after time away, an injury, or a change in race distance
  • Find that your run feels compromised after cycling and wonder whether your bike position may be contributing

What to Expect

Your clinical triathlon bike fit program includes two appointments: the initial assessment and the followup.

Our bike fit focuses on adjusting the components already on your bike. We do not carry or sell bike parts.

After making adjustments to your bike, if Cindy feels that a different component would further improve your fit, she’ll provide personalized recommendations for you to purchase through a bike shop.

A cycling physiotherapist uses a vertical measuring tool to check a male athlete's posture during a triathlon bike fitting session.
A physiotherapist guides a triathlete through a standing leg stretch beside his bicycle to improve hip mobility before bike fitting.
A physiotherapist uses a goniometer to measure a cyclist's hip angle on a triathlon bike to optimize riding position and performance.

Initial Assessment — 2 Hours

Your first appointment combines a physiotherapy assessment with an on-bike evaluation. We will consider your individual goals, physical characteristics, riding position, and training demands.

Your assessment may include:

Consultation

  • Review of your race distance, training goals, concerns, and current symptoms
  • Discussion of your riding experience and how your current bike setup is working for you

Physical Assessment

  • Assessment of flexibility, strength, and mobility
  • Evaluation of hip and pelvic positioning relevant to maintaining an aerodynamic position
  • Identification of physical factors that may be limiting your comfort or positioncol

On-Bike Assessment

  • Observation of your riding position on an indoor bike trainer
  • Assessment of your ability to comfortably maintain the aero position over time
  • Evaluation of your overall bike position and control

Bike Adjustments

  • Cleat position
  • Saddle height and fore/aft position
  • Saddle nose position when appropriate for triathlon riding
  • Aerobar and armrest width
  • Pad angle and reach
  • Base bar and extension setup to balance aerodynamics, comfort, and control

Physiotherapy & Performance Recommendations

  • Triathlon-specific recommendations to help reduce injury risk
  • Consideration of the demands of the aerodynamic position and bike-to-run transition
  • Personalized exercises addressing mobility, strength, or postural factors that may be limiting your position or performance

Follow-Up — 30 Minutes

Following the findings of initial assessment, you will be booked for a followup in approximately 2–6 weeks (either in-person or virtually).

During the follow-up, your adjustments and recommendations will be reviewed and exercises may be progressed or modified. The follow-up also provides an opportunity to address new or persistent symptoms before they become race-day problems.

Fee

Clinical Triathlon Bike Fit — $450

Your $450 fee includes:

  • 2-hour initial clinical bike fit assessment
  • Individualized bike-position adjustments
  • Physiotherapy assessment and recommendations
  • Personalized exercise program, where indicated
  • 30-minute follow-up appointment 2–6 weeks later
  • SARIS FLUID2 Indoor Bike Trainer
  • Compatible with most 700c wheels with tire width 23-32mm
  • Compatible with both quick release and thru-axle systems (1.0, 1.5, 1.75 thread counts)
  • Carbon-safe torque wrench used for all adjustments

How It Works

1. Complete the Intake Form

Start by completing our triathlon bike fit intake form. You’ll provide information about your bike, pedals, wheels, training goals, and any symptoms or injuries that may be relevant.

2. Book Your Initial Assessment

Our Client Experience Lead will contact you by email or phone to schedule your 2-hour assessment with Cindy based on the available clinic times below.

Downtown Core

Monday: 12:00 pm–7:00 pm

Wednesday: 1:00 pm–7:30 pm

Friday: 8:00 am–2:30 pm

CityPlace

Tuesday: 7:00 am–2:00 pm

Thursday: 1:00 pm–8:00 pm

3. Complete Your Follow-Up

At the end of your initial 2-hour assessment, you’ll schedule your 30-minute follow-up appointment, which will take place 2–6 weeks later.

4. Eligibility and Insurability

We do not direct bill for this program. You will pay for the program program in the clinic. You will receive an invoice to your email immediately after each appointment. Sessions are eligible under physiotherapy coverage. If you are unsure of how much or how to get your assessment covered (partially or fully), please call your insurance provider BEFORE your appointment. Please refer to our Information Sheet below for more detailed information. Please call our office if you have any questions.

*PLEASE READ PRIOR TO COMPLETING INTAKE FOR MORE INFORMATION ABOUT THE TYPE OF BIKE, INSURANCE, BILLING AND OTHER DETAILS*

Triathlon Bike Fit Intake

This service is best suited for beginner and intermediate triathletes looking to optimize their position through adjustments to their existing bike setup (saddle, cleats, aerobars, etc.). Advanced or elite athletes requiring component swaps, custom parts, or a full bike build may be better served by a specialty bike shop triathlon bikefit.

If you are a triathlete on a road bike without aero bars, please refer to our Road Cycling Page.