Buying a bike that fits you “off the shelf” may or may not get you close to the correct size and positioning optimal for you, which is dependent on where or how you purchased your bike and the degree and quality of help you received. Also, your riding habits, level of training fitness, and type of riding you do determine how you may need to have the bicycle fine-tuned to more specifically fit you. MTI Physical Therapy can help you make the appropriate adjustments to your bike in order to improve your comfort, performance, efficiency, and prevent injuries when riding your bike.

What is a biomechanical bike fit in issaquah and first hill in seattle, WA?
A biomechanical bike fit is performed by a Certified BikeFit specialist trained in biomechanics, anatomy, cycling-specific performance, and positioning. Utilizing tools, having a detailed history, and accurately adjusting any combination of bicycle points of contact (shoe/pedal interface, seat, and handlebars) will enhance the cycling experience for safe and fun achievement of one’s cycling goals.
Improper fit on the bike leads to overuse injury, inefficiency of power, pain, and discomfort. Detailed evaluation and treatment will identify your needs in order to achieve the most out of your performance and endurance to ride no matter your goals.
You can expect your bike fit session in First Hill in Seattle, WA, or in Issaquah, WA, to take approximately 90 minutes and you will need to bring your clean bike with air in the tires, cycling shoes, and bike shorts you typically ride in. The bike fitting can be performed on any kind of bike: road, mountain, or hybrid. In some cases, a second bike fit appointment may be required for follow-up or additional changes to be made at a later time to allow your body to adapt to some positional changes.
Our trained physical therapists are dedicated to helping you to get out on the road and enjoy your ride, pain-free.
Benefits of a properly fit bike:
- Position should be comfortable for short and long rides
- Position should consider riding goals in conjunction with orthopedic and/or musculoskeletal limitations, tolerances, and load efficiency
- Injury prevention and performance enhancement
- Improve power output
- Increase overall cycling enjoyment
Benefits of Cycling:
- Health and fitness
- Improve balance
- Comradery and social interaction
- Relaxation
- Time outdoors
Understanding Training Principles:
- Goal-based progression
- Prevent overtraining
- Performance testing & assessment
- Nutrition & hydration
- Measurement Tools:
- Heart rate
- Power meter
- Cadence
we offer Biomechanical bike fitting in:
- Issaquah: Peter Carlson
- First Hill: Erin O’Neill
frequently asked questions
What is a professional bike fit, and how can a physical therapist help?
A professional bike fit performed by a physical therapist evaluates joint biomechanics, mobility, and riding posture to optimize positioning on the bike. Board-certified clinicians identify movement restrictions and asymmetries, ensuring proper alignment to improve comfort, efficiency, and performance while reducing injury risk.
How does a physical therapist improve comfort and performance with a bike fit?
Physical therapists use their expertise in biomechanics and manual therapy to address mobility limitations and optimize rider positioning. Adjustments to saddle height, reach, and cleat alignment are combined with targeted exercise recommendations. This approach reduces pain, improves power transfer, and enhances cycling efficiency.
Who should consider a bike fit with a physical therapist?
A bike fit is beneficial for cyclists of all levels, especially those with pain, numbness, or performance limitations. It is also ideal for injury prevention and return-to-sport planning. Evaluation by a board-certified physical therapist ensures precise adjustments and individualized recommendations for long-term cycling health.


