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A proper bike fit should always start with a biomechanical assessment off the bike to determine the movement patterns of an individual. In this week's case, this athlete was experiencing worsening right knee pain with hiking and cycling. We dwelve into the root cause of his knee pain, and perform a bike fit to help with his cycling mechanics. Changes made to his fit include medial cleat rotation, cleat wedges and a longer stem. Website | https://www.ernestchaophysio.com LinkedIn | / ernest-chao-937a3695 Strava | / strava Email | [email protected] Make sure you subscribe and hit the notification bell to keep up to date with all of the latest content. Keywords: physio burnaby vancouver bike fit physiotherapy assessment physiotherapist dry needling IMS gait assessment biomechanics manual therapy IMS acupuncture exercise prescription rehabilitation