In clinic before I can manage an overuse injury I need to understand the causes and the predisposing causes of the overuse injury see below......
Biomechanics. Generally consist of leg length issues, poor muscle flexibility, poor muscle control ( weak muscles) Over tension of quadriceps and gluteal and other hip external rotator muscles. General muscle inbalance
Equipment. Bad bike position, saddle set up wrong etc, The wrong shoes in essence, or the wrong orthotic if they are used daily
Environment. Too much hill climbing in hard gear. tendon and muscle overloading.
Training. Poorly planned training programs which overload the cyclist and accumulation of volume too fast.
Recovery. This should be considered as part of the training element of cycling, Not enough recovery time between high volume or high intensity sessions, and poor recovery interventions. Hard exercise breaks down muscle fibre and tissue.
Nutrition. Poor nutrition, incorrect fuelling of exercise and recovery.
Older. The ageing amateur or pro athlete is more prone to the overuse injuries due to accumulated degeneration.