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More miles, less pain. Fix what's actually behind it.

Knee pain from your position, a low back that locks up after long rides, numbness you've just learned to live with, most PT clinics never touch the actual bike-fit and movement issues behind it. We find what's driving it and rebuild it, so you get back to full rides instead of just working around the pain.

For road cyclists, gravel riders, and triathletes.

260+ five-star reviews

5,000+ active adults served

“They truly care about making people feel better long term, not just hit a marker and send you on your way… it is possible to identify weak spots and prevent injury, so you don't have to wait until it's actually a problem.”

Tom W., VTP patient

We Hear This Every Week

Sound familiar?

Cycling pain shows up differently for everyone, a low back that tightens up an hour into a ride, a knee that never quite feels right, numbness that's become normal. Here's the cycle almost everyone describes.

“It's fine for the first 20 miles, then my low back locks up.”

Pain that shows up the longer you ride

“My hands and feet go numb about halfway through every ride.”

The numbness you've just learned to live with

“I've adjusted my saddle, tried new shoes, stretched more, and it still shows up.”

Relief that never actually lasts
What patients tell us
“They understand injuries and how to rehab them, and they understand the movements and demands of sport-specific training.” VTP Patient
Not Just A Bike-Fit Tweak

We find what's actually loading you on the bike, then fix that too.

Cycling pain is rarely just about the bike. Weak hips, a stiff thoracic spine, or poor core control often show up only after an hour in an aggressive riding position, the joint or nerve stuck absorbing the load. A bike-fit adjustment alone leaves the real cause free to keep showing up.

1

Full movement and mobility evaluation

We test your hip, spine, and shoulder mobility together in and out of your riding position, not just the joint that's sore.

2

Root cause, not just the flare-up

Cycling pain is rarely a single-joint problem. We check what's overloading it from above and below.

3

Built around your training

Long road rides, gravel, and indoor trainer sessions all load your body differently, your plan is built around what you actually ride.

Is This You?

Most cyclists who come to us fit one of five patterns.

You don't need to self-diagnose before you call. This just helps you see we've treated exactly this before.

01Low Back Pain That Locks Up After Long Rides

It's fine off the bike, but an hour or two into a ride, your low back tightens up or starts to ache. We look at your hip and core control in the riding position, not just the muscle that's sore.

“I had been suffering with a lumbar disc issue and hip pain for years. I have had spinal injections, acupuncture, chiropractic care, etc. with no lasting results. Three visits with Anders, best I have felt in years.” C.H., VTP patient
02Hip Tightness or Nerve Irritation From Time in the Saddle

Hours in a fixed hip-flexed position can leave your hips tight and irritate the nerves that run through them, even on long training rides. We look at your hip mobility and position together to find what's actually behind it.

“My hip made training painful. Not only did they rehab my hip to where I got back to training quickly, they also showed me stretches to do correctly. Kudos to Cord DeMoss for letting the Bixby Bikes Ironman Team know about you guys!” Nicole B., VTP patient
03Neck and Shoulder Tightness From Your Riding Position

An aggressive, hunched-forward riding position puts a real demand on your neck and shoulders, and it shows up as tightness or pain that doesn't fully go away between rides. We build the stability and mobility that position actually requires.

“I put in a lot of hours to train. I've worked with Cord on stabilizing where I've had a lot of issues in the past. He has helped me stay out there competing at my highest level!” Cole K., VTP patient
04Knee Pain That Shows Up From Your Position, Not a Specific Injury

Nothing ever happened, no fall or injury, but your knee just doesn't feel right on the bike. That's usually a positioning or mechanics issue, not damage, and it's very fixable once we find it.

“I went to Anders feeling unhappy with the results of my knee replacement and subsequent PT from another provider. She has been fantastic helping me regain strength and flexibility.” Cindy B., VTP patient
05Not Sure What's Actually Wrong, Just That Something's Off

Nothing hurts badly enough to call it an injury, but something feels off on the bike and you're not sure who to even ask. A full evaluation is a good place to start, whether or not it turns into ongoing treatment.

“Cord is exceptional. He's not only a skilled physical therapist but also a compassionate and caring individual. He creates a welcoming atmosphere and takes the time to listen and really get to know you.” Connor A., VTP patient
How It Works

One process, from working around it to riding pain-free.

A bike-fit tweak alone almost never fixes cycling pain for good. It masks the symptom until you're back in the saddle for a real distance, and the same weak link overloads again. Here's how we actually break that cycle.

A patient working through low back and core strength exercises with a Vitality coach
ResetSessions 1–3 · find the real cause. A full movement and mobility evaluation, including your riding position, with a clear explanation of what's actually going on.
RestoreSessions 4–7 · fix it. A plan built around the weak link the pain was hiding, not just another bike-fit adjustment.
RebuildSessions 8–12 · stay at peak performance. Return-to-riding programming that leaves you stronger and more durable than before the pain started.
MaintainOngoing. Keep the mobility and strength you rebuilt, and catch the next flare-up before it costs you a long ride, or an event.
A patient doing a deadlift or hip-hinge exercise at Vitality Therapy and Performance
Back On The Course

“I had lower back, hip, and knee pain for years. I had tried many things to alleviate the pain, and after two weeks working with Cord, I was virtually pain free. I completed my first Sprint Triathlon with none of the pain typically associated with my longer distance events and trainings. Game changer.”

Destiny S., VTP patient
Common Questions

Before you call, a few honest answers.

01Do I need to stop riding while I'm being treated?

Usually not entirely. We'll tell you honestly if a short break or a shorter-distance adjustment is needed, but the goal is almost always to keep you riding, not pull you off the bike entirely, while we fix the underlying issue.

02It only bothers me after a long ride, at rest or on short rides it feels fine. Is that still worth treating?

Yes, that's actually one of the most common patterns we see. A bike-fit tweak alone rarely fixes it, we rebuild the hip, core, and shoulder stability your riding position needs so it stops being a variable at mile 20.

03Is this a bike-fit issue or something I should get evaluated for?

Often both. A good bike fit matters, but it can't compensate for a real mobility or stability gap forever. A full evaluation looks at your body and your position together, so you're not just guessing at saddle height.

04Do I need a referral or an MRI first?

No. Oklahoma allows direct access to physical therapy, so you can schedule with us without a physician referral. Most cycling-related pain can be accurately assessed without imaging, and we'll let you know if imaging is warranted after your evaluation.

05I've had this same pain flare up on and off for a couple years of riding. Is it too late to actually fix it?

Rarely. Recurring cycling pain usually persists because the root cause, often somewhere else in the kinetic chain, was never identified, just adjusted around. A thorough evaluation can often uncover what was missed.

Ready to ride without working around the pain?

A short, low-pressure first conversation. Tell us what you're dealing with and what keeps interrupting it, and we'll help you figure out the next step.