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Hand Pain and Numbness with Cycling


bike hand pain position adjustment
Simple adjustments make a big difference for hand position comfort

Hand pain and numbness is NOT a normal part of cycling discomfort. Both are symptoms of a poor bike position and are often related to excessive hand compression / pressure on the handlebars. Fortunately, hand pain and numbness can be easily alleviated with simple bike adjustments. Finger numbness that lasts AFTER riding is a symptom of nerve compression and needs to be addressed ASAP to avoid further injury to the nerve being compressed. The longer a nerve is compressed, the longer it will take to heal...and nerves heal really slow!


Common sources of excessive hand compression with drop bar bikes include:

  • Saddle Height

    • High relative to the handlebars and rider flexibility

  • Saddle Tilt

    • Nose up (Ouch!)

    • Nose down

  • Handlebars

    • Handlebar height too low compared to saddle height and rider functional core strength

    • Up or down roll position of the handlebars

    • Handlebars width is too wide in proportion to riders shoulder width

    • Inability to reach drops

    • Limited use of drop bar position due to flexibility, functional core strength, rider confidence in drop bar position

  • Poor shifter / brifter / brake lever positioning

    • Ergonomic and natural reach and access to hoods and levers

    • Some integrated shifters can be further adjusted to optimize brake lever reach for smaller hands

  • Rider Shoulder, Wrist and Hand flexibility

    • Finger extension and forearm/wrist rotation demands for the drop bar bike are the opposite of computer/smart phone postures.

  • Rider overall flexibility and core strength

    • Limited hamstring flexibility often means less hip flexion and more shoulder reach compensation to reach handlebars

    • Functional core strength in proportion to ride length / endurance and demands.


A medical bike position professional can help you with reducing excessive hand compression through bike positioning.


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