John Hughes at 90+ Cycling in Columbia, MD. He’s amazing and I’ve trusted him with my fit for years because of exactly what you’re looking for

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Level II USAT Coach | Level 3 USAC Coach | NASM-CPT
Team Zoot | Tailwind Trailblazer
I can tell you why you're sick, I just can't write you an Rx

I'm in Richmond. Fitting for 15 years.

This is my recommendation

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Heath Dotson
HD Coaching:Website |Twitter: 140 Characters or Less|Facebook:Follow us on Facebook

Yep, make the trip to Richmond.

I would recommend Kur at VeloFit… he’s a DPT among many things, and Joe Dombrowski is his client. He’s in Herndon, so it will be a bit of drive for you, but it’s worth it.

Stu waring at Parvilla Cycles. He's awesome. Very comprehensive fit and great shop.

I should tell you I am not exactly what you specified, but also I could likely help you. If you wanted I could take a look on video before you make any drive. I am curious why you think you need someone as described? In my experience, and I really hate to quote Jordan fucking Rapp, but PT bike fitters seek dysfunction, and they generally find it.

True professional bike fitting is going to encompass some body knowledge of course, but the riders who need highly specialized medical bike fitters combined with highly specialized orthopedic corrections / shims / wedges / insoles are far less than the riders who think they need these things, generally because they've been dealing with the 90% of bike fitters who are better at social media than bike fitting.

Don't get me wrong. There are people who need that level of expertise and intervention, and they REALLY need it. Just not many.

Just replying here to recommend Dave here ^^