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 Form & Fitness Q & AGot a question about fitness, training, recovery from injury or a related subject? 
  Drop us a line at fitness@cyclingnews.com. 
  Please include as much information about yourself as possible, including your 
  age, sex, and type of racing or riding. Due to the volume of questions we receive, 
  we regret that we are unable to answer them all. 
  Fitness questions and answers for October 14, 2008 
    | The Cyclingnews form & fitness panelCarrie Cheadle, MA (www.carriecheadle.com) 
        is a Sports Psychology consultant who has dedicated her career to helping 
        athletes of all ages and abilities perform to their potential. Carrie 
        specialises in working with cyclists, in disciplines ranging from track 
        racing to mountain biking. She holds a bachelors degree in Psychology 
        from Sonoma State University as well as a masters degree in Sport Psychology 
        from John F. Kennedy University. Jon Heidemann (www.peaktopeaktraining.com) 
        is a USAC Elite Certified cycling coach with a BA in Health Sciences from 
        the University of Wyoming. The 2001 Masters National Road Champion has 
        competed at the Elite level nationally and internationally for over 14 
        years. As co-owner of Peak to Peak Training Systems, Jon has helped athletes 
        of all ages earn over 84 podium medals at National & World Championship 
        events during the past 8 years. Dave Palese (www.davepalese.com) 
        is a USA Cycling licensed coach and masters' class road racer with 16 
        years' race experience. He coaches racers and riders of all abilities 
        from his home in southern Maine, USA, where he lives with his wife Sheryl, 
        daughter Molly, and two cats, Miranda and Mu-Mu.  Kelby Bethards, MD received a Bachelor of 
        Science in Electrical Engineering from Iowa State University (1994) before 
        obtaining an M.D. from the University of Iowa College of Medicine in 2000. 
        Has been a racing cyclist 'on and off' for 20 years, and when time allows, 
        he races Cat 3 and 35+. He is a team physician for two local Ft Collins, 
        CO, teams, and currently works Family Practice in multiple settings: rural, 
        urgent care, inpatient and the like. Fiona Lockhart (www.trainright.com) 
        is a USA Cycling Expert Coach, and holds certifications from USA Weightlifting 
        (Sports Performance Coach), the National Strength and Conditioning Association 
        (Certified Strength and Conditioning Coach), and the National Academy 
        for Sports Nutrition (Primary Sports Nutritionist). She is the Sports 
        Science Editor for Carmichael Training Systems, and has been working in 
        the strength and conditioning and endurance sports fields for over 10 
        years; she's also a competitive mountain biker. Eddie Monnier (www.velo-fit.com) 
        is a USA Cycling certified Elite Coach and a Category II racer. He holds 
        undergraduate degrees in anthropology (with departmental honors) and philosophy 
        from Emory University and an MBA from The Wharton School of Business. Eddie is a proponent of training with power. He coaches cyclists (track, 
        road and mountain bike) of all abilities and with wide ranging goals (with 
        and without power meters). He uses internet tools to coach riders from 
        any geography. David Fleckenstein, MPT (www.physiopt.com) 
        is a physical therapist practicing in Boise, ID. His clients have included 
        World and U.S. champions, Olympic athletes and numerous professional athletes. 
        He received his B.S. in Biology/Genetics from Penn State and his Master's 
        degree in Physical Therapy from Emory University. He specializes in manual 
        medicine treatment and specific retraining of spine and joint stabilization 
        musculature. He is a former Cat I road racer and Expert mountain biker.  Since 1986 Steve Hogg (www.cyclefitcentre.com) 
        has owned and operated Pedal Pushers, a cycle shop specialising in rider 
        positioning and custom bicycles. In that time he has positioned riders 
        from all cycling disciplines and of all levels of ability with every concievable 
        cycling problem. Clients range from recreational riders and riders with 
        disabilities to World and National champions. Current riders that Steve has positioned include Davitamon-Lotto's Nick 
        Gates, Discovery's Hayden Roulston, National Road Series champion, Jessica 
        Ridder and National and State Time Trial champion, Peter Milostic.  Pamela Hinton has a bachelor's degree in Molecular 
        Biology and a doctoral degree in Nutritional Sciences, both from the University 
        of Wisconsin-Madison. She did postdoctoral training at Cornell University 
        and is now an assistant professor of Nutritional Sciences at the University 
        of Missouri-Columbia where she studies the effects of iron deficiency 
        on adaptations to endurance training and the consequences of exercise-associated 
        changes in menstrual function on bone health.  Pam was an All-American in track while at the UW. She started cycling 
        competitively in 2003 and is the defending Missouri State Road Champion. 
        Pam writes a nutrition column for Giana Roberge's Team Speed Queen Newsletter. Dario Fredrick (www.wholeathlete.com) 
        is an exercise physiologist and head coach for Whole Athlete™. He is a 
        former category 1 & semi-pro MTB racer. Dario holds a masters degree in 
        exercise science and a bachelors in sport psychology. Scott Saifer (www.wenzelcoaching.com) 
        has a Masters Degree in exercise physiology and sports psychology and 
        has personally coached over 300 athletes of all levels in his 10 years 
        of coaching with Wenzel Coaching.  Kendra Wenzel (www.wenzelcoaching.com) 
        is a head coach with Wenzel Coaching with 17 years of racing and coaching 
        experience and is coauthor of the book Bike Racing 101. Steve Owens  (www.coloradopremiertraining.com) 
        is a USA Cycling certified coach, exercise physiologist and owner of Colorado 
        Premier Training. Steve has worked with both the United States Olympic 
        Committee and Guatemalan Olympic Committee as an Exercise Physiologist. 
        He holds a B.S. in Exercise & Sports Science and currently works with 
        multiple national champions, professionals and World Cup level cyclists. 
       Through his highly customized online training format, Steve and his handpicked 
        team of coaches at Colorado Premier Training work with cyclists and multisport 
        athletes around the world.   Richard Stern (www.cyclecoach.com) 
        is Head Coach of Richard Stern Training, a Level 3 Coach with the Association 
        of British Cycling Coaches, a Sports Scientist, and a writer. He has been 
        professionally coaching cyclists and triathletes since 1998 at all levels 
        from professional to recreational. He is a leading expert in coaching 
        with power output and all power meters. Richard has been a competitive 
        cyclist for 20 years Andy Bloomer (www.cyclecoach.com) 
        is an Associate Coach and sport scientist with Richard Stern Training. 
        He is a member of the Association of British Cycling Coaches (ABCC) and 
        a member of the British Association of Sport and Exercise Sciences (BASES). 
        In his role as Exercise Physiologist at Staffordshire University Sports 
        Performance Centre, he has conducted physiological testing and offered 
        training and coaching advice to athletes from all sports for the past 
        4 years. Andy has been a competitive cyclist for many years. Michael Smartt (www.wholeathlete.com) 
        is an Associate Coach with Whole Athlete. He holds a Masters degree 
        in exercise physiology, is a USA Cycling Level I (Elite) Coach and is 
        certified by the NSCA (Certified Strength and Conditioning Specialist). 
        Michael has more than 10 years competitive experience, primarily on the 
        road, but also in cross and mountain biking. He is currently focused on 
        coaching road cyclists from Jr. to elite levels, but also advises triathletes 
        and Paralympians. Michael is a strong advocate of training with power 
        and has over 5 years experience with the use and analysis of power meters. 
        Michael also spent the 2007 season as the Team Coach for the Value Act 
        Capital Women's Cycling Team. Earl Zimmermann (www.wenzelcoaching.com) 
        has over 12 years of racing experience and is a USA Cycling Level II Coach. 
        He brings a wealth of personal competitive experience to his clients. 
        He coaches athletes from beginner to elite in various disciplines including 
        road and track cycling, running and triathlon.  
        Advice presented in Cyclingnews' fitness pages is provided for educational 
        purposes only and is not intended to be specific advice for individual 
        athletes. If you follow the educational information found on Cyclingnews, 
        you do so at your own risk. You should consult with your physician before 
        beginning any exercise program. |   Rotating footOvertraining
 Knee pain
 Position issue
 Spacers for MTB cleats
 Knee bend
 Speedplay cleat extenders
 
  Rotating foot I am a 30-year-old male recreational rider who rides mostly cross and 24 hour 
  races. I have ridden competitively at some times and quite actively for the 
  past 10 years on a mix of MTB, road, cross, and fixed throughout the city. This past spring, I started to notice what I can only describe as 'a new bad 
  habit'. It seems that when pedaling, my right foot has begun to rotate about 
  the axis of my cleat, through my normal pedal stroke, resulting in my heel moving 
  closer then farther away from the bike as I pedal. At first I attributed it 
  to a loose or incorrectly adjusted cleat. Then maybe I thought it was a problem 
  with a certain pair of shoes and kind of left it at a theory, since it didn't 
  seem to be a major concern and I couldn't really pinpoint it. However, yesterday I was commuting home from work on my cross bike and it occured 
  again. This time I was riding eggbeater pedals with these little clip-on platforms 
  that Crank Bros provided with a pair of my wife's Smarty pedals and normal street 
  shoes. Even without being attached to the very smooth pedal and being able to 
  place my foot at any angle, I could feel my foot rotating as I pedaled. I am trying to figure out what possibly is causing this and what my next step 
  is: leg/thigh/foot length difference? Any insight what to try next? Cory BensonPrague, Czech Republic
 Steve Hogg replies: 
 
  If this is a recent problem, what has changed?  Have you changed shoes or cleat position?Have you lowered your bars, raised your seat or moved your seat rearwards?
 Have you had a fall or are you less flexible than usual?
 Have you had any digestive issues or do you feel bloated and sluggish?
 If the answer to all of that is no, drop your seat 5 mm and let me know what 
    the result is. 
 Cory Benson then responded: The problem is indeed recent; it is in the last 4-6 months, having only really 
  become annoying in the last two or three months.  I haven't specifically changed shoes. I have a new and an old pair of Sidi 
  Dominators that I rotate back and forth with depending on mood and weather. 
  About a month after I noticed the problem, I had the sole of my new right shoe 
  delaminate. I thought this may have been my problem and sent it of to be repaired. 
  (Now I wonder, did my new foot movement overstress the shoe? A little chicken-and-egg 
  dilemma.) That being said, I have noticed the issue with the second pair of 
  shoes, now normal street shoes as well, and the shoe that was sent back and 
  repaired by Sidi in Italy. Cleat positions seem to remain the same. I primarily notice the problem on my mountain bike, on which I did install 
  a jones H-bar about 8 months ago. The normal reach position is very close to 
  what it was before, but it is possible that I may favor the more forward position 
  more than I rode on bar ends previously? Seat position has remained unchanged. 
  On my secondary bike, where I haven't noticed the problem as prominently, I 
  recently upgraded a severly worn Flite for a new Arione, and installed it at 
  the same height and approximated the fore-aft position (because of the drastically 
  different shape.) The third, the commuting/fixie/cross where I have noticed 
  the problem with street shoes has remained unchanged, but truthfully is about 
  6cm too small for me and has since been taken out of service. No recent falls, but I stopped weekly Yoga practice about 18 months ago due 
  to work pressures and language barrier issues after moving to a new city. It 
  is probably safe to say that I am a bit less flexible now than I was a year 
  and a half ago. Off and on over the past 18 months, I have also had minor bloating and a perceived 
  increase in intestinal gas, which I have attributed to a significant change 
  in diet and new job/city stress. Any sluggishness (which thankfully has been 
  minor) I like to blame on the 100+km mountain bike rides my wife drags me on, 
  in lieu of my lack of fitness, as my workday riding volume has generally decreased 
  in the last 2 years. Wow, looking back on all that is a bit scary. When I started to respond to 
  your questions, I thought I would write 'NO' to them all and say I would lower 
  my saddle. I will try that though and will keep you updated. Any more insight 
  into my answers/extra background info would of course be greatly appreciated. Steve Hogg replies: 
 
  Three bikes and differing degrees of the same problem on each means that 
    at some level, your position plays a part.If you can find a competent bike 
    fitter who takes a structural approach to his job, it would be worth getting 
    checked out.  The other thing to check out is your diet. Time and again I see people with 
    right hip problems (which is why your foot is floating around, more than likely). 
    Over the years I've developed a network of really competent structural health 
    professionals that I refer clients to address their issues. I've lost count 
    of the number of people whose right hip issues have resolved or diminished 
    noticeably once they sorted out food allergies, or just simple stuff like 
    drinking enough water or eating enough fibre or improving their diet. That's 
    why I asked about any digestive issues. There seems to be a correlation between 
    liver and bowel health and right hip issues as I see it too often to be coincidence. From the sound of it, you have recently been stressed with relocation, new 
    job etc. Get back into your yoga and see a good naturopath or nutritionist 
    and with their help sort out any dietary issues and I would be surprised if 
    your problem doesn't disappear or diminish noticeably. 
  OvertrainingI'm a competitive cyclist, both mountain bike and road, I'm a 16 year old (nearly 
  17) male; my height is 180 cm and weight is about 67kg. For the last 3-4 months (since June) I have gradually been seeing a drop in 
  performance levels. Just before June I had started to do efforts and up my training. I did this 
  to counter a bad spell of races - big mistake! I also hit a patch of about five 
  big races within six weeks. And they were my first races for about 5-6 months. 
  Between the 5-6 months I continued to train, though. I have diagnosed myself with about 65 per cent of the symptoms of overtraining, 
  including, constant fatigue, loss of motivation/interest and competitive drive. 
  At first I had a little one week break. Then I continued to train, but not too 
  much, just enough in addition to weekly road races. Then the evident feelings hit me, but at the time was clueless to what was 
  happening! I was losing my competitive drive, motivation (and I got my new road 
  bike at this time so I should have been motivated), feeling slow while training, 
  not enjoying training. This continued for 2.5 months, Mid-August, when I was recommended a two-week 
  break. I took it and felt a bit more enthused, but after one week, it hit me. 
  I went for a planned easy 30km spin, was cut down to 14km and averaged 16km/h, 
  (usual I average around 27-30km/h). I have continued on for a few weeks and had the same kind of ride the other 
  day... that being said I have had some good rides but the feeling isn't there 
  and now it's coming to be that about 50 per cent of my riding is unbearable. 
  It's really scary and I do want to race competitively again! But am really worried 
  if I will recover from this. What can I do, It's been about four months now (of the constantly fatigued 
  legs and slowly decreasing motivation) and about three weeks since I had my 
  first unbearable ride. I was thinking of resting (actively and passively), including 
  light cross training, and light spinning on the bike for 25 minutes maximum 
  plus a balanced diet and stretches. Ryan Hargrave Carrie Cheadle replies: 
 
  If you aren't already - I suggest working with a coach that can teach you 
    how to utilise periodised training to prevent overtraining in the future. 
    Overtraining usually means under-recovery. Overtraining is extremely complex 
    and what brings it on for one person is different for another AND recovery 
    from overtraining for one person might look different than another. I've seen 
    athletes take from three weeks to over a year to recover.  You should find some resources in your area and work with someone on how 
    to SLOWLY ramp up your workouts so you don't extend the length of time it 
    takes to recover. Be patient - it may take longer than you want. You don't 
    want to push yourself too fast and make a three-month recovery turn into an 
    eight-month recovery. Find some sports medicine doctors, coaches, or other 
    cyclists that have experience with overtraining and ask for advice. Life stress contributes to overtraining as well so as you are recovering 
    physically; make sure you are taking care of the mental side as well. Go hang 
    out with your friends or focus on other things in your life that you enjoy. 
    You can also utilise relaxation tools: listen to music, download some guided 
    imagery or progressive relaxation onto your iPod, etc. Utilise some experts' 
    advice and be proactive with the relaxation part of your recovery. Good luck! 
  Knee painHi, I'm a 47-year-old male that has recently been bitten by the road biking 
  bug. Last year I rode over 3000 miles and lost around 35 pounds. In the course 
  of the season I rode with cyclists that were training for the Lotoja Classic, 
  a 206-mile race from Logan, UT to Jackson, WY. I decided that I wanted to give 
  it a try this year. For Christmas I got some Sidi Genius 5s. As soon as the 
  time changed and I could get out in the evening I started riding and I put 1500 
  miles in with the Sidis and was always fighting with hot spots on the outside 
  of my feet. I decided to get a professional fitting and they moved my seat up 
  and back and shortened my stem as well as installing some shims under my cleats. Long story short, I got an inflamed IT band. I put my position back to what 
  it was and went back to my old shoes and was able to rehab it in time to race 
  Lotoja (206 miles in 11 hours 29 minutes - actual riding average speed was 18.5mph) 
  but I still had some discomfort. But then on the following Monday the pain was 
  so bad that it took me off the bike. The pain has switched from the left knee 
  to the right knee. The pain is on the outside of the knee (at about 7 o'clock 
  and an inch away in relation to the patella). I've really eased up on the riding 
  and I can ride about 20 miles or so before it starts bothering me but I'm really 
  worried about next season. Will laying off it over the winter let it recover? 
  Should I experiment with cleat placement over the winter? By the way, I'm not 
  really a masher, either. Ken Hicks Steve Hogg replies: 
 
  Firstly, have a look at these posts and position your cleats accordingly. 
    That should eliminate cleat position as a potential stressor.  Next, the ITB inflammation after your seat had been raised means that either 
    your seat is too high and the plane of movement of one leg is being challenged 
    as a result. Or the wedging (and I'm assuming you mean wedges that cant the 
    foot, NOT shims that lift the foot because you refer to "installing shims 
    under my cleats") would only be under the one leg - the functionally or measurably 
    shorter one - and you have too much correction. Or the problem is really simple, like a cleat rotational angle that doesn't 
    allow a measure of free movement either side of the angle that your foot naturally 
    wants to sit. Check those things out and if a problem remains, get back to 
    me for Plan B. 
 Ken Hicks then responded: Thanks for getting back to me. I'll see what happens when I put the bike on 
  the trainer. Yeah, I meant wedges. I'm using Look Keo pedals so the float angle 
  should not be an issue so I'll try lowering my seat a bit. It was initially 
  raised about 10mm by the fitter and I put it back down to where it was after 
  the inflamed IT band but I've been fooling around with it to try and find a 
  happy medium. Steve Hogg replies: 
 
  If your bike fitter used a goniometer to determine seat height, be a little 
    sceptical of the result. I think it's a flawed method. Often if the seat is 
    too high, we will autonomically choose a side to protect and a side to sacrifice. 
    If ITB problems only occur on a bike and on one side only, a seat height that 
    is too high is often the reason or part of the reason. Let me know how you 
    get on.   Position issueI am a 34-year-old, B grade cyclist. Last year I had a crash during a bunch 
  sprint where the chain ring from another bike went through my left elbow shattering 
  the Olecneron. the short version from the surgeon was "we pulled out all the 
  bits and replaced the 2 largest pieces and pinned them". So now I have 4 pins 
  in my left elbow. The nature of the injury has left me with a loss of 25 degrees 
  loss of extension in the left elbow and significant muscle loss in the lower 
  triceps. I currently have a 120mm stem 42cm bars.My saddle is the Specialized Toupe 
  Team. I have made no adjustments as yet and have just ridden according to comfort 
  on the bike. Fellow riders have noted that although my hips are level my shoulders 
  are slightly off, when on the hoods and tops of the bars. My personal adjustment 
  when on the hoods to counteract the extension issue is to ride more aero and 
  bend the right arm more. I have noticed that when riding that the bike itself 
  is slightly leaning to the right as well. My question is; although I have continued to race and have had some significant 
  results which have resulted in me being picked up by a local team, what position 
  changes relating to bars and saddle could be made to adjust to this loss of 
  extension? Luke ButlerAustralia
 Steve Hogg replies: 
 
  So no pain or discomfort?  What I would suggest is that you lift your left brake hood higher than the 
    right as a start. Then remove the bar tape on the LH bar and build up the 
    lower part of the drop section and the rear and upper of the top section with 
    epoxy putty. That will reduce your reach on the LH side of the bar and should 
    solve or minimise your issues. 
    Spacers for MTB cleatsI am a cat 3 road racer and have visited multiple doctors to figure out my 
  leg length discrepancy. After getting a structural x-ray of both legs side-to-side 
  we found out that I have a 2mm difference in my tibia and 2mm difference in 
  my femur. So in total I have compensated it by putting a 2mm spacer in my road 
  cleat and moving the pedal back 2mm in order to make up the 4mm difference. The spacer I use on my road cleat I received from a doctor in Boulder, but 
  he misdiagnosed me with a 6mm difference as he did not do a full scan just an 
  x-ray of my hips so the other 2mm was purely muscular that I have corrected 
  with physical therapy. I cannot find any spacers like the one he gave me that 
  can be used on the MTB pedals. His was a solid piece of plastic that is indestructible 
  and I have no problem engaging the cleats on my Shimano road pedals. My question is I bought a set of Le Wedges for SPD cleats and they would never 
  stay in place and when I could finally engage the pedal it would not hold the 
  cleat for very long without twisting the cleat in the shoe all around. I would 
  tighten the cleat as much as I could but it still did not correct the problem. Is there a better set of spacers out there that I can use for MTB pedals besides 
  the wedges? Stuart Gregory Scott Saifer replies: 
 
  I've had good luck cutting spacers out of the tops of yogurt tubs, but something 
    is odd about your experience with the Le Wedges. I've installed many sets 
    and not had any problem with getting the cleats to stick. Is there a chance 
    your screws are not the right length or that you are for some reason unable 
    to tighten them adequately? The ones that take an allen-key can be made a 
    lot tighter than the ones that demand a flat-blade screw driver for instance. 
    Knee bendWhen properly positioned what would optimal knee bend be between (seat height, 
  foot at 6 o-clock)? I'm between 28-30 degrees. Randy Houston Scott Saifer replies: 
 
  There is no one ideal angle for all riders for several reasons. First, there 
    are some technical problems with the concept. At what angle will you set your 
    ankle and foot when you take the measurement? Horizontal? The angle your take 
    when pedaling with minimal effort? The angle you take when pedaling hard but 
    spinning? When you are mashing a big gear up a hill? In each of these situations, 
    your foot and ankle angle at the bottom of the pedal stroke will be a bit 
    different and the knee angle will change with the foot angle. The only measurement 
    you can make without a motion capture camera would be a static measurement, 
    but the knee angle when sitting still on the bike may not be particularly 
    close to that you have when pedaling. Even with a motion capture camera you 
    have to pick a cadence and force.  Next problem is that before you can find an optimal angle for anything, you 
    have to define "optimal". Do you want to achieve the lowest injury frequency? 
    Highest power for short efforts? Highest sustained power for longer efforts? 
    Greatest potential for competitive success? is there any reason to believe 
    that these definitions would all lead to the same result? That's something 
    that scientists would have to study. Because injury frequencies are so low 
    and so many factors influence success in competition, one would have to study 
    literally thousands of riders to optimize these two variables. The work has 
    never been done. If someone were to do the work, I'd be willing to bet that 
    there would turn out to be a range of knee angles at the bottom of the pedal 
    stroke that are compatible with injury-free competitive success, but that 
    each rider has his or her own optimal angle, probably all falling in a range 
    of 10 degrees, but not falling in a range of only one or two degrees.  Check out Steve Hogg's posts related to saddle height and set back to find 
    a surefire way to set your saddle to your own personal optimal position. Good 
    luck. 
  Speedplay cleat extendersI read a tip last week from Steve Hogg and decided to give them a try. Best 
  $25 I ever spent! I hadn't been able to get my cleat far enough back before, so I was skeptical 
  of his cleat position theories. My feet have never been completely comfortable 
  no matter what shoe I tried. I got the cleat extender because of his recommendations 
  more out of desperation than faith. All my foot pain went away! I did two 60-mile 
  rides to get my legs used to the change, moved my seat up a bit, and suddenly 
  everything clicked. I'm amazed. Reading his fit papers and going with them got 
  me into a very fine fit, all the irritating little pains are gone, I breathe 
  better, my ITB feels great, and I can walk after a hard session. Thanks Steve! |