Form & Fitness Q & A
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Fitness questions and answers for September 11, 2008
The Cyclingnews form & fitness panel
Carrie 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
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.
Pain in the knee
Tibialis anterior pain
Riding and hypertension treatments
Right leg weakness
Gender differences in training
Adaptation to Aero position
Pain in the knee
This is another knee-pain/ache query, but I think this might be slightly more
complicated than it first appears.
Basically, after some 4 months off the bike (moving house, changing jobs),
I have returned to the bike, but appear to now have significant horizontal/laternal
knee 'wobble' at the top of my right leg's pedal stroke - especially at medium
load at 70-95rpm. This movement looks to involve the knee moving inward towards
the frame at the start of the power stroke, and outward at the top of the return
Typical scenarios of medium load are: - accelerating while seated, after being
stopped at lights - maintaining speed over a slight drag or into a wind - trying
to maintain 80+ rpm on a slightly steeper drag
However, it does not occur all the time:
At 100rpm+ and light load there is no significant lateral knee movement - At
heavy load at < 70rpm (i.e. 'lazy' climbing) there is no significant lateral
knee movement - When out of saddle it is normal; the problem only occurs seated
- When using the clipless pedals of an ergometer in the gym with my trainers,
there is almost no lateral knee movement - in any rpm range, and from 140-270
watt outputs. My 'natural' rpm range is 95-100rpm.
I have done some CAT4 road racing in the year before my time off, and this
knee movement was not present.
This 'wobble' coincides with a near constant ache starting "in" the right knee;
off the bike or otherwise; it doesn't appear to be muscular (pain/ache is constant
on or off the bike, and even after 3-4 days rest). If anything, the pain is
located on the outside of the knee, and slight towards the back. Sometimes the
very top of my kneecap is sensitive. Sitting at work it is more noticeable,
and I have to make conscious efforts to sit perfectly and not tuck my feet under
I've adjusted the cleat nearly a dozen times (I've used the same shoes for
years), but still can't stop the lateral knee movement. I've tried small changes,
and big changes. My cleats have 0' movement. I've even used a shoe which has
a cleat position at least 3yrs old, with no improvement. Though if the injury
was "set" before I tried it, I imagine that doesn't mean anything.
Root cause is unclear; I'm not conscious of any damage or activity which might
have started this knee movement.
My concern is that the large knee movement at medium loads is damaging my knee,
even if I'm only riding 4-5hrs a week. The pain is nagging, rather than outright
pain, but it is at a level where painkillers are tempting - and this is not
a course of action I wish to pursue.
My Physiotherapist thinks there's an imbalance in my hamstrings, and I need
to retrain my style to bring the knee in before starting the power stroke to
eliminate the 'wobble'. He notes that I have good hip flexibility and good flexibility
in the knee itself. There is no 'roughness' in the knee's normal operating range,
though he was slightly concerned about the resistance to vertical rotation/flexibility
of my lower leg (though range itself was fine).
However, this re-training is monumentally difficult to do and replicate, and
frankly, I'm not convinced this is a proper fix either
I can reduce the wobble by either:
Consciously pushing my right knee outward or
'Scrapping' my feet at the bottom of the power stroke.
This is difficult to maintain, mentally on a commuting run, and does not always
fix it anyway.
It should be noted that since returning to the bike, I have only ridden my
commuter (mtb with slicks), not my dedicated road bike; I've been worried about
this knee before starting the big miles. I currently ride to work (23 miles
each way) 2-3x a week + 1 weekend run.
I need to find a proper fix soon; I need to start some proper training now
if I'm going to race again next year.
Steve Hogg replies:
This may be quite simple. The most common reason for the lateral knee movement
you describe is when the rider drops the opposing hip during the pedal down
stroke of that side. Picture this - left leg extends on left side pedal down
stroke while at the same time the left hip drops; in other words, the entire
pelvis cants down to the left on the left down stroke. This coincides with
the upstroke and outward movement of the right knee. Then on the start of
the left side up stroke, the left leg unloads and the pelvis rebounds to the
centre line coinciding with and causing the inward movement of the right knee
at the start of its down stroke.
The most common causes for this are:
1. Too high a seat height will always cause the rider to favor one side over
the other. If you are favoring the left side, the right side is the one that
2. Too much seat setback results in posterior pressure on the hips and again,
almost all riders will then favor one side over the other.
3. Bar height that is too high or too low will destabilize the rider and will
exaggerate any existing asymmetries or tendency to asymmetry
4. A psoas that is too tight on the left side.
I tend to discount 4 because your problem isn't apparent on the gym bike.
I suggest that you measure and duplicate the seat height of the gym bike as
a first step. If that doesn't work for you, then consider seat setback. As
a guide, seat setback needs to be the minimum that allows a largely un-weighted
upper body. It would also pay to consider your bar height and the reach to
Tibialis anterior pain
I'm a 36 yr old male, 168 lbs, 6ft, short inseam relative to my height (about
31 inches) (stop laughing), ride a 54cm framed Felt in a fairly race-oriented
set up, wear Shimano R300 shoes, and ride about 2-3/week. 2 is my usual. The
midweek ride is about 20 miles. The weekend ride is about 50-70. I do a good
amount of climbing, mostly in the saddle.
I've started to develop some slight pain in my tibialis anterior muscle in
the right leg. I also feel some tightness in my right ankle while riding. Not
sure the proper name, but it's generally the outside part of my right ankle
between the big outside ankle bone and the tibia.
I don't have any other issues. No significant back issues, no left leg issues.
I suspect that I may sit on the saddle slightly unevenly.
Can you help me understand what may be some causes of this sort of pain? I
haven't read other letters on your site that address this. Thanks for the help!
Steve Hogg replies:
If as you suspect, you don't sit on the seat very squarely, that will play
at least a part in the problem you have. If you are dropping the right hip
(probably 90+% do at some level) and under extending the right leg, then one
response to that is to excessively drop the right heel. This can cause problems
like yours and is even more likely if your cleat position is too far forward.
The first step towards a solution is to move your cleats back further than
they are now and you will need to experiment with just how much is ideal.
The second step would be to identify and work to resolve what causes you to
Riding and hypertension treatments
At 41 I am relatively new to riding and thanks to my genetics have suffered
from hypertension since my teens. Over the years there have been a variety of
blood pressure medication types taken to manage this condition. Each style of
drug has its own issues in terms of effects on the cardio vascular system, retention
of fluids, absorption of minerals, etc.
Recently on a 100k plus ride, I rode through severe cramping for about 40k's.
In the memory bank is something about the drug I am taking effecting potassium
levels within the body and may explain the cramping - though it was after a
particularly severe climb.
Riding has become a passion and it is enjoyable taking on ever increasing challenges.
However, the last thing I would want to be on a medication that is restricting
the ability to take on the challenge or creating an avoidable situation that
makes the challenge harder.
As the rides get longer and climbs get harder I am wondering what are the cycling
implications of various blood pressure medication types and should certain types
be avoided for riding?
Scott Saifer replies:
I hope one of our more-expert experts will jump in with details, but the
short answer to your question is yes, absolutely, many blood pressure medications
will adversely affect your ability to perform on the bike. Your doctor or
pharmacist (chemist) should know which ones have what side effects.
The most important thing is of course to control the blood pressure, but
there's a good chance that if you push him or her, your doctor should be able
to come up with a combination of medications that lets you ride as much and
as hard as you like. (As fast as you like depends on training and other aspects
of your genetics).
Right leg weakness
I am a 5'9" 155lb 45 year old male CAT 4 racer who has only raced 5 times this
year with "finish with the pack" results. I ride about 200+ miles/week fairly
consistently mostly as group rides with slow/moderate/fast groups to vary the
workouts. Most week day rides average 1.5 to 2 hours regardless of pace/terrain.
Weekends are mostly solo rides of 2.5 to 3.5 hours of mixed intensity or the
occasional 4 hour group ride. On the long group ride I will do 3 to 4 extended
pulls (5 to 10 minutes) to up my intensity.
First a bit of history; I have been riding for ever but have increased mileage/intensity
for the past 3years after finally buying a newer bike. Getting the new bike
setup to where I felt most comfortable and strongest took 2 seasons. I started
out with a low seat position and had gradually raised it to where it is now
(on numerous occasions I had been told that my seat looked low). After raising
my seat it took a week or so for my body to adjust.
I would get knee pain behind my left knee that I did not get in the lower seat
position. This season I have not adjusted any positions and have been riding
outside since March with improving form until August when I took some time off.
Despite no bike setup changes this season I had been noticing that after the
long group rides where I spent a significant amount of time in as aero a position
as I could (forearms on bars or hands on hoods/forearms parallel to the road
pushing a big gear at 90+ rpm) I would develop a pain behind my left knee. Normal
paceline riding for me is comfortably spinning at 95 to 100 rpm on the flats.
Having ultra-poor hamstring flexibility (even though I stretch before, during
and after and then stretch more I cannot touch my toes), I attributed this to
a both the poor flexibility and a poor cleat position. After reading an excerpt
on cyclingnews fitness about knee pain/cleat position I moved my cleats back
a few mm, more so on the left leg, and this has greatly alleviated that problem.
What is at issue now is on my last weekend ride that was a solo effort of 4+
hours I developed a right leg problem. The ride was 70 miles out and back. The
35 out was with the wind and mostly down hill for the 1st 15 miles and relatively
flat from there. I took full advantage of this and after warming up pushed a
big gear at 90 to 95rpm. Upon the return into the wind I continued to try to
push the biggest gear I could stay on top of at 90 to 95 rpm while getting aero
to minimize the strong headwind. After 10 miles of this my right kneecap started
to hurt along with my right quad from the kneecap running to the outside of
my hip. I am wondering if I have just over did it or if I have a fundamental
setup issue. I wear size 42 specialized BG pro carbon shoes. I am fairly bowlegged
(about 2.5 inches of open space between my knees standing straight-legged, feet
together). I use 1 specialized wedge in my right shoe to compensate for the
bow-leggedness (this seemed to work best after trial and error). My right knee/leg/ankle
has a tendency to wander (wobble) and the knee will trend towards crossing the
top tube (tore up the right knee running x-country in high school many years
ago). I use Keo sprint pedals with the red arc cleats. I would consider my cleat
setup a bit behind the ball of my foot. My right foot is nearly a 1/2 size longer
than my left foot. I realize that there is probably not enough info here to
go on but thanks for any help or suggestions you can give me.
Steve Hogg replies:
Firstly an explanation and then I'll get to your specific problems. You mention
that you are really tight in the hamstrings. Hamstring flexibility is a major
determinant of seat height in an individual sense. During the pedal down stroke,
the hamstrings contract in part while they extend as a whole. That places
a practical limit on seat height because if the seat is too high, it is usually
noted first in the hamstrings when under load, though the exact location is
an individual thing. Some riders feel it more just below the glutes and others
behind the knee. What I'm saying here is that instead of listening to the
various 'expert's who've told you that your seat has been too low, learn to
listen to your body as it is a more reliable guide. You've noticed in the
past that efforts in an aero and / or stretched position make this worse.
That's because the hamstrings are more heavily loaded as you lean forward
The niggle behind the left leg indicates that the seat height is too high.
The area where you have now developed right knee pain probably, but not certainly
indicates that your seat is too low. . The most likely set of circumstances
that account for that is this. You favor the right side in the sense that
you drop or rotate that hip forward. This is a very common thing with 90%
or so of riders. Only the degree varies. If the rider is functionally okay,
then this tendency can be nearly imperceptible. If they are ordinary, then
it is quite obvious. As to why you may be doing this, there is a host of possibilities.
Some of the more common reasons are:
1. A measurably or functionally shorter right leg (and the substantially
longer right foot that you have often correlates with a leg that has been
falling further and hitting harder during a persons development)
2. A longer right leg with an anterior iliac crest and restricted sacro iliac
joint that can accompany this.
3. Tighter right side hip flexors.
There are other possible reasons too, like poor liver function and neurological
asymmetries but the thing you need to do is arm yourself with knowledge as
to your own condition. I'd suggest that you find a really good structural
health professional; manipulative physiotherapist, chiropractor or osteopath.
To me a really good one is one that will give you information, remove structural
'road blocks' and educate you to the point that you don't need them or only
occasionally need them once a course of treatment and advice has been completed.
Unfortunately people like this aren't as common as they should be so don't
be deterred if the first few you try aren't up to scratch. It's a numbers
In the meantime lower your seat to the point where your left knee isn't a
problem. I would also suggest and X ray or scan to determine whether there
is indeed a measurable leg length difference. If the right leg is longer,
you may need to shim up the left cleat.
To confirm (or otherwise) what I've said above; set your bike up on a trainer
and pedal under load with your shirt off in an aero or extended position.
Have someone stand above and behind you on a chair or stool and ask them to
see whether you drop or rotate the right side of your pelvis. If you don't,
please get back to me for Plan B.
Thanks for the prompt answer. I will perform the trainer observations under
load to look at my hip. You answer has prompted me to give a bit more information.
I do have tight right hip flexors. I have had right hip flexor tightness to
the point of significant pain during running which has been made better by stretching
but not eliminated. I guess the best course of action for me at this point is
to find that good structural health professional. Thanks for the help.
Steve Hogg replies:
Those tighter right side hip flexors make it certain that you are dropping
your right hip or pulling it forward on each right side pedal stroke which
explains your situation. The question is why are they tighter than the left?
The answers could be a difference in leg length, a sick liver, and the after
effects of a crash or heavy impact that knocked you out of alignment and has
been present for some time; a lot of possibilities.
Are you right footed in the sense that the right foot is the foot you would
kick a ball with?
If you are, the tighter right side hip flexors and noticeably larger right
foot may indicate that you have a measurably shorter right leg so don't forget
to tick that box by getting an X ray to determine bone lengths. Is the arch
of one foot significantly lower than the other or do you pronate significantly
more on one foot?
Gender differences in training
I've read some abstracts and papers from the medical literature stating that
there are differences in the way men and women utilize glycogen. That got me
wondering, because I'm trying to build my base miles, lose weight, get strong,
and get into randonneuring. I've been cycling and car free for several years,
am 52, and relatively fit, though I need to shed about 15 pounds.
I ride most days of the week, but because of my schedule, cannot ride more
than 1.5 hours on most days at a moderate level of intensity (hilly country,
with my routine rides having a total altitude gain of about 600-700'). Yet when
I go on rides of more than about 2.5-3 hours, I begin punk out. I drink water
and energy drinks while underway, and snack every 15 - 30 minutes or so on oatmeal
and fig bars, pretzels, and bananas. So, I wonder if I need to something differently
to keep from feeling as if I'm on the slide to bonking. My guides in the past
are all written with men in mind. Is it a mistake to assume that following advice
written for men (as in the book Serious cycling by Edmund Burke) will
work for me?
Scott Saifer replies:
I also have seen some materials suggesting that men and women handle glycogen
differently, however I've also been putting men and women on very similar
training plans for years, and both the men and the women have been winning
medals at nationals, completing double-centuries and doing all that sort of
stuff that makes you think that training is working. So, in my experience
at least, training advice for men generally applies to women cyclists as well.
Now one of the essential elements of training plan development for men or
women is adjusting the plan to make it work for the individual.
There are several possible reasons for your wearing out at 2-3 hours. You
may not be eating or drinking enough. You may be riding harder than your body
is ready to handle. You may not be eating enough carbohydrate off the bike.
Any decent coach should be able to help you sort through the possibilities
and come up with a plan to get you past this problem.
Adaptation to Aero position
Following on from your aerodynamics questions, my question is "how long does
it take to adapt to the aero position"?
My son is doing the NZ Ironman in March. He last did the event on a road bike,
but now has a specific triathlon bike with an aggressive aero position. I believe
the early part of his training can be done on his standard road bike, particularly
for hill work. He could then adapt later to the aero position. He believes all
his training should be done in the aero position. Who is correct? And if he
can use his road bike how should the progression to the aero position work?
When and for how long should he use which bike?
I look forward to your answer.
Steve Owens replies:
How long does it take to adapt to an aero position? First I think you have
to define 'aero'. Aero is typically referred to as low and bent over, but
that isn't necessarily always the case. No matter what the position is, I
would recommend riding the TT bike 3-4 days per week, with about 14-16 weeks
of riding the TT bike as such prior to competition. Focus on riding position,
head position and relaxing the hips so they are neutral and not rotated forward.
You want to create a more open hip angle so you can develop power. Head position
often gets neglected, and can account for quite a large percentage of overall
drag. You can still develop climbing power and time trialing power on separate
machines - it just takes practice and dedication to each.
Good luck to you and your son Dave - hope that's helpful.
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