Fitness questions and answers for December 18, 2007

Form & Fitness Q & A

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.

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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.

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.

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.

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.

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.

My question is related specifically to knee pain experienced while riding on the indoor trainer only. For the last two seasons I have been getting pain in my left knee, just under the knee cap. I only experience this pain when riding inside, never outside. At this point in the year I am spending most of my time spinning comfortably in mid 90 rpm range with concentrated efforts to simulate climbing a couple days a week for a total of 5 - 6 days of training per week. My knee doesn't show any signs of swelling but does seem to tighten up after a long ride.

What could be causing this knee pain and why does it only present when on a trainer? Given that my position hasn't changed and my workload is really pretty easy right now, the only thing that I can think of is that it has something to do with the bike trainer combination. My thought is that the bike, while mounted on the trainer, has no give so any natural movements or quirks are being stopped by the trainer whereas they would normally be absorbed into the natural movement and flow of riding on the road. Of course I could also be on the completely wrong path which is why I am writing to you.

I too have experienced the benefit from swimming (competitively) in the off season. I tried to maintain swimming with my increasing cycling demands after the off season, but I found the additional training (swimming) sessions were contributing to an increased degree of fatigue. I stopped swimming in favour of cycling (and my decreasing productivity at work), with the intention to return to the pool next off-season.

I'm a 45+ road-racer entering his second year of racing, mostly time trials and hill climbs, but also some hilly road races. I'm 5'7", 135lbs, have been doing all sort of sports my whole life, but only started to get serious about cycling some 1.5 years ago. I have a challenging job, but can do an average of about 12h of training per week. However, due to work and season, I have problems allocating time for longer rides (>2h).

My question is mostly about base phase training, more specifically about long ride (level 2) duration. Given that my longest race is about 2h, can I replace two 4h training rides (which have to be crammed into the weekend) with - say - four 2h rides (spread over the week)? This would not only be more flexible (esp. during winter), but would also allow a better mix between high/low intensity work during late base training, and better accommodate available routes. Which physiological benefits would I miss by skipping rides longer than 2h?

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