Fitness questions and answers for June 5

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.

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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.

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.They include World and National champions at one end of the performance spectrum to amputees and people with disabilities at the other end.

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.

I always eat Bran flakes for breakfast, including before races (usually between two and four hours before). Yesterday I read in one of E. Burkes' books that you should not eat food high in fibre as pre race food, but he didn't explain why. I have always eaten it, but have in the past considered reverting to something higher in carbohydrate and lower in fibre (Bran flakes are pretty high in carb anyway) but decided against it. I always figured that bran flakes digest slower and as a result are better for long distance racing; is there any truth in this?

Now I just ride, but over about the past six months I have been getting calf cramp, usually bilateral but worse on the right. Always medial gastrocnemius muscle. These cramps usually come on during hard training to racing efforts - we may only have done 20 km - and hit me suddenly and virtually simultaneously on each side. If I slack off they go away, but the most recent, at the end of a race of 45km, put me off the bike for two days.

Current bikes - Colnago C40 and Scott CR1 - love them both. Setup was done using a proprietary Bikefit-type programme run by Bicycle Entrepreneur, amongst others, in Perth. I am pretty flexible for my age/size - easily put flat hands on floor when standing - and I have no discomfort on the bike except for a bit of neck stiffness when I ride for a long time on the drops. No other injuries to speak of.

My thoughts on the second - more aggravating - problem run along these lines:
(a) Cleats - I'm not sure if the position is now too far back or not enough back, or if they're too worn. This results in an increased transfer of force to calves
(b) Compartment type syndrome in medial gastroc - always there, never anywhere else. I have not done an ultrasound on the calf after a cramp - I should actually measure the resistive indices of the vessels in and out of the involved muscle - but have not been able to get that done

I am 41 years of age, 6'3 tall and 14.5 stones in weight. I have been cycling for fitness for the last four years, 25 miles or 1.5 hours at a time about four times a week. Until the last three months I had been riding a hybrid bicycle. I then purchased a Trek 1200 racing bicycle as I felt that my fitness levels had improved to the extent that I could go a bit further and faster. I thoroughly enjoy my new bicycle, however over the past two weeks I have developed a pain in my right upper back which I am most aware of when I am not cycling.

I am concerned that this back pain may be connected to me using the lowest position on my drop handlebars more often. I am aware that my arms can be very straight and possibly not flexed enough in this position, however I don't really want to move my saddle forward in case that leads to knee problems (the reason I started cycling in the first place). I have previously raised my saddle height slightly to alleviate a pain in my right ankle. I am going faster and for longer but I am concerned that I may have to return to my hybrid bicycle if my back pain persists.

I am currently riding a 165 crank on the left, and 175 crank on the right due to a leg length difference. This has taken away much of my left knee pain and I feel a lot more stable on the saddle. I am unable to simply build up the left side in the shoe or under the cleat as I am a mountain biker and have to get off and run in races. My question is - does the shorter crank on the left side mean I am getting less power from the left leg and my right leg is therefore taking a lot of the load? Do you see any problems in this method?

My right foot tends to pronate. So I get all the mumbo jumbo that goes along with that...ie, increased varus foot, heel rotation toward the frame, vulgas knee, and knee pain under the kneecap. Can angled pedal wedges actually correct a pronating foot? My current experience suggest otherwise. I shimmed shoes about a year ago thinking it would stabilize the foot but my foot doesn't seem to care. The pronating foot seems to have an increased mobility which allows the heel to keep rolling thereby circumventing the forefoot support. Are orthotics able to stabilize the foot better? If so, this also brings up the question, what is the point of angled wedges if they are unable to correct a pronating/varus foot?

Also, can pedals contribute to how bad a foot pronates? I ride with a pair of Speedplays which allows my heel to rotate toward the bike as my foot pronates. Would using pedals with less float limit the effects of a pronating foot? Or would preventing the heel from rotating toward the bike without properly stabilising the foot put more pressure on the knee? Oh yeah, and does spandex make my butt look big?

This speed increase is most notable when going up hill from slight to steep incline. Obviously I don't practice this riding technique all the time, but if I can understand why power increases when I raise my upper body I may be able to use the knowledge to determine my optimal seat/body position. My seat angle is neutral i.e., set to 0 on a standard set back seat post, I am very flexible and my top handlebar is at approx 3.5" - 4" drop from the top of my seat. Thank you.

Thank you for you reply. Alluding to my original email and your initial response, I don't suspect it is my breathing as when I sit upright and take my hands off the bar the speed gain is instantaneous and pedalling seems much easier. In this position, I'm not sure how long I can keep up the increased speed as different muscle groups are involved in this position and I obviously don't train/ride in an upright position with hands off the bars. So I suspect my positioning is limiting my ability to apply force to the pedals given my current positioning.

As per your testing protocol, I was able to remove my hands from the drops and position them just to the sides. I was able to sustain the position for approximately 7 - 12 seconds before I had to grab the drops again as I was unable to sustain the body position without my hands in the drops. To keep from having to grab the drops immediately after taking my hands off the bars, I had to increase my speed and power to the pedals. Eventually, I would have to grab the drops again. I performed the test twice. The first test was performed on a flat road between 23 - 26 mph during a spirited group ride (while off the back). The second test was performed on a very slight incline, where the results were the same, but this time I noticed I was slipping forward on the seat while my hands were removed from the drops (though that could be because my seat was misadjusted and tilted down slightly 1/8" or approx 3mm). Again, if I kept on accelerating, I would think I would be able to sustain the no hands position, until I would eventually tire or couldn't apply increasing power. Gearing for both tests was 53 x 16.

My seat angle is 73.5 degrees and I'm sitting on a Fizik Airone with the seat clamp centred between the rails. The top tube is 56.1 cm, and stem length is 120mm. The top of my handlebar is approximately 7.5cm below my seat. My seat height is set where my bike shoe heels are just barely touching the top of my cleat when my legs are fully dropped hanging freely and the crank is at the 6:00pm position (bottom dead centre). My cleat position is positioned a few mm in front of the pedal when a plum bob is drop from the inner indentation if my knee when legs touching the top tube and the crank in the forward 3pm position.

I use Shimano SPD-SL pedals with a Carnac shoe. The shoe is size 48 although I have size 45 feet. The size discrepancy is to accommodate orthotics as I am an excessive pronator on both feet. I also ride with 3 Le wedges under each shoe. My legs now track straight; before the orthotic adjustments both knees were prone to bending in and brushing the top tube. So far so good. Except that with the cleats as far back as the shoe will allow my first metatarsal joint is directly over the pedal axle. I therefore can't get the amount of foot over the pedal as I would like.

You've got me thinking. The orthotics are cycling specific (ie I don't use them for running) but not tailored - they are "Superfeet" inserts. I wonder if the tracking of my knees has been straightened by the wedges and the insert is perhaps only for comfort or having a minor mechanical impact. I am tempted to experiment with a smaller off the shelf shoe, no insert, and, if necessary, further wedges. What do you think? Otherwise I'd like to know more about Option b. I like the SPD SL pedal - I used to ride the SPD-R and find the SL is a good, stable platform. I am open minded about a change though so would have no problem with another system if it was the answer to getting the right foot position.

After several weeks off the bike the problem went away. This year starting in January I noticed my heels were dry and peeling. It hurt to walk on them barefoot. The area around my tendons would always be a mild red. Towards the end of February I had mild pain and could produce no power. One of my other biking buddies said achilles tendonitis. The doctor concurred. He couldn't understand how I could do it biking. I didn't bike for three weeks. I still had pain.

I decided to move the cleats in a sort of desperation. I moved the cleats all the way backwards. I had them previously in middle. This puts my ball of the foot very close to the centre of pedal axis. I did not experience any pain in my ankle after riding some short trips. I noticed a slight sensation after the group ride on Sunday of 50 miles. I rode in the small chainring with various gears and I went a little nutty once in the 14.

I do not think that I get maximum power from my current seat position in the drops, but I haven't really tried to judge it. I also want to have a good position to avoid pain and damage. I've attached my training log for the past three years. I did not have any goals other than riding around for the past few years. I was considering of trying a local criterium or two, but I don't know if I can do it at my current state.

I had a discussion with two masters racers and they claimed that my pedalling stroke was an issue. One asked me if it started with my right ankle, which it did. I've been working for two years to get my pedal stroke down right. These two have always told me that I pedal too fast. I've gotten my stroke to produce power to follow them at 20mph while doing 90-100 rpm. I've managed to do 80 rpm as well. I really can't fathom why they say that I'm doing 120 from visual observation, but they insist it is my problem.

I am a recreational rider usually riding a hybrid flatbar bike. I mostly ride uphill on long (10 km) climbs (6%) and therefore my bike is basically dedicated only to climbing. I have been reading with interest the many posts regarding seat positioning (fore-aft, seat height, etc.) and I was wondering whether the 'balance approach' of having the seat best positioned when you can take your hands off the bar without falling over should be applied in a 'climbing' position rather than in a neutral, horizontal position.

I'm sure you get sick of this same question, but I've tried almost every combination of cleat position, saddle height, fore/aft, and I still have an excruciating pain in my itb and upper calf. I took two weeks off, started stretching before and after, icing and ibuprofen, and like clockwork an hour into a ride the numb tingle starts, then 15 minutes later I can barely make it home. I don't have anyone local that can assist me much, my local bike shop says pain is just normal when you ride a bike 150-200 miles a week, but this is debilitating.

I rode about 8000 miles on those pedals pain free. Both my legs feel basically equal strength-wise, and my right thigh is closer to the seat post. I've read almost every thread about knee pain on this site, and it seems clear I have itb problems with the intense stinging or hot knife references, but it doesn't make sense that the top of my calf has a deep dull pain. Both pains are only from about 10 to 3 on the pedal stroke. It almost feels as if I'm using way too much knee/calf muscle and not nearly enough quads and glutes. From what I've read it seems raising the seat would help that, but the itb stuff suggests lowering the seat is in order. I'm confused! I've registered for the Livestrong ride in Philly and am nervous that I won't be able to make it.

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