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Fitness questions and answers for May 2, 2008

Form & Fitness Q & A

Got 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.

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 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.

Brett Aitken (www.cycle2max.com) is a Sydney Olympic gold medalist. Born in Adelaide, Australia in 1971, Brett got into cycling through the cult sport of cycle speedway before crossing over into road and track racing. Since winning Olympic gold in the Madison with Scott McGrory, Brett has been working on his coaching business and his www.cycle2max.com website.

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.

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.

Knee pain
Mid-foot cleats: value of aft positioning with traditional shoes
Difference between Sidi Genius 5.5 carbon composite and Hi-Tech carbon
Involuntary slowing?
Arch cleat = lower back pain
The ultimate gel?
Patellar tendinitis and the wedge
Stretching confusion
20's or 23's

Collar bone: to plate or not to plate

I am an elite level road cyclist from the UK, racing full time in France, I am 23 years old and male. I am currently back at home because of a broken collarbone from a crash whilst racing. It has been 9 days and I have changed from being unable to move my arm at all to an almost full range of movement (albeit very slow cautious movement). 3 days after the crash I was on my turbo trainer (would have been sooner had I not been travelling home etc.), after 4 days I could ride on the drops/hoods/tops/standing up, supporting my weight normally and the other day I even rode on the road on my town bike for a few miles (quite painful, though). I have just returned from the fracture clinic this morning, I was told it would take 12 weeks to fully heal. Is this really true?

I was also told I could reduce my recovery time by having a plate attached to the collarbone. This would undo do all my recovery up until now but reduce the recovery time from 12 to 6-8 weeks. Previous broken collarbone questions to Q&A have been given the reply 6 weeks until riding again. What should I do? I need to be racing again as soon as possible. Is unnecessary surgery worth the risk? My instinct is to say no, it isn't. Also, we must bear in mind the fantastic, free National Health Service we have in the UK, lucky as we are to have it, it does get a little fully booked so there could be a waiting period eliminating any shortening of the recovery period anyway and I've already 'lost' 9 days.

Please find attached a picture of my x-ray taken immediately after the crash, its broken into 'two and a half pieces' as one bit of bone hasn't quite detached itself. They look fairly aligned but from the big lump I have I suspect one bone is quite a bit further in front of the other.

I need to be racing again as soon as possible; any advice to hasten my recovery from a cycling perspective would be much appreciated. As my team is based in Nice with lots of mountainous racing and not a lot of sprinting I figure I can still be competitive without having to do arm wrenching sprints. We also seem to do a lot of TTs from which I think I will be ready to do even sooner.

Also, should I still be wearing my figure of eight brace? I removed it after 4 days as it was uncomfortable (and impossible to breath with whilst on the turbo trainer) but initially reduced the pain as it reduced movement. I'm willing to go through some discomfort to decrease recovery time if necessary.

David Mclean

Kelby Bethards replies:

I've looked at your x-ray. In looking at it, it appears to be a fracture that should heal on its own. Now, that is not your question. Would surgery benefit you? Hard to say. A few reasons. First of all, as you have mentioned, it may not be a full 12 weeks for you to recover. I have seen these heal much quicker and some don't. However, it is not surgery that would be considered emergent.

Scaphoid fracture

Two weeks ago I was involved in a crash which left me with slight swelling on my palm between the thumb and index finger, and a small amount of wrist pain. A back slab was immediately fitted and subsequent MRI revealed a non-displaced scaphoid fracture across the distal pole. The wrist was immobilised in a short thumb spica fibreglass cast within 3 days of the fracture occurrence. I am attempting to maintain aerobic fitness by using the trainer/spin bike and strength by core and leg training at the gym.

I understand scaphoid fractures are not uncommon in our sport and yet I hear of professional riders resuming training within 2 weeks of similar, or more severe, scaphoid fractures. Unfortunately it is difficult to find a specialist who can empathise with our desire to resume training (and in my case also work) as soon as possible. Given the present 6 week immobilisation prognosis, I would be grateful if you could suggest other treatment options that may be available which may accelerate the treatment of this type of fracture, or, at the very least allow training back on the road.

Pete Fleming

Kelby Bethards replies:

I have seen many of these fractures. From ski accidents and also bike crashes. This bone is a bugger to heal. It has, as has been mentioned, a poor blood supply. The fact it is on the distal pole should (read - we hope so) be easier to heal than the proximal version since the blood supply tends to enter the bone from the distal end. As far as quicker way to heal - there isn't any quick and easy way for these to heal.

Shingles

I'm a 41 year old cat 2 with no significant health problems. However, I developed shingles just a few days ago (following a minor crash and a stressful week at work). I'm being treated with prednisone, acyclovir and Lortab, and was told to get lots of rest. But I'm unsure of how much rest I should take. I am feeling reasonably good. Can I ride? How hard or long can I ride? How long before I could race or train with intensity? Do I put myself at risk for post-herpetic neuralgia or other complications by not resting adequately?

Hope you can answer this one - I've searched the internet but found almost nothing on this topic.

John Stadick

Kelby Bethards replies:

I would say, in an ambiguous tone, ride as much as you feel ok to ride. Shingles can zap the strength right out of people. There is not a steadfast rule "Get back on your bike 1 week after the rash heals", but you can use your overall feeling as a guide. Don't be surprised if you ride 10 miles and feel wiped out. If you start out feeling really tired, then you are. Rest.

Handling inflammation

I'm a 57 year old cyclist and am interested in your current thoughts on handling inflammation / micro trauma / post ride pain. I am 5'10", 180#, 13% body fat. I finished a 21 mile rolling hill time trail last weekend in 53 minutes [the top time was 39'50", I was 42nd out of about 128 riders]. My interests are relative fast centuries, an occasional MTB race, and multi-sport events [events that mix skiing, running, cycling, paddling, mountain biking]

I've found in the past two seasons that balancing training with post inflammation a struggle, with sleep being interrupted by comfort and rising to pop a couple of acetaminophen or ibuprofen. I am now struggling to alternate hard sessions with even more rest, my cardio recovery rate/basal temperature does not indicate overtraining but it appears my muscle and joint "fitness" does.

Larry

Scott Saifer replies:

Every once in a while I get a question like this: riders who have soreness or stiffness after hard rides, and I scratch my head. I really rarely get that question from my own clients and never had that experience myself. Maybe the other panellists will jump in with their own experiences and ideas, but my guess is that you don't have the endurance or possibly strength base to handle the hard efforts that you are making. You are right to ascribe the muscle pain to micro-trauma, but the question is why you would have that micro-trauma enough that you are aware of it while many other riders don't. It sounds like you are not adequately conditioned to the work you are trying to do, and the two forms of conditioning one can do for cycling are base riding, and high-force training (either on-bike, low cadence work or gym work).

Motor pacing

Hi, just need some input about my current training. I am a 43 year old male, racing category 3. I moved down from the 2's because of training constraints.

This year due to another child born and the usual work, my time on the bike is limited. I have worked out with my wife that if she motor-paces me, then she gets all the massages she wants.

Twice a week we go with family and dog in the small car and she paces me for an hour on a flat 4 mile loop. This usually equates to five or six laps (20+ mph).

We go 25-35mph depending on the section. I stay just on the edge of the bumper right or left to get some wind and see ahead. I am so much faster because of this training and have a huge kick on the last laps in the crits(I do two or more races depending on time) but would like to have a bit more to stick an attack, two or three times during the crit / rr. Also I would like some bridging power as well. If you have some workout ideas that I could incorporate into my training I would appreciate it.

Dan W

Scott Saifer replies:

How about a few times during your hour, your wife honks the horn and you pass the car? That would be good practice for attacking or bridging.

Heart rate max

I am a 44 year old male, used to ride a lot and lately have no time. I have just started my (late) spring training with my new Polar Heart rate monitor (first time training with a monitor). I was doing some light spinning on the flat and noticed that my heart rate was relatively constant at around 174 but often exceeding 180 (max was 184 that I am aware of). I am not terribly fit at the moment and my resting heart rate is at 60 (it used to be 42 in the old days) and I hover around 100 when getting ready to leave (walking around the house figuring out where my wife put all my cycling gear).

I did not feel that I was pushing very hard and was certainly not fatigued at the end of the ride and had no muscle pain the next day. My theoretical maximum should be 210-44/2=188 so I was approaching this without any real effort. Should I be worried? Is there a problem training near the theoretical maximal rate? I guess my body will let me know rather quickly if I am exceeding the aerobic threshold especially in its current condition... Am I risking a coronary?

Scott Saifer replies:

I've answered this question several times, so you can dig through the archives for a more detailed answer, but here's the short one. The 210-age/2 formula predicts the population average for a given age, and about 96% of riders are within 15 beats higher or lower than the average, so don't waste your time with that calculation or worry about training close to that level.

Improving flat speed ability

I wonder if you can help me with this. I seem to have a weakness riding on flat terrain. I find another rider who is 28lbs lighter than me can give me a hard time on the flat especially into the wind whereas I can give him a hard time up the hills even though I am 2st's heavier.

Of course this does not make sense as, if you can ride faster than another rider up the hills whatever the length then it makes sense you should have a greater advantage on the flat if you are heavier. What do you think I am doing wrong - is it possibly biomechanics at higher cadences?

How can I improve my riding speed on the flat say within a group breakaway or for e.g. a 10-25m ITT?

I am 12st 7lbs, 5ft 11" tall and very slim build. I have a best 10 of 22:30 and best 25 of 58:14 and have never been on the podium in a RR and desperately wish to improve my abilities on the flat and undulating terrain. I was thinking of doing short hard power intervals on flat terrain into the wind @ around 90-95% of max HR or around 4km pursuit pace and around 90-100rpm what do you think?

Alan Bullock

Scott Saifer replies:

Since you are pretty good on the hills but not on the flat, my suspicions would be that either your flat-riding position has lousy aerodynamics or that it is somehow keeping you from making the same power you can make in the hills. Do either of those seem possible?

Epstein-Barr Virus

Still looking for your section on EBV.

The Type 1 pro team rider, Glen Chadwick, has joined the list of EBV victims which includes Michael Rogers, and at least one Aussie women too.

What was his 'cure' and when will he be fit enough to return to the peloton?

EBV Bob

Kelby Bethards replies:

So, you are requesting an explanation of EBV.....I wish I had a good one. EBV is a bugger. So, let's start with EBV. Epstein-Barr Virus. This is a virus in the Herpes Virus clan (I know I know, viruses aren't classified in "clans" but I like it that way.) It is the virus which causes Mono (i.e. Infectious Mononucleosis - the kissing disease). Infectious Mononucleosis can be EBV negative but that is another story.

Kendra Wenzel replies:

I've been waiting for one of the doctors to chime in first to give information about EBV and Mono and then I'd like to add from a coach's perspective as someone who has coached and consulted with a number of athletes who have suffered through the experience as well as gone through it in the worst way myself. My own experience is a prime example of how NOT treat EBV.

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