Fitness questions and answers for November 21, 2005

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 am a 34 year old male, at 6'4" and 168lb. I have been a recreational MTB rider for 15 years. In August I purchased my first road bike (61cm Specalized Roubaix with 175mm 52/42 cranks). Due to finances I have been using my Speedplay frog MTB pedals and Shimano MTB shoes. With MTB riding I have never experienced any appreciable knee pain no matter how intense or long the ride, butt within weeks of starting road riding roughly 1 hour four times per week at 15-20mph I developed knee pain that only occurred while riding.

About 10-15 min into a ride the antero-lateral joint line will begin to hurt, seemingly more on the tibial plateau. If I don't reduce intensity to a minimum it can become excruciating. The odd thing is that the moment I get off the bike the pain is totally gone. I can squat, jump do stairs etc. with no pain. The only way to even slightly reproduce it is to push hard in the above noted location. I have had a doctor examine the knee and have also had an MRI, but nothing abnormal was found.

I have been careful to only push gears that allow me to spin 90+- rpms. I have adjusted my seat height as commonly instructed. I have moved the seat forward so that my patella is directly over the end of the cranks at the bottom of the pedal stroke. I believe that I sit squarely on my seat, and have not found that moving in any particular way alleviates the pain. Initially I thought moving the seat forward helped the pain, but the initial relief didn't last more than one ride. As near as I can tell, my riding position on my road bike is similar to that of my MTB in terms of the distance the seat is above the handle bars, and although I'm not the most flexible person, I do fairly regularly stretch my quads, hamstrings and IT bands. I would appreciate any advice you can provide as this pain is severely limiting my ability to ride at anything more than a snail's pace. Thank you.

I understand that cardiac output is the great limiter in human fitness and not respiratory exchange. However, I've read that the blood flow to the inspiratory/expiratory muscles can take much needed blood from the leg muscles at strenuous exercise levels. Is there a method of breathing that is the most efficient and will therefore allow a rider's legs more blood? I've heard it recommended that a rider should use forced exhalation and passive inhalation, does that sound correct? Also, in what training zones should a rider worry about efficiency of breathing?

Hi, I'm a 21yr old cat.1 road cyclist who's been riding for 6yrs now. I have an important question regarding training HR versus training power. After my last race, I took it easy for the last two weeks of September before I started weights in October. During October, I was lifting while doing low HR training at no more than 70% of max with my watts from 180-200w(longest ride was 2.5hrs, and I also took 2days off/wk). Just to note, that on top of my training stress was a great deal of mental stress, and I also went rollerblading with my dog.

Everything was going well until the last week and a half of October where I was under extreme external stress as well as coming down with a bad toothache(turned out to be abssessed) So, the past week or so I have noticed that my resting HR was elevated along with my training HR. I then took this past week very easy, only riding twice, and my resting HR is now pretty much normal. Now, here's my real concern; I'm noticing that my HR rises easier than before and doesn't correlate to the same wattage as it did throughout the year. Is there anyway this increase in HR could be due to my external stress, dehydration and three cups of espresso a day? Or, could this possibly mean that I have went into the state of overtraining? I'm very concerned about possible overtraining, due to the possibility of getting my first pro contract. I don't want to ruin my first pro season in November.

I have read all your articles and think you are the ultimate 'fit Guru'. I recently switched to Speedplay pedals because I felt that no matter how much I tried I could not get comfortable with the new Time RXS pedals that I was using. I have always suffered from lower back pains and a troublesome left knee which I believe are somehow related. After countless cleat adjustments I went against my fitter's advice and positioned each separate cleat differently, I immediately got some relief. I pointed the left foot neutral and the right foot 'toe out' as much as it would go but I became frustrated when I would get tightness in my right quad.

I notice that while pedalling for some time my left foot would pronate 'toe in' considerably so I decided to try the Speedplay pedals as the unrestricted float might help. As of writing this article I have not ridden enough on the Speedplays enough to give accurate feedback only that it felt very 'free' and comfortable immediately. The Time pedals spring system was obviously acting against my natural position. My question is what can be said or done for a single foot that over-pronates, or feet that each want to do something differently. Should I leave them be or is there some greater problem that I should look into.

I'm 35 and I've been riding and racing for about 20 years. Two years ago, I packed in a lot of miles in the early season - probably too many - and for the first time I began experiencing soreness and swelling in both of my knees, primarily behind the knee cap. The early diagnosis was patella femoral syndrome - kneecaps not tracking properly - so I have done plenty of exercises to strengthen my inner quad muscles to help the tracking process, as well as stretching, icing, taking ibuprofen, and getting custom orthotics etc. An MRI indicated that there is no really big scarring that would indicate a need for surgical "scraping" behind the knee cap, and no arthritis, which is good, and according the some doctors the pfs is no longer pronounced - however, a year-and-a-half later, my knees are often still inflamed and they hurt if I ride at anything more than an easy spin. Any ideas? Thanks very much.

I was hoping you could give me some guidance. I'm a 42 yr old cat-4, been racing for 4 years. At the end of a real hard ride or race it's always my quads that are fried and/or give out 1st. Based on your articles I'm guessing my seat is too forward and I should perhaps move my cleats backward relative to the shoes. I probably also rely too heavily on my quads in each pedal stroke. I mostly played soccer prior to cycling. I have been lifting in winter, somewhat following Friel's book. This fall/winter I was planning on incorporating longish low cadence hilly rides to try and extend the duration that my legs can work before they fatigue. Any thoughts you have would be appreciated.

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