Adventure Club Biking Tips and Medicine
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The following notes are everything I know about buying bicycles, selecting rental bicycles, and taking care of yourself as you enter the work of bikomania.


Contents: Basics | Biking and Safety Considerations | Knee Conditions | Orthotics | Medical Problems

Basics: Saddle Height | Saddle Adjustment | Saddle Selection | Handlebar Selection | Handlebar Adjustment | Leg Length

Biking and Safety: Chill Factor | Heat Problems | Humidity | High Altitude | Eye Safety | Skin | Men | Women


Basics

Saddle Height: The saddle should be low enough so that your knees can remain slightly bent at the bottom of each pedal stroke. Your spine should be kept relatively straight, and your diaphragm relaxed with belly-breathing. On inclines, sit slightly back on the saddle for more power. From time to time, rise from the saddle to shift your body weight. <Return to List of Basics>

Saddle Adjustment: To correctly adjust your saddle height sit on the bike with your heels on the pedal and look at your legs. When you are peddling backwards, your knee should straighten without your having to rock in the saddle to keep you heels in contact. When the balls of your feet are on the pedal, your knee should be bent to approximately 20° at the bottom of the stroke. Make small adjustments of about ½". The top of the saddle should be horizontal, or tilted up just slightly. Greg LeMond says the optimal saddle height is 0.883 of your inseam. <Return to List of Basics>

Saddle Selection: Try different saddle sizes and shapes until you find one that feels the best. Gel saddles are generally the best. Most likely, the saddle that comes with your bike will not be the one that fits you the best. <Return to List of Basics>

Handlebar Selection: While drop bars enable a rider to shift more weight to the arms and shoulders and away from the buttocks, they also put pressure farther forward in the crotch and may irritate the prostate in men or the vulva in women. Because of this, upright bars or all-terrain bicycles often provide better sitting comfort for more mature riders. <Return to List of Basics>

Handlebar Adjustment: The handlebars are typically not very easily adjusted except for a couple inches. <Return to List of Basics>

Leg Length: Lie on your back and have a helper measure the distance from your iliac crest - the bone at the front of the rim of your pelvis - to the bone at the outside of your ankle. If there is a difference of ¼" or more then you should try to compensate. If you wear cycling shoes, you can adjust the cleat to move the foot of the longer leg slightly forward on the pedal. Or, you can obtain a custom-build orthotic from any podiatrist who practices sports medicine. <Return to List of Basics>

<Return to Contents>


Biking and Safety Considerations

Chill Factor: Always dress warmly and bring warm clothes to avoid chilling. Shivering is the first indication of the onset of chilling. Shivering, however, stops when your body temperature drops to 85°-90°F, and death is imminent if your core temperature drops to between 77°-85°F. The most heat loss, about 65%, is through the skin of the head and neck so cover these areas well in cold weather. In cold weather, wear nonabsorbent, lightweight, insulated clothing. Watch out for frostbite. Renaud's phenomenon, usually begins about middle age, is episodes of transient coldness, tingling and whiteness of the fingertips. Wear warm, well-padded gloves and avoid too much cold-weather riding. <Return to Biking and Safety List>

Heat Problems: The most important prevention is drinking fluids. By the time your feel thirsty, you are already partially dehydrated. Rules to follow:

Cramps      Hard cycling, heavy sweating,   Rest, drink fluids.             
            and heat.                                                       

Heat        Dry mouth, fatigue, weakness,   Rest, fluids, sponging with     
Exhaustion  urine volume drops, body temp   cool water.                     
            increases, mental dullness.                                     

Heat        Neglected heat exhaustion.      Immerse in cold water, fan,     
Stroke      Headache, dizziness, fatigue,   massage limbs, seek immediate   
            absence of sweating, hot        medical assistance.             
            flashes, dry skin, rapid pulse                                  
            rate, high temperature                                          
            (105°F).  Circulatory                                           
            collapse, permanent brain                                       
            damage, death.                                                  

<Return to Biking and Safety List>


Humidity: High humidity will increase the rate at which your body heats, even when the air temperature is pleasant. Add an extra 10-20 degrees to the air temperature to get an idea of how efficient your body will be able to cool. Do not rely on your sense of thirst to tell you when to drink. <Return to Biking and Safety List>

High Altitude: Altitude reduces the about of oxygen your blood can absorb so plan on frequent rest and time to adapt. <Return to Biking and Safety List>

Eye Safety: Use lightweight, comfortable goggles for long rides to protect your eyes from dust, debris, and pollutants; drying out; and ultraviolet light. <Return to Biking and Safety List>

Skin: Always use sunscreen when you skin is exposed for rides over 30 minutes. <Return to Biking and Safety List>

Men: Long distance riding applies pressure to the nerve and blood supply to the penis and can cause impotence in extreme circumstances. Prostate problems cause by saddle pressure is a concern for older male riders and can be reduced by upright handlebars and hybrid bikes. <Return to Biking and Safety List>

Women: Varian pain after long distance rides can be minimized by proper saddle selection, saddle padding, and riding techniques. <Return to Biking and Safety List>

<Return to Contents>


Knee Conditions

The following conditions can easily be identified and should be addressed by a physician if they become serious enough. It is useful to identify these potential problems early and take evasive action so that serious medical attention is not required.

Chondromalacia   Roughening of the           Pain in the front of the      
(kon-dro-mal-a's underside of the kneecap.   knee while walking,           
hi-a)                                        squatting, or pedaling        

Iliotibial       Friction of the iliotibial  Pain at the upper outside     
(il'e-o-tib'e-ul band (stabilizes the         aspect of the knee,           
)                outside of the thigh and    particularly after riding a   
                 knee) hence rubbing the     long distance, making it      
                 knee joint as it is flexed  very painful or impossible    
                 and extended.               to bend the leg.              

Patellar         Inflammation of the tendon  Extreme tenderness, pain,     
Tendinitis       directly below the          and swelling just below the   
(pa-tel'ar       kneecap.                    kneecap caused by hard        
ten-din-i'tis)                               pedaling (especially up       
                                             hills).                       

Patellofemoral   Wear and tear arthritis of  Pain at the inside aspect of  
Arthralgia       the kneecap.                the patella, where it makes   
(pa-tel-o-fem;e-                             contact with the femur when   
rel                                          the knee is bent.             
ar-thral'ji'a)                                                             

Infrapatellar    The Infrapatellar fat pad   The knee may display          
(in-fra-pa-tel'a lies between the bones at   weakness, swelling and        
r)               the front aspect of the      stiffness during movement.    
                 join and the patellar                                     
                 tendon and can be injured                                 
                 by a direct blow from a                                   
                 fall or by prolonged                                      
                 pressures on the knee                                     
                 during hours of hard                                      
                 cycling.                                                  

<Return to Contents>


Orthotics

Orthotics are most helpful when they are:

  1. worn only if needed;
  2. made of the right material for your foot type;
  3. properly cast;
  4. properly manufactured;
  5. adjusted if necessary.

Custom orthotics are expensive.

<Return to Contents>


Medical Problems

  Body           Cause                Symptom                Action         
Part                                                                      

Neck     Overextending from    Numbness and           Keep a proper riding  
         normal riding         tingling, and pain     position and use      
         position.             spreading to the back  correct technique.    
                               of the head, neck,     Keep you neck moving  
                               shoulders, arms, and   and relaxed.          
                               hands.                 Flex elbows over      
                                                      rough roads.          
                                                      Use padded            
                                                      handlebars and        
                                                      gloves.               
                                                      Keep neck muscles     
                                                      warm.                 
                                                      Use a lightweight     
                                                      helmet.               
                                                      Wear sunglasses.      
                                                      Neck message.         
                                                      Set correct distance  
                                                      of handlebars from    
                                                      seat.                 

Back     Strains of the        Aggravated lower-back  Exercise program      
         muscles or sprains    injuries are usually   before cycling.       
         of the ligaments of   caused by a fall,      Choose an             
         the back due to       faulty techniques,     all-terrain bike      
         overuse and           cycle a long time on   with upright          
         incorrect riding      bicycles that do not   handlebars.           
         habits.               fit correctly, and     Correctly adjust the  
                               poor conditioning.     saddle height.        
                                                      Correctly adjust the  
                                                      handle bar height.    
                                                      Keep your back        
                                                      straight.             
                                                      Keep your back warm   
                                                      to reduce the         
                                                      likelihood of         
                                                      strains and sprains.  
                                                      Use back support if   
                                                      you have a history    
                                                      of back problems.     
                                                      Exercise you back     
                                                      (see back exercise   
                                                      books).               

Buttocks The constant          Sore butt.             Choose the right      
         pressure and                                 saddle.               
         vibration to small                           Correctly adjust the  
         areas of the                                 saddle.               
         buttocks create                              Use a gel saddle pad  
         soreness to the                              (if you don't have a  
         muscles.                                     gel saddle).          
                                                      Use cycling shorts.   
                                                      Correctly adjust the  
                                                      handlebars.           
                                                      Stand up regularly    
                                                      to stretch your       
                                                      buttocks muscles.     
                                                      Tub soak after long   
                                                      touring or training   
                                                      rides.                
                                                      Rise up when          
                                                      crossing rough road   
                                                      or railroad tracks.   

Knees    Symptoms can be       Sore and stiff knees   Correctly adjust the  
         caused by structural                         saddle height.        
         problems in the foot                         Use a gear that will  
         or lower leg,                                allow you to pedal    
         differences in                               at 60-100 rmp.        
         leg-length,                                  Stand up frequently   
         incorrect saddle                             when going up hills.  
         height, overuse of                           Measure the length    
         hard gears, and                              of our legs and       
         improper foot                                compensate if         
         positioning on the                           required.             
         pedals.                                      Use knee supports     
                                                      during exercise.      
                                                      Position feet         
                                                      properly.             
                                                      Do strengthening      
                                                      exercises for your     
                                                      quadriceps and        
                                                      hamstring muscles.    

Feet     Pressure exerted on   Blisters, corns and    Select the proper     
         the feet, improper    calluses, athlete's    size and style of     
         foot gear, and        foot, and ingrown      cycling shoe.         
         improper care of the  toenails.              Choose shoes made of  
         feet.                                        natural materials.    
                                                      Apply moleskin to     
                                                      sensitive skin        
                                                      before blisters       
                                                      form.                 
                                                      Use antifungal        
                                                      powder and cream.     
                                                      Clean feet            
                                                      thoroughly before     
                                                      and after riding.     
                                                      Keep toenails trim.   
                                                      Use orthotics and     
                                                      see a sports          
                                                      medicine podiatrist   
                                                      for chronic           
                                                      problems.             

Hand     Damage done to the    Numbness and weakness  Avoid repeated        
         nerves of a           in different parts of  episodes and          
         cyclist's hands by    the hand, fingers,     potential nerve       
         hours of pressure     and arms.              damage.               
         and road shock                               Wear gel-padded       
         transmitted through                          gloves.               
         the handlebars.                              Use padded            
                                                      handlebars.           
                                                      Choose correct frame  
                                                      size for your body.   
                                                      Select correct        
                                                      handlebar height.     
                                                      Change hand position   
                                                      frequently.           
                                                      Avoid long periods    
                                                      with hands on the     
                                                      brakes.               
                                                      Consider aero bars   
                                                      for long rides.       

Lungs    Overuse of rib        Side stitches and       Use belly-breathing.  
         muscles and not       painful lungs.         Exhale and inhale     
         using abdominal                              asymmetrically.       
         muscles for                                  Breathe through your  
         breathing.                                   nose in cold          
                                                      weather.              
                                                      Wear filter masks in  
                                                      polluted              
                                                      environments.         




<Return to Contents>


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