Presentation is loading. Please wait.

Presentation is loading. Please wait.

Cycling Injuries ATAF Spring Conference - 2013 Stephen A. Black, DSc, M.Ed., PT, ATC/L, NSCA-CPT RockyMountain Human Performance, Inc. Florida Gulf Coast.

Similar presentations


Presentation on theme: "Cycling Injuries ATAF Spring Conference - 2013 Stephen A. Black, DSc, M.Ed., PT, ATC/L, NSCA-CPT RockyMountain Human Performance, Inc. Florida Gulf Coast."— Presentation transcript:

1 Cycling Injuries ATAF Spring Conference Stephen A. Black, DSc, M.Ed., PT, ATC/L, NSCA-CPT RockyMountain Human Performance, Inc. Florida Gulf Coast University

2 Statistical Overview Recent Statistics (2012) – total reported ~19,000+ –Killed – 107 –Seriously injured – 3,085 (hospital admission) –Slightly injured – 16,023 (non-hospital admission –25% of total were children –25% of those killed had significant head trauma NHTSA

3 Statistics Cont. Orthopaedic Overview –Back / Neck Px –Knee Px –Patellar / quad tendon tendonitis / tendonopathy –ITB –Hip –Medial Tibial Stress Syndrome –Foot pain / numbness –Pelvic Girdle Pain (PGP) Syndrome –others

4 Cycling vs. Running What do you call an injured runner? Non-impact –Fewer stress fractures Eccentric muscle action not as important –Fewer muscle strains / tears Hours spent in saddle –Less overuse problems than running? Overtraining or staleness is more common A cyclist! Why

5 Cycling Injuries

6 Macro- Trauma

7 OVERUSE INJURIES Micro-Trauma

8 Contact Overuse Saddle Sore Neuroma Neuropathy

9 Neuroma Impingement of nerves Chronic inflammatory mass Burning pain See riders shaking foot out of pedals Between 3 rd and 4 th metatarsal classically

10 Neuroma On the Bike Treatment Adjust cleat position, usually further back Check inside shoe for cleat bolts Change shoes to wider toe box Shoe inserts may help

11 Neuroma Medical Treatment Biomechanics STM / IASTM Nerve Glide Functional Ex Guided Injection NSAID Surgery

12 Saddle Sores Moisture + Pressure + Friction Chafing Ulceration Folliculitis Abscess Subcutaneous nodules

13 Saddle Sores On the Bike Treatment Change saddle Check saddle height and tilt Clean chamois, no seams, keep dry Don ’ t sit around in your kit after riding Emollients

14

15 Saddle Sores Medical Treatment Prevention –Keep dry, clean, chamois, avoid shaving high Medical Treatment –Warm soaks –Topical cortisone, anti-fungal, anti-bacterial –Oral antibiotics –Surgical incision and drainage

16 Hand Neuropathy Cyclist ’ s Palsy (Ulnar Neuropathy) Carpal Tunnel Syndrome Worse after long rides Worse on rough terrain May become permanent

17 Hand Neuropathy On the Bike Treatment Relieve pressure Pad bars New gloves (Specialized) Reposition often Bars –too far forward –Too low –Too much tilt

18 Hand Neuropathy Medical Treatment STM / IASTM Kinesiotape Nerve Glide Guided Injection NSAIDs Night splint Strengthen upper extremity Surgery

19 Bursitis Pre-patella and MCL bursa Greater Troch Ischial Tuberosity

20 Ischial Tuberosity Bursitis ‘ Sits Bones ’ sore Cold weather, early season, time trialing Modalities – relative rest On the Bike: –Change saddle –Check saddle height and tilt –New chamois

21 Greater Trochanteric Bursitis Proximal ITB Syndrome Pain with lying on side at night Manual Modalities Foam Roller / Stick Kinesiotape Guided Injection On the bike: –Check saddle height –Check cycling form

22 More Common Issues ITB Patella Femoral Patella Tendon

23 Patella Femoral Pain Syndrome Pain under the patella from excessive load –Hill climb –Wind –Big gear –Time trialing –Resistance training

24 Patella Femoral Pain Syndrome Tender patella facets Tender patella compression Unable to do one legged squat No effusion

25 Patella Femoral Pain Syndrome Treatment Off the Bike –Soft Tissue Techniques –Modalities –SFMA / FMS –Surgery i.e. removal of medial plica On the Bike –Bike Fit Check if saddle is too low or forward Check if cranks are too long Cadence / Gear Ratio

26 Knee Pain and Adjustment LocationCauseSolution AnteriorSaddle too lowRaise saddle Saddle too far forwardMove saddle back Cranks too longShorten cranks PosteriorSaddle too highLower saddle Saddle too far backMove forward MedialToes point outPoint in Feet too far apartMove closer Tight pedal tensionLower tension LateralToes point inPoint out Feet too closeMove apart Arnie Baker 1998 Bicycle Medicine

27 Training Mistakes

28 Training Stimulus Performance Training Volume/Intensity

29 Overtraining Cyclists are notorious Clinical history is most important Many blood tests, not very helpful Exclude organic disease Profile of Mood States Performance Testing Decrement –VO 2, Lactate, HR, Watts, EPOC, RPE relationship

30 Laws of Training 1.The race is won in the off season 2.Train frequently, all year round 3.Start gradually and gently 4.Build a big base 5.Go hard on the hard days, easy on the easy days 6.Do not overtrain 7.Avoid monotony 8.Train with others 9.Keep a logbook 10.Take a break at the end of a season, stay active Adapted from Tim Noakes in the Lore of Running

31


Download ppt "Cycling Injuries ATAF Spring Conference - 2013 Stephen A. Black, DSc, M.Ed., PT, ATC/L, NSCA-CPT RockyMountain Human Performance, Inc. Florida Gulf Coast."

Similar presentations


Ads by Google