Unusual bike fit problem
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Unusual bike fit problem
Postby NeillS » Fri Sep 07, 2012 10:51 am
I ride an Orbea Liege Euro with a 51.5cm top tube. I ride about 100-200km a week, and I am having a slow build up of tension in my left glute max. It forms a big knot in the muscle and then gives me back spasm on that side. I have had a Retul bike fit done a long time ago when I first bought the bike (18 months ago) and this problem has been happening for about 12 months now. I've had some colleagues look at me and I am quite symmetrical in terms of leg length and flexibility in the hips, as well as outright gluteal power and such, so we're not sure why I'm only getting it on my left leg, but it's definately the cycling which causes it. I can fix it temporarily by working on the muscle manually but it comes back when I ride.
I have attached a picture of my bike setup. You can see how high the seat has to be, and the spacing on the stem is massive. My measurements are unusual - I am 175cm tall but I have a 90cm inseam (very long legs!). So I need a short top tube length for my upper body, but a larger frame to suit my legs. I have pushed the seat right forwards so that I'm not reaching for the pedals as much and this has helped the glute a fair bit, but not fully. It's a tricky problem - hoping to hear from some of the bike fit people out there to figure out what I should do - someone suggested going to a more relaxed geometry bike like a Giant Defy to fix the issue, another suggested a custom frame might be the only option given my unusual measurements. What do you guys think?
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Re: Unusual bike fit problem
Postby twizzle » Fri Sep 07, 2012 11:48 am
Just for fun, run your numbers through the 'competetive cyclist' fit calculator and see what it comes up with.
...real cyclists don't have squeaky chains...
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Re: Unusual bike fit problem
Postby PawPaw » Fri Sep 07, 2012 12:36 pm
Sounds like a mild (L) posterolateral L4 or 5 disc herniation, or less likely, a congenital predisposition to lumbar spinal stenosis.
How long can you do the plank for and do you get back pain with it?
What's your hip extensor flexibility like?
What's the drop in cm's between saddle and stem? I can't see your picture.
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Re: Unusual bike fit problem
Postby NeillS » Fri Sep 07, 2012 12:49 pm
Interestingly I get paraspinal spasm (flashes in and out of spasm) the day after a ride usually, when I'm just standing still. Dry needling the big glute max trigger point immediately stops the back pain - so we think it's a thoraco-lumbar fascia/neural tethering issue coming from the glute and affecting the spine, rather than the other way around. It's a weird one for sure.
I'm a machine with core strength - I can plank longer than a piece of 2x4. Can't seem to find any assymmetry in the power or flexibility levels anywhere, except when I have the glute trigger - then it just feels tight and restricted until it's gone again.
twizzle - will do that calc. Looks helpful.
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Re: Unusual bike fit problem
Postby nagomonaro » Fri Sep 07, 2012 3:13 pm
do you drop one or both hips whilst riding?
how stable is your pelvis on the bike?
how do you "present" whilst riding under load? do you rock, are you completely stable. do you drop both heels? one heel? not at all?
the static bike measurements mean nothing....
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Re: Unusual bike fit problem
Postby NeillS » Fri Sep 07, 2012 4:03 pm
One thing I have noticed is I tend to "push" more with my left calf through the bottom of the stroke, in other words I seem to engage my left calf to take some load, I assume this is probably because my glute is disengaging as it gets painful and tight and the trigger point forms up, and I'm trying to compensate for it.
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Re: Unusual bike fit problem
Postby NeillS » Fri Sep 07, 2012 4:27 pm
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Re: Unusual bike fit problem
Postby toolonglegs » Fri Sep 07, 2012 4:41 pm
Glute, piroformis, hamstring, ITB strecthes etc?
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Re: Unusual bike fit problem
Postby PawPaw » Fri Sep 07, 2012 8:29 pm
- a slump test should have cleared you of tethering issues, from cranium to toes.NeillS wrote:Interestingly I get paraspinal spasm (flashes in and out of spasm) the day after a ride usually, when I'm just standing still. Dry needling the big glute max trigger point immediately stops the back pain - so we think it's a thoraco-lumbar fascia/neural tethering issue coming from the glute and affecting the spine, rather than the other way around. It's a weird one for sure.
I'm a machine with core strength - I can plank longer than a piece of 2x4. Can't seem to find any assymmetry in the power or flexibility levels anywhere, except when I have the glute trigger - then it just feels tight and restricted until it's gone again.
- downstream dry needling stopping upstream neuros doesn't validate causation.
- again, what's your hip extensor length like, and your saddle stem drop? Have you slammed the stem?
- what's the diff in your anatomical femur and tibia lengths?
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Re: Unusual bike fit problem
Postby Reman » Fri Sep 07, 2012 10:08 pm
Perhaps the saddle or bars are slightly off centre?
Or back to physical, are the power outputs of both the legs the same? Single-legged squats could tell you that.
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Re: Unusual bike fit problem
Postby toppity » Sat Sep 08, 2012 8:53 am
My take on it.
blah blah blah..... Baum custom Ti frame .....blah blah blah.
Seems like there is a simple resolution to the back pain.
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Re: Unusual bike fit problem
Postby Snoopy007 » Sat Sep 08, 2012 12:13 pm
I'm not a doc or anything but i do remember when i was picking up my new roadie a few weeks ago the person at the shop told me a number of things, one of them was infact that i could get back spasms or pain in the gluteus macimus and this could be because of one or two things.
Unfortunately i can't remember exactly what he said for your case but i remember him mentioning something about the saddle (maybe get a new one?), handlebar position, and also the height of your saddle. Like i said it's just bits and pieces in my head so I'd recommend maybe heading down to a good bike shop and having an ask =)
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Re: Unusual bike fit problem
Postby NeillS » Sat Sep 08, 2012 12:45 pm
PawPaw wrote: - a slump test should have cleared you of tethering issues, from cranium to toes.
- downstream dry needling stopping upstream neuros doesn't validate causation.
- again, what's your hip extensor length like, and your saddle stem drop? Have you slammed the stem?
- what's the diff in your anatomical femur and tibia lengths?
Slump test is not 100% accurate. I've seen plenty of known neural disc issues that don't show up on it. A negative test does not clear you of tethering, particularly if it's transient - think piriformis trigger points tensioning up the sciatic nerve for example during heavy activation. I should probably do a slump test immediately after a ride when the glute is sore..... didn't think of that. Could be an on/off trigger point tether.
Hip extensors are identical - I have HEAPS of glute range - that was the first thing I checked. Saddle top to the top of the bars is 10cm drop. The stem is as high as it will go to keep me out of too much flexion, and I'm still more flexed than most of my mates on the bike. Good idea on the femur/tibia lengths - I know the overall length is identical but will check that.
Anyway I didn't expect to fix this issue via the internet if two specialist musculoskeletal physios haven't been able to find anything causative. What I'm more interested in is ideas on how to stop it by changing the bike fit - since I never had this issue before I started cycling. It's a tough ask I guess because we can't figure out which part of the bike fit is causing it, but the people I have spoken to have looked at my measurements (90cm inseam, 175cm total height and have all said I might need a custom frame to stop the glutes shitting themselves by working on stretch. Bloody tricky problem!
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Re: Unusual bike fit problem
Postby NeillS » Sat Sep 08, 2012 12:51 pm
Their take on it was to try to get the glute to do less work so that it didn't fatigue as much. Changing its length/tension relationship is the most obvious thing, and due to my bike fit issues the suggestion was to bring the seat forwards so that I'm a little more upright and the glute isn't on stretch when it's trying to generate power. I've done this and the issue did improve significantly (50-60% better, so very noticeable) but the seat can't go any further forwards now, and it's very high due to my long legs!
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Re: Unusual bike fit problem
Postby vander » Sat Sep 08, 2012 5:27 pm
One thing I have been told is dont miss the elephants people go looking for little tiny things when there is something major wrong and they miss that. I can almost guarantee you will have one (or more likely multiple) elephants, flexibility, strength, control or fit is likely to be a problem. As far as fit goes, seat forward and lowered may help if your as far forward as you can get then maybe you need a different seatpost with an offset and reverse it. See what competitive cyclist says with regards to fit, it is a good base.
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Re: Unusual bike fit problem
Postby NeillS » Sat Sep 08, 2012 6:03 pm
Jokes aside, thats a good idea about a reversed seatpost - I could probably get a different shaped one (the top portion on mine kicks back where the clamp is, so there's not a massive amount of forwards movement available) that allows more forwards movement of the rails. I'll try that and see what happens. Just to be careful with this though - I want my forward-most portion of my knee to be vertically aligned with the front tip of my toe when the crank is horizontal right? I just don't want to go too far forward and then get knee issues!
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Re: Unusual bike fit problem
Postby toolonglegs » Sat Sep 08, 2012 6:14 pm
Still sounds like body mechanical problem to me. I went through 16 months of misery ... sometimes internet diagnosis does work .
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Re: Unusual bike fit problem
Postby Mulger bill » Sat Sep 08, 2012 8:40 pm
No expert by a long way, but reading your posts I take it you are a fit, strong flexible and symmetrical sort of bloke.
I'm not that last bit and if my bikes are set up to be symmetrical it hurts, I have the bars turned by a fraction and the saddle is nearly but not quite fore and aft.
I may be way off base but it is worth checking.
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Re: Unusual bike fit problem
Postby vander » Sat Sep 08, 2012 9:21 pm
Computerised bike fit, good if you dont have problems but not so if you are having problems, for me they are to cut and dry, most people using things like retul dont actually know much about fitting people. Better off being fit by someone that knows more about it.NeillS wrote:Yep you're probably right vander, the three musculoskeletal specialist physios that I've seen are almost certainly wrong. It's also quite probable that the computerised fit that I did is completely incorrect as well. It's much more likely to be a super obvious problem than a subtle one, after all I haven't done even the basic things of getting a good bike fit done, or seeing a qualified health practitioner to ascertain if it's a mechanical problem in my body. I thank you for your valuable input.
Jokes aside, thats a good idea about a reversed seatpost - I could probably get a different shaped one (the top portion on mine kicks back where the clamp is, so there's not a massive amount of forwards movement available) that allows more forwards movement of the rails. I'll try that and see what happens. Just to be careful with this though - I want my forward-most portion of my knee to be vertically aligned with the front tip of my toe when the crank is horizontal right? I just don't want to go too far forward and then get knee issues!
About MS specialist physios, I have seen some absolute shockers (including one that teaches occasionally in at UQ), however there are some good ones so its hard to say but as TLL says just cause they have a qualification doesnt make them infallible.
What is was trying to get at is your case doesnt make sense, in the fact that you are amazing at everything but still have these pains. Another thing to consider is what were you like 18months ago when you got the fit, as you get fitter your fit may need to change.
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Re: Unusual bike fit problem
Postby scotto » Sat Sep 08, 2012 10:07 pm
Don't discount dans input. And remember that common things happen commonly... Etc. too often I see clinicians looking for the most obsure diagnosis and ignoring the obvious.
Ps. Nice work Dan . The profession wil be in good hands
.
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Re: Unusual bike fit problem
Postby RonK » Sat Sep 08, 2012 10:10 pm
Hold on - aren't we supposed to be asking you the questions then?NeillS wrote:I'm a sports Physio by trade and am struggling to work out a bike fit problem that I have.
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Re: Unusual bike fit problem
Postby scotto » Sat Sep 08, 2012 10:12 pm
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Re: Unusual bike fit problem
Postby twizzle » Sat Sep 08, 2012 10:17 pm
That's all BS. Just look at a recumbent. Or a TT bike, when ridden with the nose of the saddle on the coccyx.NeillS wrote: Just to be careful with this though - I want my forward-most portion of my knee to be vertically aligned with the front tip of my toe when the crank is horizontal right? I just don't want to go too far forward and then get knee issues!
As for seat posts... Thompson Elite. But get a torque wrench for doing the bolts, they have had a few posts break when people get carried away with bolt tension... and if you reverse it, you may have to remove and turn the top cap as well, it depends on the rail angle of the saddle you use.
Sent from my iThingy...
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Re: Unusual bike fit problem
Postby ZepinAtor » Sat Sep 08, 2012 11:36 pm
Wrong ! That is one of the most vague descriptions of saddle positioning I've ever read. There are far too many variables to consider before assuming a correlation between "knee & tip of toe".NeillS wrote: I want my forward-most portion of my knee to be vertically aligned with the front tip of my toe when the crank is horizontal right?
A 100mm drop sounds excessive. If you already have your stem angled up & a large stack height then I would guess your frame is way too small.NeillS wrote:
Saddle top to the top of the bars is 10cm drop. The stem is as high as it will go to keep me out of too much flexion, and I'm still more flexed than most of my mates on the bike.
Above you have stated two very obvious things.
1. You're trying to force your seat forward without the consideration of axle/cleat positioning.
2. You're still "more flexed" than most of your mates & running a 100mm seat/bar drop.
Also being able to hold a plank means absolutely nothing when it comes to core strength. The "plank" is a very small part of the equation which makes up your overall core stability.
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Re: Unusual bike fit problem
Postby nickobec » Sat Sep 08, 2012 11:56 pm
I would use a human bike fitting expert, at least they will think about the problem than using what the average does.
Some experts disagreeNeillS wrote: Just to be careful with this though - I want my forward-most portion of my knee to be vertically aligned with the front tip of my toe when the crank is horizontal right? I just don't want to go too far forward and then get knee issues!
http://www.stevehoggbikefitting.com/blo ... oad-bikes/Steve Hogg wrote:Simple doesn’t matter as I would tell you that Knee Over Pedal Spindle (KOPS) has no foundation anyway. Like a lot of cycling lore, KOPS has achieved validity by repetition.
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