Firstly, cycling in comparison to other sports has a low rate of injury, apart from crashes or collisions from, for example, someone jumping into the cycle lane on your morning commute and your morning coffee failed to wake you up in time.
However, cyclists do need to take care of their backs because in general, the most common thing cyclists complain of, is their back.
Being hunched over on a road bike will take an effect over time. Low back pain is reported by more than 50% of cyclists and in overuse injuries lower back pain causes the highest rates of functional impairment and medical attention amongst cyclists.
Why do cyclists get low back pain?
There are many potential reasons why cyclists can get back pain but the following are the most likely:
Poor bike fit: This can be from an incorrect saddle height or and uneven saddle
Knee has a less than 25% bend at the end of the stroke. This will force you to rock your pelvis from side to side to get enough power at bottom of the stroke.
Your handlebars are too far forward causing you to overstretch which will increase tension in your lower back.
Flexing the lower back and causing core abdominal muscles to be in a poor position and so won’t work effectively. This means you won’t be in a stable position when you’re cycling.
You can also hurt your neck and upper back by bending your neck too far upwards. This will increase the strain in your neck and you could also hurt it going over unexpected bumps.
Using BIG gears. You should aim for a cadence of around 90 RPM. If you are getting lower than this then it will put extra stress on your back.
Tight hamstrings. If you have a reduced range of motion in your hamstrings then this will pull on your pelvis and rotate your spine into a more rounded position.
Poor core muscle strength.
If you are riding on bumpy terrain. This increases jarring and compression to the spine while you ride and can cause pain in your back.
Length of cycling done weekly. Cyclists who ride an average of 160 km or more per week are significantly more likely to report back pain than those who rode less km per week.
Things to check if you have back pain while cycling:
Ultimately there are 3 main things to do:
Check your bike fit. There is an association between bike fitting and your comfort while cycling. This can increase pain if your bike is not fitted properly.
Check your cadence and see if it needs to be increased. A low cadence puts more strain on your back.
Strengthen your core and back muscles. The low back is not designed to take much hard work when cycling. Your core should protect it and provide support.
If you suffer from back pain when cycling and would like a full functional assessment feel free to contact the clinic today on 0578678904 or book now.
Triathlon’s shoulder (also known as swimmer’s shoulder) is a term that is used a lot, and not only in the world of athletes. But what does it really mean? What is involved in creating the pain and what can be done to help alleviate it?
What is triathlon’s shoulder?
The medical terminology for triathlon’s shoulder is “impingement syndrome” which is a fancy term to say that there is a narrowing in the space between the acromion (the most top bony part of the shoulder) and the humeral head (connecting the arm to the shoulder). This narrowing causes a “pinch” in the tendons going through that space: usually the rotator cuff (supraspinatus and subscapularis in the picture below) and/ or the biceps.
What causes it?
It occurs more often in athletes and labourers that perform repetitive motions which can in the long term cause this sort of overuse injury. The typical sports include but are not limited to triathlon, swimming, baseball, volleyball, and racket sports. Jobs involving repeated overhead activities such as painters, carpenters, and electricians are also more at risk.
The recommended hand on approach involves the patient, the chiropractor and the coach (if sport-related injury) to combine their efforts together using:
Manual chiropractic adjustments
ART: Active Release Techniques muscle work
Laser IV therapy
Technique evaluation and correction
Proper rehabilitation exercises
Finding the cause of what initiated the pain is very important in order to avoid reproducing the same injury in the future. This does not mean stopping the activity involved with that movement but rather finding a new pattern that will allow to achieve the same goal without putting yourself at risk for injuries. This process works best with everyone working together as a team to get you out of pain and back into doing whatever activity or work you want or need to do.
The following video shows what a normal shoulder full range of motion should look like. Please only perform this exercise to your own tolerance. This is not a treatment.
If you have been experiencing shoulder pain and would like a consultation, contact the clinic on 057 8678904.
Gaelic sports usually cause athletes to work their hips mainly in an externally rotated position due to the demands of the sports. This can cause a significant decrease in hip internal rotation as the body will compensate due to the increasing demand on the hips to open in one direction over the other.
Why does this matter?
This matters because having such imbalances will cause your body to create more compensatory patterns which can eventually lead to decreased performance or injury.
If you have limited hip internal rotation, then eventually the way you walk and move might be changed.
For example, you could start walking with your feet and toes pointing out more as your hips will not have the full movement to allow your foot to go back to a neutral position. The foot and ankle will then no longer be functioning in their optimal patterns and might start overpronating to allow you to keep walking undisturbed. The knee may also start picking up the slack for both the hip and ankle which could put more stress on the knees and the body as a whole. With every step, you are reinforcing these patterns which can eventually lead to pain or injuries.
So to make it simple, the most common injuries related to poor hip mobility are:
Low back pain
Hamstring and Groin strain
But this is not to say that your upper back may not be affected by this as well. It all depends on how you move. Take a squat for example, if your hip mobility is limited your body is going to find other ways to move through the position you are putting it through. We already went through the changes in the lower extremity when talking about walking. Now let’s talk about your back: if your hips can’t sit through the motion needed, your lower back might start rounding to allow you to go lower, and then your upper back might overextend to allow you to keep looking forward while squatting down.
Those are just examples, you understand by now it’s all about your own body patterns and whether your compensations are putting you more at risk for injury.
One good exercise to work on hip mobility is the 5 months hip & pelvis separation from Dynamic Neuromuscular Stabilisation (DNS). This exercise helps your body work on hip and pelvic movements. Giving you more motion but also more control in those areas. It is important to work on both mobility and stability so that all increases in range of motions and overall movements still allow you proper control to avoid risk injuries.
During this exercise, make sure to keep pressure through the downward knee and foot, as well as the downward elbow throughout.
If you want more information or have any aches or pain, contact the clinic on 057-8678904 to see how we can help.
Check out Shane’s XIX Podcast Interview discussing all things Golf Injuries, Rehab & Performance
▫️How he got to work on the PGA & European Tour ▫️Whats it like working with tour pros? ▫️The changes he’s seen in the past 10 years ▫️What it takes to be a tour pro? ▫️What amateurs can do to improve their game?
Shane’s talk from the Irish Strength Institute 2018 Symposium
“Building Better Senior Golfers”
Discussing a number of aspects including ▪️ Common Injuries seen in Senior Golfers ▪️ Assessing & Treating the Senior Golfer ▪️ Rehab Applications including Dynamic Neuromuscular Stabilization, McGill Method and Functional Range Conditioning ▪️ The Importance of a Warm Up