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CYCLING PERFORMANCE TIPS

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Orthopedic Surgeons Hillsborough NC

Orthopedic surgeons use surgical and non-surgical methods to treat musculoskeletal trauma, sports injuries, degenerative diseases, infections, tumors and congenital disorders. See below to find local orthopedic surgeons in Hillsborough that give access to treatment for knee arthroscopy, and lumbar spinal fusion, as well as advice and content on pediatric orthopedics and surgical sports medicine.

William Alan Somers, MD
(919) 245-3000
3634 Sparrow Hawk Crst
Hillsborough, NC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Duke Univ Sch Of Med, Durham Nc 27710
Graduation Year: 1972

Data Provided By:
Philip Edward Higgs, MD
(919) 932-9980
6520 Union Grove Church Rd
Hillsborough, NC
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Univ Of Fl Coll Of Med, Gainesville Fl 32610
Graduation Year: 1974

Data Provided By:
Robert Douglas Fitch, MD
(919) 684-3104
PO Box 2911
Durham, NC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Duke Univ Sch Of Med, Durham Nc 27710
Graduation Year: 1976

Data Provided By:
Tally Edward Lassiter, MD
919-286-0411ext5498
508 Fulton St
Durham, NC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Harvard Med Sch, Boston Ma 02115
Graduation Year: 1982

Data Provided By:
Robert M Mason, DMD
(919) 479-3185
2609 Carver St
Durham, NC
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Madeline Serrano, DDS
(919) 493-4911
2919 Colony Rd
Hillsborough, NC
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
John Miles Harrelson III, MD
(919) 684-5304
PO Box 3023
Durham, NC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Duke Univ Sch Of Med, Durham Nc 27710
Graduation Year: 1965

Data Provided By:
Frank H Bassett, MD
(919) 684-8111
PO Box 3004
Durham, NC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Louisville Sch Of Med, Louisville Ky 40202
Graduation Year: 1957

Data Provided By:
Albert Tyson Jennette
(919) 286-0411
508 Fulton St
Durham, NC
Specialty
Orthopedic Surgery

Data Provided By:
Martin J Gillespie, MD
(919) 966-1402
4203 Ellisfield Dr
Durham, NC
Specialties
Orthopedics
Gender
Male
Languages
Spanish
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1989

Data Provided By:
Data Provided By:

Leg, Knee, and Hip Pain

 



Knee and hip pain are the most common cycling injuries. The most common cause of knee (and hip pain) in cyclists is iliotibial band (IT band) syndrome. The IT band is a thick fibrous band of tissue, which runs on the outside of the leg from the hip to the knee. Pain is caused when the band becomes tight and rubs over the bony prominences of the hip (greater trochanter) and/or the knee (lateral epicondyle). Tight inflexible lower extremity muscles may worsen the condition.

As injury is generaly a problem of overuse, it is often seen in the cyclist just beginning a training program or early in the training season when the temptation is to do too much too fast. In order to minimize knee and hip pain in the early season, take it easy for the first few weeks - pedal with low resistance and keep that cadence up to at least 80-90 rpm allowing your body to adjust again to road riding. (Likewise with any change that leads to a slightly new bike position.) Minimize hard riding or hill work for the first few weeks. Add in a stretching program for your lower extremities, especially for the gluteus and IT band to help transition you into your riding season.

The most common causes are:

  • Faulty saddle height or position
  • Crank too long - especially if you have chondromalacia
  • Pushing excessively high gears (slow cadence in cold weather)
  • Too much leg work in the gym
  • Cleat alignment
  • Individual cyclist anatomy

And finally don't forget about the low back as playing a role in leg pain - especially the back of the leg and hamstrings. All leg pain is not from problems "where it hurts".

Q. I have a question about lower back and leg pain that I sometimes experience while riding. Sometimes when I am riding my legs will become so racked with pain that I can no longer pedal. I know I have lower back issues from years of heavy Olymic style weightlifting, but this is ridiculous. Sometimes I cannot climb even the smallest hills without stiffness and pain so bad that I almost black out. Any ideas? SG

A. A lot of leg pain is really back pain. So if you have a history of low back problems from the past, I'd start with a good massage therapist that deals with sports injuries combined with a program of back stretches.

Knee Pain

Knee Pain Location

One way to classify knee pain (and identify possible solutions) is to look at the location of the pain.

  • Anterior (see chondromalacia below)
    • Reasons
      • patellar tendonitis
      • patellofemoral syndrome
    • Causes
      • pushing BIG gears - cadence too low
      • saddle too low or too far forward
      • foot too far forward on the pedal
      • crank arms too long
      • leg length discrepancy with seat set for shorter leg
    • Possible solutions
      • ride at 75 rpm or higher
      • raise seat (in small increments of less than 5mm) or move seat back
      • move cleat forward 1 to 2 mm
      • shorten crank arms by 2.5 cm
      • set seat for longer, not shorter, leg with correction for the shorter leg
  • Posterior
    • Reasons
      • hamstri...

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