Fast Talk podcast, ep. 59: Preventing cycling’s most common injuries, with Dr. Andy Pruitt

Chris Case, VeloNews.com /

The VeloNews Fast Talk podcast is your source for the best training advice and most compelling insight on what it takes to become a better cyclist. Listen in as VeloNews managing editor Chris Case and our resident physiologist and coach, Trevor Connor, discuss a range of topics, including sport science, training, physiology, technology, nutrition, and more.


PAIN, INJURIES, SORES… they are an unfortunate but nearly inevitable part of cycling. If you want to be among the best, you need to wear them with pride. And if you believe that, then get out of the 1980s. Yes, this is a sport for the tough man or woman. But save being tough for that 20 percent climb, not for the aches, pains, and saddle sores you don’t need to suffer through.

In this day and age, most of the common overuse injuries in cycling can be addressed and prevented. It just requires the proper precautions — such as getting regular bike fits and doing off-the-bike strength work. (Here are our five favorite workouts.)

Today we’ll talk about the most common over-use problems and how to address them, including:

  1. What used to be the most common over-use injury — knee problems — why they are no longer the most common problem, and how it’s possible for most of us to go through the rest of our cycling careers without one.
  2. Back problems — these have eclipsed knee issues as the most common cycling complaint. Unfortunately, the cycling position is not kind to the lower back, but there are still things we can do to prevent pain.
  3. Saddle sores, numbness, and pressure issues, and how with the right saddle and fit most of these issues can be addressed.
  4. Just like the back, the cycling position can be tough on the neck. We’ll discuss.
  5. Feet and hands — many of us think that numbness is just part of riding a bike. But the truth is that if you’re experiencing numbness, something is wrong, and it can generally be solved.
  6. Finally, for those of you still clinging to that 1980s mindset, we’ll talk about just how bad it was then and why you want to get with the 2000s.

Our primary guest today is Dr. Andy Pruitt who has over 40 years of experience in cycling medicine and ergonomics. He is a bike fit guru who invented the Body Geometry fit system and continues to design ergonomic products for Specialized. He has seen every cycling injury in the book and, because of that, has literally written the book. It’s called “Andy Pruitt’s Complete Medical Guide for Cyclists.”

In addition, we speak with Evan Huffman of Rally Cycling, who shares some quick thoughts on the injuries he’s seen on his team, and what the team’s staff does to make that a short list.

Finally, we speak with Colby Pearce, a regular on our show. As a coach, fitter, and elite athlete, Pearce shares his thoughts on the common injuries he sees and what he does to address them. Colby zeroes in on one of the most important aspects of the bike — saddle choice and saddle position.

So, put on your favorite chamois, relax your hands, feet, and back. Let’s make you fast!

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