Cycling Pain's Hidden Cause and What to Do About It

Cycling experts agree: a proper bike fit can preventcause of the short leg.
pain and injury. But what if a short leg stops your bodyPhysical therapists and chiropractors recognize that
from fitting your bike, leading to injuries, aches, andthe short leg is often caused by a muscular imbalance
pains? The answer is a little known solution calledin the pelvis. Manipulation to the SI joints and release of
upper cervical care.certain low back and pelvic muscles help relieve the
The two kinds of cycling injuriesimbalance. Many cyclists are helped this way.
There are two kinds of cycling injuries: those causedThe help is only temporary, however, in the presence
by a sudden trauma, like head injuries, and thoseof an upper cervical misalignment, the true primary
caused by overuse: putting your body through milecause of pelvic imbalance and the short functional leg.
after mile of use, without proper body alignment.(It is the primary cause absent any childhood trauma to
Safe cycling practices, like wearing a helmet, lowergrowth plates, or imbalance caused by surgery in the
your chances of serious trauma. But overuse injuriesknee or hip.)
are harder to diagnose and resolve. They come onUpper cervical care addresses the cause of the short
slowly, often mysteriously, and can cause damage thatleg
forces days, weeks, or even months of rest.For several complex reasons, the balance of the
What kind of aches and pains come with overuse?body's muscles is affected by the balance between
Here are just a few: foot pain from plantar fasciitis andthe head and the neck. This is especially true in the
Achilles tendinitis; knee pain from chondromalacia,extensor muscle system, the muscles that hold you up
osteoarthritis, and IT band syndrome; and leg and lowagainst gravity. When there is a misalignment between
back pain from inflammation of the sacroiliac joint andthe head and the neck, the body locks down into a
piriformis syndrome.distressed position. This causes a pelvic imbalance and
Cycling with good body biomechanics preventsthe appearance of a short leg.
overuseThe upper cervical misalignment causes more than a
Many of these problems can be prevented by makingshort leg, however. Muscle imbalance is present
sure your body and your bicycle are properly in sync.across the neck, the shoulders, the mid-back, and
A good place to start is talking with your local cyclinglower back as well. This leads to painful and fixated
pro shop to make sure your seat, handlebars, andareas of the spine that many address through
cleat position are set optimally for your body.massage and manipulation.
But no bike/body alignment is going to be 100%Upper cervical doctors help cyclists avoid the pain of a
effective when you are dealing with a short leg, alsoshort leg
known as a short functional leg. You need to carefullyUpper cervical doctors are licensed chiropractors who
consider your options in addressing this important parttrain for the precision that is required to correct the
of body alignment.upper cervical imbalance. By correcting and improving
Traditional cycling solutions for the short legthis balance, these doctors can remove the cause of
Most solutions for the short leg in cyclists are based onthe short leg. For many patients the upper cervical
the same idea: lengthen the short leg.correction is a long-lasting procedure that allows the
One solution is set the crank length for the longer leg,body to maintain its new alignment for longer periods
and then shim under the shorter leg. Some cyclistsof time.
report that this can change the ease of clipping inThe short leg is not just eliminated with shims while on
cleats and do not like it. Insoles can be added insidethe cycle. Running, spinning, swimming, or other aerobic
shoes to make up for minor leg length differences, butactivity can be done with balanced leg length and a
no properly worn shoe will leave enough room tolevel pelvis. According to cycling expert Lennard Zinn:
adjust for more than a few eighths of an inch. Other"This upper cervical adjustment has resulted in an
cyclists have machinists add height to the pedal on theimmediate and dramatic improvement of my
side of the short leg.symptoms, and the adjustment holds for a long
Traditional solutions do not address hidden cause ofduration," he writes in Zinn's Cycling Primer (p.78).
painUpper cervical care for cyclists
These strategies reduce strain while cycling, but theyYou should adapt your bike to your body to help avoid
only work when the cyclist is on the bike. The strainthe aches, pains, and lost time in training due to
caused by the short leg continues to be present whileoveruse injuries. Yet, if your body is out of balance due
running, walking, or any other life activity. If that strain isto an upper cervical problem, there will be limits getting
weakening body mechanics in the back, SI joints, legs,your body and bike in sync. Upper cervical care, with
or knees, then cycling can still be affected. Particularlyits ability to balance the short leg and level the pelvis,
in athletes that engage in both running and cyclingmay hold the answer for improving alignment that you
competitions.might not find by using other disciplines and therapists
The real cause of the short legalone.
Cyclists who want to address the strain of the shortIf you are a cyclist suffering from a short leg, then
leg should do more than just adapt their bike; theyupper cervical care is the little known solution you may
should adapt their body. That means getting to the realwant to consider.