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#1 |
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Registered User
Join Date: Sep 2004
Posts: 39
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I have been leading a 'car-free' cycling life for about two years now, morphing between road and recumbent bikes. This Summer I decided to, for the most part, use my road bike for work commuting (five miles to-and fro). I work with kids in the Summer, which instantly translates into 'active' living (working). About one weekafter I 1- fell down roller skating, hitting the side of my right leg, and 2- an unusually rigorous three mile walk at one trip site, I had three bouts of what seemed to be sciatica, TWO bad enough to drag me to the hospital. The first kinda came on late one night, after I discovered that Ibuprofen was NOT effective for relief. The second worked its way on me during a trip to see relatives, from simple walking. This one was SOMEWHAT allieviated with emergency 'Saturday Call' with my father's chiropractor. The treatment made me walk funny toward one side for a while, but it DID help some with the pain. The third occurred after I decided that I was 'Superman' once again, and decided to pick up a small dresser (to move it, but instead of getting close to it, I picked it up about arm's length).
Chiropractic AND PT was at my disposal (ala HMO), but the PT was quick to respond so I started there. I was given a regimen of stretch exercizes to do daily, and in two weeks, I felt better, overall. More importantly, however, might have been the changes that I made to my upright road bike: Before the incidents, I added a stem adapter to give me a more 'upright' back position on the bike. Man, the road bars were up higher than the seat (the top bar, anyway). Additionally, the seat stem was about three inches out of the seat post. While it gave a great view, in retrospect it might have been jarring my lower back at every bump. NOW, after two sources confirmed that my seat needed to be higher (one source gave a formula, the other a general idea (6 inches above the seat post hole)), I raised it. Further, I junked the handle bar 'extender' (you know, the 'Aheadset' extender), and lowered the road bar on its OWN post about half way down. Granted, My UPPER back felt what is best described as 'discomfort' for a few days or so, but I figured that 'discomfort' was a far cry better than excrutiating pain shooting straight down to my TOES! Also, I have adopted the practice of stretching my upper back while riding the upright. The first few days seemed like constant 'cracking' in my upper back, NOW I hardly notice it! The question NOW is, should I DITCH the recumbents (Haluzak Horizon, Lightning Thunderbolt, Rotator Pursuit) all together? I tried the Thunderbolt today and, even after shortening the tube a bit, I still 'got that feeling' a little AFTER I rode it. Even though I attribute the 'back' problem to a poor set-up on the ROAD bike, the question still remains in MY mind: Could this be the 'Dirty little secret' of recumbency, or do I need adjustments THERE as well? Or do I need to pick either (road OR recumbent), and CHUCK the other, to be relegated to one FOR EVER? ![]() I would appreciate any comments, experiences similar to this (namely the sciatica/piriformis syndrome), and how others came through this ordeal. As for me, it presently looks like the road bike, with less time on the '52 chainring . |
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#2 | |
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Registered User
Join Date: Jul 2004
Location: Ohio
Posts: 111
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Quote:
Several years ago I blew a disk out in my lower back which resulted in a severely pinched sciatic nerve. The PT after the injury was a lot of walking, as much as I could stand plus a healthy dose of anti-inflammatories. Included were some stretching exercises which I found of limited value and very painful. As time went on the doc allowed me to do some very limited riding on my road bike, smooth surfaces only. After about a year he allowed me to resume my horseback riding to a limited degree, no cantering/galloping, and I have to post the trot. This holds true even today. This spring I resumed cycling after a 6-7 year hiatus and found that the road bike was just too uncomfortable everywhere. After going over all of the fit adjustments and giving myself some time to acclimate I decided that my body just couldn't deal with it any more. I switched to a recumbent. I have no lower back pain, in fact nothing hurts any more. I'm going distances and riding like I did on my road bike when I was 30 (I'm 53 now). I've found that the reclined seat tends to put any bumps an jarring in a plane that does not bother my back even though my bike is a RANS Tailwind CLWB which has a slightly more upright position than a typical SWB bike. In your case I would not abandon the 'bent unless you are in a lot of pain riding it and/or are damaging your back farther. Get a good orthopaedic doctor and if necessary have some MRI's done so what is going on in your back can be observed. 'bent Brian |
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#3 |
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Registered User
Join Date: Sep 2004
Posts: 3
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I had a similar experience. I herniated two disks in my lower back trying to put a heavy de-humidifier in my car while bending at the waste. I was in extreme pain in my lower back and down my left leg to the ankle for about 7 months and forced to sleep in a recliner as I couldn't lay in a bed. Months of PT and Chiropractic proved useless and the Chiropractor actually referred me to a pain management specialist who had MRIs done of my complete spine, then treated me with a series of cortizone-steriod injections into the spine (sounds worse than it was). He also prescribed some heavy-duty pain killers so I could finally get some sleep and suggested I loose about 40 lbs to reduce the load on my spine. After 5 visits, I was relatively pain-free and have been ever since. I'll never be completely pain-free due to some permanent nerve damage, but I can ride again with no problems. I also find recumbents are better for me and ride either my Rans Stratus XL or my new Catrike Speed (a real riot). Actually, the more I ride the better I feel so I ride as often as my job and the weather allow. I'm sure that riding hunched over on a DF bike would have the opposite effect as it would cause the disk to bulge back towards spinal cord and pinch the nerves more.
Patrick |
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#4 |
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Registered User
Join Date: Sep 2004
Posts: 39
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Thanks for the replies, gentlemen. If I'm reading these correctly, NONE of the back injuries in question ORIGINATED from bicycle riding, correct? RATHER, regardless of the CAUSE of the pain, you both naturally gravitated to recumbents as transportation/recreation AFTER the injuries, correct?
Also, sorry to say, MRIs are not an option for me, as I have had metal staples placed in my skull, and I have been told that, even OPEN MRIs (you know, the ones performed WITHOUT the need of a resonant cavity) cannot be done. Somehow, with the examinations performed by three different physicians, it all points to the same way: the 'sciatic-like' pain (sometimes radiating down to my TOE, right side ONLY) was induced by a tightening piriformis muscle, NOT a back injury in and of itself (hard to believe, considering the DEGREE of pain, but NOT hard to believe, considering the comparatively SHORT span of 'reasonable' recovery). Appearently, the PT CLAIMS that the piriformis was doing all of the 'pinching' on the psiatic nerve. Compared to your experiences, it would seem to be a different animal requiring a little 'tweaking' in efforts to PREVENT it from BECOMING a long-term, more disabling condition! While the pain WAS bad enough to warrant muscle relaxers (flexeril) and pain killers (hydrocodone), about TWO DAYS LATER and I STOPPED that dope (I also 'slowed down' a bit on the recumbent, and placed a pillow under my 'bottom' on the Haluzak recumbent, and limited myself to basic to-and-fro work-home trips)! I therefore concluded that the PT was probably correct in her analysis: No REAL back injury, as you both seem VERY familiar with! By the way: with a five mile commute, going down to a 42/21 or 42/18 gear combination only adds between 5-10 minutes, so I figure that the 'rest' would be a small sacrifice, if not encouragement to admire the view a little more! Hey, at 33 years old, I am starting to place LESS focus on SPEED, MORE on ENDURANCE: No longer am I childishly looking at the fastest, lightest, smallest, exotic super-metal road racers: NOW I'm panting at the Trek 520s, the Bruce Gordon BLTs/Rock-n-roads, Sackitts and other road TOURING 'beasts'! ![]() |
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#5 |
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Registered User
Join Date: Sep 2004
Posts: 3
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You may find this article interesting.
http://www.spineuniverse.com/displa...article130.html Patrick |
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#6 |
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Registered User
Join Date: Sep 2004
Posts: 39
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Thanks, again, pwpaton. That article confirmed my suspicion by putting to rest the question of psiatica vs. piriformis syndrome. The pain from my lower back ORIGINALLY had me looking at psiatica as the ONLY answer (and hanging up EVERY bike in my mind as the ONLY answer!
). Now I see that piriformis even involves the back, as well as (not only) the leg, the battle seems much less hopeless! Gotta try that 'tennis ball' exercise, along with the PT prescribed regimen that I do now (leg stretches, cat-cow stretch, prone on arms, trunk rotation, knee-to-chest, wall lean stretch, etc.)!I came up on an intersection to work yesterday morning, WELL in advance of (an otherwise advancing) car, assumed road center (to trip the light), leaving plenty of room for those 'fools' who 'make their own' right hand turn lane. The bitty rides up beside me (AFTER honking her horn), rolls down her window, and says, "Don't you know that cars are made for that?" I said nothing, but I'm still thinking of a good comeback. how's this: "You know, I, too, used to have that kind of anger bottled up inside of myself, but then I started weekly coffee enemas!" I suppose adding a line like, "Try one for your head!" might be PUSHING the issue, huh? Happy and safe cycling! |
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#7 | |
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Registered User
Join Date: Jul 2004
Location: Ohio
Posts: 111
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Quote:
With some lights it is necessary to allow a vehicle to trip it. In that case I slip forward enough to allow the vehicle behind/beside me to trip the lights. In this case I think she was being a bit put off because you were "in the middle of the road" with your bike where she felt you didn't belong. Unfortunately most if not all drivers' ed programs don't teach the rights and responsibilities of other vehicles that use the road and most if not all drivers are ignorant when it comes to these things. Well, then again maybe a coffee enema would help her! He, He! 'bent Brian |
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#8 |
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Registered User
Join Date: Sep 2004
Posts: 39
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It was nothing involving the light tripper, Brian. I have been at this intersection enough to know exactly WHERE and HOW to trip it with my bike. I was wrong in being courteous enough to GIVE her the room needed to make her 'right on red' turn! Next time I'll get that single speed 50 inch
dual rear wheel trike (wheels spread out about 40+ inches) from Rideable Bicycle Replicas, and REALLY show her what being rude is ALL about! And why not, considering that Florida's state animal is the dually-wheeled Hemi truck (you know, the ones that NEVER see a speck of mud in their life), with lawn mower trailer on the back! Remember, no good deed will go unpunished! Next time, I'll get quasi-centered enough to make a passing right impossible, although here in FL, everyone seems okay with making their OWN 'dedicated' right hand turn lanes. If I ever come across enough money to justify it, I might look into an Abrams Tank, 'gas 'er up', and start making my OWN right turn lanes by knocking down the traffic light systems (support poles) in the process. After they chase me for three hours or so, and I come out, I can simply explain that I was doing the same thing that every other red neck here has been doing, only with a 'better' tool. Do you think that they would buy THAT one? ![]() |
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#9 | |
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Registered User
Join Date: Jul 2004
Location: Ohio
Posts: 111
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Quote:
Well she was behind you and you were in her way. No reason for her to get pissed though. Unfortunately the last guy who got pissed and ran through town in a tank got hauled off to the pokey. However you are not the only one who has expressed those exact same sentiments! Years ago a former colleague of mine said exactly the same thing as we sat in traffic! Ever thought about getting one of those air horns for those idiots that cut you off in the bike lane? I guess they work pretty good. Idiot drivers seem to be the one constant thing on the roads. 'bent Brian |
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#10 |
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Registered User
Join Date: Sep 2004
Posts: 39
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Fellow Cyclists,
I have now been using the upright for better than a month since my last post, for commuting to-and-fro work, and have been for the most part satisfied as far as pain avoidance is concerned. However, my gearing activities have in large part been relegated to the 42 chainring, with the 'low' end gears (18-23) favored on the rear. In fact it has only been a week ago that I really felt the desire to go for the 52 chainring up front (something like a 52/20 combination), and really pound it out ala muscle (gear mashing), albeit brief. Only once have I taken the 'long' (12 mile trip around town, two bridges to go up) to work in the morning. I feel that I've 'lost it' or have fell into a 'no man's land' of a rut that I can't seem to get out of. Today I ressurected the Lightning Thunderbolt from the 'ash heap', and tried it out for commuting 6 mi. morn/6 mi. eve commute trip, and after the morning trip to work those SAME rear muscles in my right thigh and into my bottom started flaring up a little. I brought the pedals in a little closer before riding it back home this evening, and it seems to have left a little LESS pain there so far (but compared to the DF road bike, it's MUCH easier to be tempted into doing gear mashing instead of spinning!). I donno why: With the upright, it's all spinning and virtually no mashing, with recumbent it's virtually the opposite (if I'm not careful to watch and pace myself). Any ideas as to why? What to do? Maybe I need to ditch it all, accept limitation and go back to some commuter- comfort-bike something-or-other? I've also wondered if toying around with the crank lengths (SHORTENING them) would make any difference (shorten crank=lessen range of motion, perhaps ENCOURAGE the focus more to faster reps and less on mashing???) ![]() |
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#11 |
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Registered User
Join Date: May 2003
Posts: 95
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If you are going to play with adjustments on the recumbent, I would include seat back angle, possibly more laid back.
Don't worry about generalizations; just do whatever works for you. |
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#12 | |
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Registered User
Join Date: Sep 2004
Location: fabulous Las Vegas, Nevada
Posts: 22
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Quote:
__________________
"If they can make penicillin out of mouldy bread, they can sure make something out of you." -- Muhammad Ali |
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#13 | |
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Registered User
Join Date: Sep 2004
Posts: 39
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Quote:
I know that it's been a while on this thread (re: recumbents and back pain), LioNiNoil, but what at the time seemed to be a back/psiatica injury CAUSED by recumbent bikes still seems to hold true. For the last 2-3 months I have been doing MOSTLY upright road riding (this, after two cases of emergency room visits for extreme lower back/entire leg pain, radiating down to my right TOES ), and I have taken a couple of turns at three DIFFERENT recumbent bikes: Two are SWBs (Horizon, Thunderbolt), one LWB (Pursuit). Each time after anywhere from twenty minutes to twelve miles (6 morn/ 6 eve commute) I get a sense of that SAME area and type of pain in my leg! Naturally I have an aversion to inducing pain, as MOST humans do, so I STOP! Granted, the upright road places the more common pains ( hands/wrists, neck), but I'll take discomfort over pain, ANY day! NOW, if I associate this recurring pain to pedalling while on my 'rump' (vs. sitting on my crotch), then that PROBABLY dismisses 99% of recumbent bicycles, be they 3 wheel or two. Maybe I should look for a low-rider recumbent that places me more FLAT on my BACK (not my bottom) for support? What recumbents are those, the M5 and the 16/16 wheeled Australian-made trikes?? |
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#14 | ||
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Registered User
Join Date: Sep 2004
Location: fabulous Las Vegas, Nevada
Posts: 22
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Quote:
Quote:
__________________
"If they can make penicillin out of mouldy bread, they can sure make something out of you." -- Muhammad Ali |
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#15 | |
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Registered User
Join Date: Sep 2004
Posts: 39
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Quote:
I dunno... If not psiatica alone, I'm STILL considering PERIFORMIS induced psiatica. Whatever it is, that mudda HURTS, when it's shaken up enough! Being in any of them (probably moreso those w/ small, 20 inch wheels), I feel an insatiable ability/need to 'gear crunch'. Maybe I have been overdoing it with them, considering the fact that most of my cycling on the upright has been relegated to 42 chainring spin, spin, spin... (little, if any, 52 chainring mash, mash, mash...) |
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