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FYI, some of you have asked about this and there is another thread specifically regarding this. Here is a brief introduction into why your hands get numb on those long bubmpy rides.

http://www.hughston.com/hha/a_15_3_2.htm

Heed the advice of the cautious, there is a common complication of avascular necrosis as the distal part of the bone takes its vascular supply from the proximal portion. What this means it that the bone can die off if it lacks a blood supply.

In response to some requests:

Yes, Bike Fitting Sessions are available in the clinic if you want a comprehensive assessment of both your presenting problem and your bike ergonomics. We can then adjust your set-up accordingly to optimise your rehab outcome thus adressing your symptoms and an often major contributing factor.

Michael

InHealth Netcare manage most of the inner London diagnostics. Turn around at the moment once you are referred for one is anything from 10 days up to 6 weeks. Your GP can refer you directly in most boroughs which will speed things up, otherwise you may get sent to Ortho / Physio first.

It's important to note that MRI's will find 'abnormal' things even in non-symptomatic patients and should not be used in isolation to decide upon management.

Hi folks,

I seem to be treating a lot of you in my NHS workplace too! It seems that fixie knees don't like to cross-train and attempt running / football and hardcore clubbing in heels...

Thought the attached links might give some helpful info regarding knee pain in cyclists. I'm not endorsing the information contained but think it gives a good overview of commonly encountered problems.

http://www.cptips.com/knee.htm
http://www.cptips.com/knee2.htm

Stay safe.

Michael.

Thanks Michael for the help. It is greatly appreciated and well worth the effort! I can now walk again!!!!

Glad to hear you're improving Mr Breaker

I've got 4 beauties hanging of Da Vinci hooks dotted around my living room. Tiny room, looks like a bike shed with a sofa in it.

You can get some via itunes store for free under sports podcasts

How you all doing folks?

We've now seen about ten of you 1:1 and have had dozens of personal queries. Keep your questions coming and I'll do my best to keep your wheels spinning.

Michael.

Seems a lot of you live quite central. We have clinics at Kentish Town, Hornsey and Broadgate. I'm based at our Kentish Town clinic and have the most cycle-specific knowledge. The offer was intended for forum members thay I see myself but as some of you already know I can arrange for Physio at the other sites with colleagues.

after three weeks my knee is actually starting to get better. I slowly developed a dull ache in my left knee which at first I attempted to ride off.
I had never had an injury that didn't go way by itself after a couple of days and especially one that didn't arise from a trauma. It got to the stage where I had to leave my bike at work after riding in. There was no swelling, just an ache that seemed to be at the joint surface...I got quite emotional at points, I worried that my cycling had come to a rather mediocre end. I was jealous of every cyclist I saw mashing away without giving it a second thought.

The recovery has been painfully slow but I can feel that I am making progress. The Physio thought maybe it was knee cap tracking or bruised cartilage. I still feel scared to put any kind of power down though and am attending a yoga for cyclist class tonight to work on my flexibility as recommended by the physio. Root cause of it though is almost certainly my hip, an untreated injury in Taekwondo (felt like I ripped my groin open attempting a kick) means that something is 'impinging' (I took this to mean getting trapped) in the joint, it's not really a problem for me but it means the hip doesn't have full range of motion approx. 95%) and is generally a bit tight.

I'm not really sure of the point of this post but when I was injured I trawled through the forum to find out if anyone else has experienced anything similar and how bad the news might be.

ps I can highly recommend the physio who advertised on the forum - bluerip

Thanks for the feedback, glad to hear you feel you're making progress. I'd be happy to advise on and look at any knee concerns, afterall they are the one joint that you really can't ride well without.

hi there,

I have been seeing a rheumatologist and physio for the last few years. Having moved I am currently between Physios. I want to improve my back condition AND start training for longer rides. Do you BUPA?

Hi Kam,

Our clinics are BUPA and AXA PPP registered so there would be no problem treating you.

PM if you have any personal queries.

Michael.

Guys who are keen to be seen asap - I still have some slots available this Thursday.

[QUOTE=BobbinBird;971558]Hmm, do you think physio could benefit me at the moment? I had L3-L4 fused in May so that's probably not solid yet (the rest of the metalwork here is years old). I went over a pothole on my Moulton earlier (tiny wheels) and jarred the fck out of it and it's a bit stingy now.

Some deep tissue work or maybe some acupuncture would settle your recent Moulton incident.

Hmm, do you think physio could benefit me at the moment? I had L3-L4 fused in May so that's probably not solid yet (the rest of the metalwork here is years old). I went over a pothole on my Moulton earlier (tiny wheels) and jarred the fck out of it and it's a bit stingy now.

The marvels of modern spinal surgery. Thank you for decorating the thread. Looks like the fixation of a congenital scoliosis.

PM me with personal specifics. At 4 months post fusion bone consolidation should be fairly stable unless you have other co-morbidities. Your consultant should have given you clear post-op advice and you should be having a 6 month review.

It would be essential to optimise your core stability and maintain movement ranges at non-fused segments and Physio would certainly help with this. Get in touch if you need more advice.

Keep your queries coming folks, getting plenty of PMs and hope my advice is useful.

If any of you hard-working folks just want some R&R I'm also trained in acupuncture and sports massage

i just had my collar bone fixed thought a surgery i still with stiches i will be in touch soon

Get in touch as soon as they are out and your consultant is happy for you to mobilise. There are two main joints in your shoulder that will be stiff and the sooner they can be moved the better. Good luck.

Michael, have you any experience of working with people who have spinal fusions? I have a fusion from T1-L4 so only have one vertebra left to move with, and I really need to take good care of the remaining discs I have left.

I thought I miss-read your levels for a moment. Spinal fusions are fairly rare due to the longer-term changes which occur at surrounding levels. If you are still cycling then you are doing well. You are correct in wishing to protect your L45, L5S1 levels and Physiotherapy would be useful to mobilise these levels if stiff but also to imrove your core stability to obtimise dynamic support of the non-fused levels. Hydrotherapy is another useful intervention if pain levels are high.

Feel free to PM if you have personal or specific queries.

Michael: For a n00b like me, can you just outline Physiotherapy vs Osteopathy vs Chiropractic,when it comes to issues like neck and back pain? Is there a specific reason to choose one over the other? Still not sure where the difference is?

I'll probably get slated by any Osteo's or Chiro's who may read this...

Professional boundaries are becoming increasingly blurred amongst these three professions. All clinicians should provide a comprehensive physical assessment but often differing treatments will be provided depending on training and skills base. For example, I have undergone postgraduate training in Spinal Manipulation and Acupuncture amongst other things.

Osteopaths and Chiropractors pay particular attention to the musculoskeletal system and often treat with manual therapy and manipulation. Physiotherpists also do this but in my opinion our treatments are often more holistic and address not only physical issues but also psychological factors which may impede rehabiliation. I find we are often more pro-active in providing self-help tools to patients to optimise outcomes whereas other professions may provide longer interventions of more passive treatments.

Ultimately its down to personal preference. All are equally competent at assessing and treating spinal presentations.

Greetings Everyone,

I am a longstanding forum member and often read posts requesting injury advice and contacts for Physiotherapists with an interest in cycling. Well I am one such Physiotherapist. As well as commuting I ride regular Sportives around the country and am a member of Rollapaluza CC. It can be frustrating seeking treatment for sports-specific complaints and I would like to offer my services to LFGSS members. I would like to use this thread to offer injury prevention and management advice to members and would also like to offer reduced cost Physiotherapy Assessments.

I work privately with the Complete Physio Group (www.complete-physio.co.uk) who have sites across North and Central London. We are a team of experienced Musculoskeletal clinicians who have all worked in a range of high level sports.

I would like to offer LFGSS members 30min assessments for just £30 (perfect for the assessment of acute complaints) or conventional 45min assessments for just £40.

If you have any special requirements or wish to book an appointment please contact me via PM. Alternatively you can call Complete Physio on 0207 482 3875 quoting 'CYCLIST' to book your reduced rate appointment with me.

I look forward to your queries and posts.

See attached links for further information:

Clinic Flyer:
http://www.complete-physio.co.uk/assets/docs/complete-physio-cycle-clinic.pdf

Website Link:
http://www.complete-physio.co.uk/clinics/kentish-town-la/services/cycleclinic

Regards,

Michael (aka Bluerip00)
Chartered Physiotherapist

best dj so far, not exactly off yer head speed music but good nonetheless...

Bike written off but no visible damage to frame, only forks and front wheel.

I've used it since on turbo trainer but now need space.

And blk/yellow michelin orium.

Burgled last year, impulse buy but landlord had other ideas.

Unused and boxed.

£15 (RRP £40)

http://www.argos.co.uk/static/Product/partNumber/7014666/Trail/searchtext%3EMICROMARK.htm