TriDoc7

Triathlon From My Perspective

Triathlete, Physician & Sports Nutrition Fanatic

Triathletes & Sex

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Triathletes, Sex & The Saddle

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Perineal Syndrome

  • Numbness
  • Pain
  • Sexual dysfunction (men & women)
  • Impotence

The week’s podcast shares the why and what to do about it.

Sex & The Tri Bike

Triathlon Sex

Now that I have your attention…….

Saddle ergonomics & your sexual health.

This weeks post deals with an issue that may be considered taboo by some, but should be at the forefront of though for triathletes.

TriDoc7 Triathlon Training

As a health conscious group, the effects of intense and long periods in the saddle will take its toll.  Ignore this fact at your own peril (and that of your significant other as well)!

The podcast is in the works, so search for it or head over to iTunes.  I’ve just been to friggin’ busy doing consulting work and video stuff for some of the blogs my clients run…but enough of that already.

Let’s cut to the chase already……

 

Compression of the nerves in the perineum can result in Alcock canal syndrome.  I’m not going to bore you with medical jargon or tedium, but suffice it to say this is a channel where important structures pass.

The perineum is it an area between the vagina or penis and the base of the penis.  This vital contains both blood vessels and nerves.  Ongoing compression can lead to nerve damage, swelling or blockage of blood flow through these vital blood vessels.  In result can be temporary or worse yet permanent groin pain, numbness, tingling and sexual dysfunction.

Erectile dysfunction or impotence and decreased orgasm sensitivity or even pain can result from the cycling related problems

To get a handle on how frequent this is several studies have cited a variety of statistics in which up to 70% of the blood supply is decreased in cyclists who rode in a study.  61% reported numbness and 19% complaint of erectile dysfunction in this group that rode more than 250 miles per week.

A large study looking at the results of 35 separate study showed that cyclists who write for more than 3 hours per week have a 4.2% increased risk for erectile dysfunction

Cyclists competing in long-distance it is as greater than 200 miles reported that 31% of the 463 cyclists studied experience erectile dysfunction that lasted as much is one week after the event

Causes / factors

Variety of factors influence the likelihood of developing perineal symptoms.  The physics and mechanical interaction of the bike seat the perineum in the downward and backwards forces and the interaction of the perineum on the saddle.   Backwards forces create shear.  The effects of downward or vertical compression depend on the weight of the right or the height in the angle between the saddle and handlebars a tilt angle of the saddle and also the shape of the saddle itself.

Weight is the most significant factor accounting for 52% of the Rider’s vertical load forces where shear (back and forth) loads can reach 12% of the Rider’s body weight.

 

 Saddle and Handlebar Height

 

In long-distance likely events keeping the handlebars lower than the saddle height has been associated with less compression due to the fact of the rider’s leaning somewhat forward and can reduce the vertical load on the perineum.

 

Several studies have confirmed that a slight downward angle of the nose of the saddle reduces both stress and compression or weight is carried by the sit bones and thus less pressure on the vital nerves and blood vessels.

 

The shape of the saddle also recently has improved dramatically through research.  The central cut out is designed to minimize pressure on the perineum and decrease the frequency of compression syndromes.  In one study over 55% of rider’s reported that this partial cut saddle improved their symptoms

 

Another study involving a large central cut out and also a downward sloping nose at the front of the saddle was superior in preventing compression and reduced the likelihood of penile blood flow problems.

Let’s not confuse the issue here.  The same compressive forces and factors affect female cyclists and I’ll present some additional data in part II of this topic.

 

In studies comparing wide versus narrow saddle design, it was shown that a wider saddle better supports the sit bones and reduces stress compared to the narrow saddle

 

Studies comparing a traditional nose to saddle versus a nose-less saddle showed greater pressure resulting from traditional saddle use.  Limiting factor however as many rider’s did not like the feel of the noseless saddle and feel that it results in less control of the bike.  Some of the data came from police officer cycle groups.

 

While in theory a gel cover might help, there isn’t any convincing evidence that this reduces the perineal symptoms.  It may be helpful for short distance riding but there is no data that supports any improvement in cyclists training or competing in longer evidence.

 

What about women triathletes?

Studies a female cyclists show that up to 34% can experience perineal numbness due to compression of the blood vessel and nerves as well.

Strategies to prevent perineal syndrome

There is no easy answer to this one.  Everyone’s anatomy and riding posture are unique.

  • Experimentation with different see types, angles and seat shapes may be the best strategy to find the perfect fit.
  •  Stand up intermittently to take pressure off the perineum
  • Change saddle position -shifting forward or backwards to eliminate pressure on a single-point for any length of time.
  • Adjust the angle of the nose is slightly downward
  • Proper riding gear including well-padded shorts particularly on long rides to help relieve pressure
  • Adjust the handlebar height to slightly below the saddle height if you ride a triathlon or racing bike

 

If none of the above fail to solve your problem see a professional bike fitter for a customized bike fitting session.  While these can be somewhat pricey, the end result will likely improve comfort and performance while minimizing the unwanted symptoms from perineal compression.

The podcast will be out so look for it on iTunes or listen here under the podcast section.

TriDoc7

Treadmill Training & Sports Nutrition Part II

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Triathlon Training

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Triathlon training, supplements and more from the sports medicine literature.

This weeks episode finishes up discussion on some popular supplements and nutrition aids as well as pointing out those without any proven benefit.

We have a special guest today.  Laura is an accomplished runner who finished in the top 10% at the Chicago Marathon last fall and consistently finishes on the podium during the summer racing circut.  She is a Boston qualifier and busy mother of three as well as managing a professional career and busy staff.

She shares her approach to treadmill training, yoga, strength training for female endurance athletes and discusses a few of the supplements she uses.

Please leave me a rating and some feedback on iTunes and stop by the blog and say hello.

Happy Triathlon training!

TriDoc7

Triathlete vs. Dogs

Dogs vs. ME!

A new twist on Triathlon Training

Yesterdays training run started out with decent running weather but quickly turned to the dogs literally.Triathlon Training by TriDoc7

I took a new route as the wind was about 30 mph+ and I wanted a bit of shelter on a paved back road.  Three miles out I spotted a large black dog in the ditch with 2 others lying in the grass.  I was about 150 ft from them when they spotted me.

My caveman instincts told me to turn tail and sprint.  That’s what I did.

Instantly apparent was my fate….torn calf muscle and shredded Achilles tendon from strays (I train in some pretty remote areas at times).

Through the woods I go as the Garmin map red arrow points out.  I made it up a small birch with scant a few seconds to spare.  WTF!

Fortunately a local neighbor spotted my zipping through his land and came to my aid.  Scarring of the beasts and letting me come down from the tree only slightly scathed.

Lessons learned:

  • Suck it up and just run the normal route no matter what the wind or mother nature decides that day
  • Bring the ASP (I used to inline skate marathons competitively and carried this on the back roads for the same reasons as above)
  • Run faster

My nephew is a border patrol agent and clued me into the ASP and its magic powers of “persuasion”.

One good piece of news.  My Garmin 305 GPS has not been syncing with my computer.  Triathlon Training by TriDoc7
After the battle climbing a tree, it now works perfectly with only a few minor marks.

I know I’ve been slack on the podcast, but the next episode is coming out soon.

Happy triathlon training,

TriDoc7

Calories & Protein

Thanks for joining me today for another podcast. This is Tridoc 7 on Triathlon Training Tips Nutrition, sports nutrition, supplements and more.  So, you contacted me and asked if I had an insight or thought on the foot strike debate.

Actually there is no proven evidence scientifically that one is better than the other. Based on biomechanics and engineering principles it does make some sense that if your pounding your heel into the ground will result in losing forward momentum.

So one of the concepts is proper timing of foot placement as it contacts the ground. There is some data that shows that foot striking, more with mid-foot decreases the amount of energy transfer into the ground and therefore translates into forward momentum. The reality of it is there’s no currently no research that proves that either type of running, either mid-foot or heel striking is better and so it is depends on YOU. That’s probably not the answer you want but that’s really the reality of what the science has found thus far.

We know from a medical standpoint that if you run with shoes and you strike the mid-foot the amount of shock transfer to the knees is decreased, but this force has to go somewhere.

This is going to show up with increase stress in the plantar fascia.  If you have never had plantar fasciitis you don’t want it, it can be severe it can take months to resolve.  That will really impact your training and racing season.

The other issue that shows up often in athletes that are new to modifying their foot strike, is increased force translated to the Achilles tendons.

Achilles tendonitis results from inflammation.  Felt as soreness or stiffness, this is also a slow problem to recover from.

If you’re planning and trying a different style and changing your running form through modification of foot strike, do it gradually and you may able to avoid some injuries and  some conditions that will hamper your training and racing season.

That  being said I wanted to focus this episode on sports nutrition.   I will tell you about some supplements and some  herbal hacks that have been shown  to improve performance particularly in triathletes  and endurance athletes.

I’m working on the final touches on the free guide that you can download from the website. Basically it covers the secrets of sports supplements from the literature.

I’ll be sharing which supplements and herbal products have been documented to improve performance and which are simply wasting your money.

And so I think the first guide who will probably cover five or seven supplements and herbal products and we will just go on from there.

To SIGN up for the free guide just head the website at tridoc7.com and click on the bar on the right side, sign up for free newsletter and I’ll get you a copy  as soon as it’s off the press.

So for the remaining part of the podcast I’ll cover the general guidelines for triathletes and endurance athletes.  The focus on  caloric intake, carbohydrates, some vitamins and the aspectsof herbal products.  I’ll also cover minerals.

I know that some of this material is pretty dry, so I’ll try to spice it up and we will move pretty fast.

One of the key things to start with is the basic of the energy intake. People often want to know how much energy they need to consume on their training?   That’s a little bit difficult question to answer, there is some highly specific test that can be done if you have extra money to spend at a specialized testing facility.

Here are the general recommendations by the International Society Sports Medicine, so if you’re exercising maybe 3 times a week for about 40 minutes a day, that your training regimen, you can get by with 1800 to 2000 kilo calories a day and so that is basically 25-35 kilo calories per kilogram per day for somebody who weighs 50-80 kilograms. A pound is a basically a 2.2 kilograms so you can do the math there.

For high intensity training, a longer race, marathon or whatever, you will obviously need more calories. That’s pretty evident that based on sports data that intense exercise can burn up to 1200 kilo calories in hour. So just take into consideration that an average person consuming about 2500 Kcalories a day can burn through half of their fuel source during one hour of intense exercise. And so for people who are exercising  5- 6 times a week with high volumes of training, sometimes 2-6 hours per day, will need tons of calories to support that level of exercise.

For a 100 kg athlete, 15-18 Kcalories per kilogram per day, depending on what you’re doing.

The cycling literature shows that for example Tour deFrance athletes can consume and burn off essentially 12,000 Kcalories per day.  Just think about that for a minute!  That is a boat load of food so it’s important  to maintain a level of energy intake and fuel in your body.

It is well documented in Medical Sports Literature, that if your energy deficient, this is going lead to a weight loss showing up as  muscle mass loss,  weakness,  physical illness and burn out.

It is clearly evident that  strenuous exercise produces some inflammatory mediators which can suppress the immune system. I’m trying to avoid throwing in medical jargon,  but in reality is when athletes push to the limits they create inflammation in the body and multiple systems are affected. The athlete becomes prone to illness and injury.   That is why recovery is so important, and part of recovery is nutrition and so just keep that in mind.

The best source of  fuel essentials is whole food, not processed but whole foods. Depending on how much exercise and duration, some may need to supplement on top of that.

Good quality supplements are key but knowing what supplements to use, which are beneficial versus the one that are just wasting your money is important and we will get to that in a bit.

One way to ensure adequate energy intake is to eat frequently: 4 to 6 a day with snacks. That’s probably the easiest way to get the amount of calories in your body when training for more that in an hour a day and so it’s pretty clear that a you need to reframe your eating philosophy.

So for those who are skeptical think of this way:  What do you think of produces more heat and energy? The fire that burns hot only three times a day and burns out in between or a fire that just has a constant moderate burn level throughout the day?

The latter produces more heat and energy over the couse of every day.

Obviously pumping in some food and energy in to your body at low level constant burn will increase your metabolism and increase your energy production. Your body will learn to become more efficient in converting the nutrients that you put into it viable energy sources such as glycogen.

Protein is often underestimated and under utilize by triathletes and I covered this on my previous podcast episode and videos (on youtube) but essentially just shoot for at least 1.5 to 1.8 grams per kilogram per day of a quality protein source.

We will cover in the next episode the different protein sources, amino acids and essential acids and so on, but that’s the topic for another day.

Fat, eat fat to lose fat, that’s  really a controversial adage in some peoples minds but the data is clearly there. We know the higher fat diets maintains mental concentration vs. low fat diets.

For athletes attempting to decrease body fat, the goal should be about 1.5 to 1 gram per kilogram per day of fat and so if you’re looking to a maintain some steady weight …..rest to be transcribed…

Pickle Juice & Muscle Cramps

Muscle Cramps

Scientists and medical researchers still have not pinned down the exact cause of muscle cramps.  Theories abound from dehydration, electrolyte imbalance, chemical reaction in the muscle itself and heat related effects of exercise.Triathlon Training by TriDoc7

The bottom line is that – NOBODY KNOWS FOR SURE.

But there is hope.  There are several articles floating around the sports med arena demonstrating that PICKEL JUICE can rapidly relieve muscle cramps.

Several studies show that within 30 seconds most of the cramping subsides.  How cool is that.  I learned about this just last summer after some brutal cramps during a particularly hot July stretch of training sessions.

Brand doesn’t matter…Take in about 2-3 oz if you can stand drinking plain pickle juice.  I tried eating the pickles instead, but without the same rapid relief.  Most likely that has to do with digestion of the pickle vs the more rapid absorption of the juice itself with its’ high sodium content.

There is hope after all for those of us who suffer periodic severe cramping!

 

Sports Supplements

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TriDoc7 Triathlon trainingTriathlon Training by TriDoc7

Sports Nutrition, Supplements & Herbal Hacks to improve performance.

For the transcript go here

This weeks podcast spells out the recomendations on a variety of sports supplements and a discussion of the foot strike debate.

This episode covers the supplements are proven to work and which are a waste of money. I’ve broken it down into several podcasts as the information can get overwhealming.

I am putting the finishing touches on a free guide that covers the top supplements and herbal products that have shown benefit for athletes.

Sign up for it on the website:

http://TriDoc7.com

 

See you next week.

Eating Fat To Loose Fat

Fat & Why It’s GOOD

The common teaching is that Fat is bad and anyone trying to maintain a decent lean body mass should avoid it as much as possible.

Is this true??

Truth:  higher fat diets maintain circulation testosterone better than lower fat diets.

Fat is necessary to maintain energy balance, replace muscular stores of triacyglycerol and adequate intake is essential for proper fatty acid intake.

Aim for 0.5 – 1 gram/kg/day of fat to meet these goals.  This amount has been studied and will allow proper nutrition, but is low enough to allow a decrease in body fat for the athlete.

I am putting the final touches on this weeks podcast and plan to touch on several nutrition issues specific to the Triathlete and endurance athlete.

See you soon,

TriDoc7

Costa Rica Triathlon Training

Triathlon Training In Costa Rica

We had an amazing two weeks in Costa Rica.  The focus of the trip was swim & run.  We did a little bike work, but the call of the surf was just too much. Our group did see quite a few training for the Rev3 and also the group of mountain bikers racing across all of Costa Rica in a staged race.  Lots of blood, sweat and tears.

Only incident was a few minor jelly fish stings for my daughter and I.

We covered most of the Guanacaste region of Northern Pacific Costa Rica.

  • Playa Tamarindo
  • Playa Conchal
  • Playa Flamingo
  • Playa Ochotal
  • Playa Hermosa
  • Playa Panama
  • any many more stretching North to the Four Seasons

Pura Vida!!

The favorite local saying that translates into many things….Awesome Trip

other videos:

http://youtu.be/Nl2v5CFWBhE