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UK and Europe
Published
6 January 2004
Last activity
8 January 2004
Original author
Callas
Posts
7
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  1. So, last time I posted, I was experimenting with cleat plates to provide leg length adjustment.

    To start with, on the 12th, I have an appointment at a local hospital with a specialist. I'm hoping
    something can be done - a brace, excercises, etc - to level my pelvis.

    The cleat plates have been of considerable value but they fundamentally cannot fully solve the
    improper positioning induced by a pelvic tilt.

    Right now, I've got 6mm of plates on the right shoe and my right leg is more comfortable than it has
    ever been before. This is not to say it's perfect - in particular, there is an over-emphasis on the
    muscles above the bone - but right now I'm just happy to have got to even this point because prior
    to this, things were much worse, with far too much load placed on the muscle above the knee.

    I've been on a performance plateau for the last few months, at about 250 watts for an hour. In the
    last week or so, I found that I was finally normally overspinning in the gear I was using and so
    went up one gear, and this new performance level - about 275, 280 - is comfortable.

    These are of course unreliable trainer figures, but at least they're measuring more-or-less the same
    thing. (I say more-or-less for a reason; if the pressure of the roller against the tyre is high,
    apparent wattage drops even though you're working just as hard).

    The improper position that I'm in prevents me from spinning properly. I estimate I'm loosing at
    least 10% performance because of this.

    The speedplay pedals are superb and have helped *enourmously*. Their resistance free play has been
    vital in obtaining comfort and performance.

    I'll post back after the appointment.

    --
    Callas

  2. "Callas" <[email hidden]> wrote in message
    "]news:[email hidden]...

    Quoted message said:

    So, last time I posted, I was experimenting with cleat plates to provide leg length adjustment.

    To start with, on the 12th, I have an appointment at a local hospital with a specialist. I'm
    hoping something can be done - a brace, excercises, etc - to level my pelvis.

    I'm very interested in what's happening to you on this front. I've developed an inequality in my leg
    length over the last year/18 months and I'm going for my 1st X ray tomorrow. While I've found little
    problem cycling, I've been uncomfortable walking recently and find standing up very uncomfortable
    unless I can find a bit of uneven floor to use.

    That said, I'm a leisure cyclist, but I had been wondering how best to protect my knees
    from the load.

    Ambrose

  3. Quoted message said:

    "Callas" <[email hidden]> wrote in message

    Quoted message said:
    Quoted message said:

    To start with, on the 12th, I have an appointment at a local hospital with a specialist. I'm
    hoping something can be done - a brace, excercises, etc - to level my pelvis.

    I'm very interested in what's happening to you on this front. I've developed an inequality in my
    leg length over the last year/18 months and I'm going for my 1st X ray tomorrow. While I've found
    little problem cycling, I've been uncomfortable walking recently and find standing up very
    uncomfortable unless I can find a bit of uneven floor to use.

    Interesting. How much inequality? I've only recently started to notice the difference when walking;
    I feel that my right leg (right pelvis side is high, left is low) straights out fully, or almost
    fully, when walking, while the left leg does not.

    I'm not actually sure now how much inequality I have; it probably is considerable, since my pelvis
    is very tilted. I do know that the legs are of equal length - my GP measured them with me laying
    down; the differences derive entirely from the tilt.

    I also have a "click" in the right hip socket. As the knee bends and the leg comes forward from
    being straight below me, something in or around the socket clicks. It's quite audiable if I'm
    laying down and the leg is being moved back and forth (as the GP did), but if I'm walking (perhaps
    because there is weight on the socket) there is no sound, but I can feel a "bump" if I press my
    hand against my hip.

    I've recently taken to performing a pelvis leveling excercise I came across on-line. It's very
    simple (and safe) - perform a squat. By this I mean put your feet flat on the ground, a reasonable
    distance apart, lower yourself down so that your bottom is just a little way off the floor, your
    torso now begin between your now folded legs. You'll find you have to put your arms forward. This
    seems to do a great job in the morning of sorting the lower back muscles out and getting the pelvis
    into a more normal position. I particularly notice the effect first thing in the morning, after
    getting up.

    The first squat, in the morning, seems to need about 30 seconds for the muscles to finish moving and
    complaining a bit, and then I feel quite a lot better. I find when I stand up, I perceive myself as
    standing with a lean - but I think in reality, I'm more level than I was before. I usually do a
    couple more during the day because I think it helps.

    Quoted message said:

    That said, I'm a leisure cyclist, but I had been wondering how best to protect my knees from
    the load.

    The only knee loading problem I've had is that the length difference means that without cleat shims,
    when one leg is correctly positioned the other is not, and if a leg is improperly positioned then
    the knee is often consequently improperly loaded.

    --
    Callas

  4. Callas said:
    Quoted message said:

    "Callas" <[email hidden]> wrote in message

    Quoted message said:
    Quoted message said:

    To start with, on the 12th, I have an appointment at a local hospital with a specialist. I'm
    hoping something can be done - a brace, excercises, etc - to level my pelvis.

    I'm very interested in what's happening to you on this front. I've developed an inequality in my
    leg length over the last year/18 months and I'm going for my 1st X ray tomorrow. While I've found
    little problem cycling, I've been uncomfortable walking recently and find standing up very
    uncomfortable unless I can find a bit of uneven floor to use.

    Interesting. How much inequality? I've only recently started to notice the difference when
    walking; I feel that my right leg (right pelvis side is high, left is low) straights out fully, or
    almost fully, when walking, while the left leg does not.

    You may not notice it in the legs at all, I managed to displace my left hip by about an inch and a
    half, the doctor told me it was a muscle strain twice. 8 months later when I finally got someone in
    the medical profession with a clue the spine had developed a quite a large curvature, but eventually
    with manipulation and physio things are mainly fixed now. I never even noticed the legs were
    massively different lengths!, I only noticed the back ache.

    There seems to be two schools of medical thought on these kind of problems, the hack and slash
    surgeons and the push and twist mob, I would try and keep away from the former where ever possible.

    Steve

  5. Ambrose Nankivell said:

    "Callas" <[email hidden]> wrote in message news:MPG.1a64008bf78a9ab5989e3d@news-
    east.giganews.com...

    Quoted message said:

    So, last time I posted, I was experimenting with cleat plates to provide leg length adjustment.

    To start with, on the 12th, I have an appointment at a local hospital with a specialist. I'm
    hoping something can be done - a brace, excercises, etc - to level my pelvis.

    I'm very interested in what's happening to you on this front. I've developed an inequality in my
    leg length over the last year/18 months and I'm going for my 1st X ray tomorrow. While I've found
    little problem cycling, I've been uncomfortable walking recently and find standing up very
    uncomfortable unless I can find a bit of uneven floor to use.

    I've had unequal length legs since I had osteomylitis when I was eleven. The inequality isn't very
    great (about half an inch). It may be that because I've had it for so long I've just adjusted to it,
    but I can honestly say I'm never aware of it when cycling, and only aware of it when walking if I'm
    very tired.

    --
    [email hidden] (Simon Brooke) jasmine.org.uk~simon ;; Sending your money to
    someone just because they've erected ;; a barrier of obscurity and secrets around the tools you ;;
    need to use your data does not help the economy or spur ;; innovation. - Waffle Iron Slashdot, June
    16th, 2002

  6. Quoted message said:

    "Ambrose Nankivell" <[email hidden]> writes:

    Quoted message said:

    I've had unequal length legs since I had osteomylitis when I was eleven. The inequality isn't very
    great (about half an inch). It may be that because I've had it for so long I've just adjusted to
    it, but I can honestly say I'm never aware of it when cycling, and only aware of it when walking
    if I'm very tired.

    If you've not tried cleat shims, you may not be aware of the difference it's making to your riding.

    Consider; I have a 2.5 inch height difference between the left and right sides of my pelvis. That's
    an enourmous difference - and I never noticed it, I only noticed that I couldn't get my cleats
    comfortable. Now that I'm doing something about the issue, I have most certainly noticed how much
    improvement there has been.

    --
    Callas

  7. Quoted message said:

    You may not notice it in the legs at all, I managed to displace my left hip by about an inch and a
    half, the doctor told me it was a muscle strain twice. 8 months later when I finally got someone
    in the medical profession with a clue the spine had developed a quite a large curvature, but
    eventually with manipulation and physio things are mainly fixed now. I never even noticed the legs
    were massively different lengths!, I only noticed the back ache.

    Indeed - I always noticed the back ache; lower back, above the hips, those muscles could really
    get unhappy.

    Quoted message said:

    There seems to be two schools of medical thought on these kind of problems, the hack and slash
    surgeons and the push and twist mob, I would try and keep away from the former where ever
    possible.

    Indeed so. I look back at the decision to operate on me, which was made *entirely* without talking
    to me - *at all*. A nurse came out of the room with the doctor in and told me they'd have to
    operate. No one had even *mentioned* surgury till then. Not well done, and I wonder if someone else
    would have tried a brace and a non-surgical approach instead.

    --
    Callas

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