Sports clinic Paris
Metro: Saint Marcel
Parking 6 rue test
The information provided on this website is provided by medical professionals: sports doctors, rheumatologists, functional rehabilitation doctors, orthopedic, clinical surgeons sport, podiatrist sports meeting within the group "chirurgiedusport.com"
You want to avoid or disappear pain that spoil your beautiful bike rides? The sports doctor for "Cyclo Health" gives you valuable advice!
True, cycling is not known to be dangerous for the back and joints. A bike, the weight of your body is not your legs not supported but it is placed on the seat. They say he is a "focused sport." Pedaling, you do not suffer the constraints receptions and pulses as they are encountered in running. However, during your workouts, you stay very long in the same position and you play thousands of times the same gesture. The slightest imperfection ends up having joint consequences. The sports doctor for "Cyclo Health" helps you recognize the pain and you explain the causes. So you understand more easily the advice to fix it. You are more motivated to implement them! To no longer feel pain, two treatment strategies combine. First, it is necessary to reduce the stress on your joints and back. To achieve this, the position changes or gesture changes are useful. Second, we must train your body to take the minimum remaining constraints. This time, some physical training exercises are indicated. sports tips and medical recommendations combine to make you reconnect with the pleasure of cycling trips!
After a few kilometers you feel will produce a bar at the bottom of your back. Sometimes the top of the buttocks starts to burn and muscles along your spine harden. That means your spinal discs begin to suffer.
The discs are small shock absorbers between the vertebrae. To fulfill this mission, they have a nucleus pulposus. The latter is surrounded by fibrous rings a bit like the flesh of an onion. When you stay for a long time leaning forward, pressing the front of your vertebrae. The viscous substance of the disc passes gradually rearward and pushes on the fibrous bands. These are rich in nerve receptors and these conflicts are quick cause pain in the lower back. Over the years, these rings become more stiff and crack. They are less resistant to prolonged stress. . We talk in medical jargon "degenerative disc disease". The "senior" is very often a victim of this banal wear. He frequently backache at the end of training and especially benefit from the advice that will follow ...
The more you are leaning forward, the more you compress your drives. If you suffer from back please take some your stem. The ideal is to equip you with a reclining model that simultaneously allows to go back and bring the seat cockpit. Feel free to grope and change settings even being output.
Straighten up without complexes: the "pros" have very gallows located below the level of the saddle but they are young and flexible. They do not hesitate to suffer to improve their aerodynamics and grab a few seconds against the clock. If your goals are quite different, if you want to treat yourself to bike, do not stick to the tenets of the mathematically determined position. Consider your age, wear your drive, your muscle stiffness and individualize your settings!
The discs are also sheared when your butt sideways tilt every pedal stroke. This is what happens when your seat is slightly too high or when your bust is not well balanced. To stabilize your pelvis, often simply reduce the height of your seat a few millimeters. To limit the rotation of your trunk, take a wide grip on the handlebars. These two tricks together to effectively reduce the shear intervertebral disc and reduce pain in the lower back!
Gelatin disc slides back and pulls the fibrous rings when you stay too long leaning forward. So often change your attitude on your machine. Alternate hands on casseroles and hands on top of the hanger. Some dancer passages help to move the stresses on the discs and relieve you. Straighten up often. Enjoy an easy descent to release the handlebar and dig back. In this way, the viscous liquid will revert to the front of the drive and the fibers located on the rear will be less stretched.
Cracked and aged discs become stiffer. The muscles surrounding the also shrink. All these structures tolerate less to be tensioned. It is imperative to maintain the mobility of the lower back! If you remember to keep your flexibility you will soon have to pedal back straight! Although you are a follower of "health bike," I guess you do not want to swap your racing machine against a Dutch bicycle. Here are some flexibilities derived from the cycling position. They allow your muscles and your column to suit the specific constraints of cycling. For each of them keep the posture 30 seconds then increase the voltage setting for 10 seconds. Rest 10 seconds or made the motion with the other leg. Repeat the exercise 3 times.
The first two improve the flexibility of muscles on the back of the thigh. Thus, they promote the pelvic tilt forward and reduce vertebral stress.
Lying on your back, bring your hands with your knee bent on the chest. Alternate right side and left side.
Same exercise, grabbing the calf and knee almost tense.
The following two exercises increase spinal mobility at the hinge between the spine and pelvis. In this way, it reduces the feeling of tension in the lower back.
Lying on your back, bring your hands with your knees bent towards your chest.
Same exercise, grabbing the 2 calves and knees almost tense.
The muscles along the column support your bust all throughout your workout. When tired, they become painful and can no longer maintain the vertebrae. The discs are sheared and suffer in turn. Must be strengthened with the following two years. For each of them make 20-40 slow repetitions. During each series have about 2 to 4 times the upper position for 6 seconds.
Lying on your back, knees slightly bent, turn up the basin.
Crouching, leaning slightly forward, resting on hands, up the shoulders and lift your hands.
To avoid the pain of the lower back, do the "Gym back rider", 2 times a week.
Often faster or pedaling against the wind, you feel pain at the base of the neck between the shoulder blades down quickly. It is evident, by bike, the more you are leaning forward more you have to lift his head to watch ... or you go! The solicitation of the lower back is likely to also cause overuse of the cervical spine!
If the lumbar discs suffer from too flexed position too long, those neck are victims of attitude too upright for too long. Similarly these extreme positions causes a sliding of the nucleus pulposus of the disc which takes on very sensitive fibrous rings. In addition, the cervical, neck extension imposes a continuous and intense muscular work. We must maintain height helmet wearing head or approximately 5 kilograms. The back muscles are also involved. Throughout the training, it is necessary to support the bust resting on the handlebars. All these muscles are not slow to tire and express their pain.
As to ease back pain, be less bent forward, raise a little your stem, you'll have less to look up! Change your position frequently, stand up from time to time. Thus, you reduce the work of the neck muscles and you lower the stress on the cervical discs. You have less pain in upper back!
In the neck area there are many nerve receptors that inform the body of the surrounding temperature. Therefore, cervical muscles are very sensitive to cold. At the slightest gust of wind, they can be painful contractures victim. Take care to wear clothing that covers your neck. Fortunately, even cyclists summer suits have a closed neck unlike Jersey Running! In winter, be even more vigilant. The jumper near the body must have a collar-type "hat". Before departure, please coat the neck and upper back with a heating ointment
To help the neck muscles to recover, it is good to stretch gently.
Gently bend the neck and upper back forward. Tilt your head to the left and turn gently to the right. Keep the position 20 to 30 seconds. Straighten up slowly and change side.
This movement can be performed after release, in the shower. Under these conditions combine the benefits of stretching, heat and water massage thanks to the pressure of the jet. This exercise can also be performed during your outing, during a break. It helps the muscle to loosen especially when he begins to contracturer.
So that the muscles of the neck and upper back are able to work throughout your workout, must be strengthened!
fingers crossed behind his head. Straighten the neck and stand with your hands. Keep position 6 seconds. Collect 6 seconds. Do the exercise 10 to 20 times.
Right hand resting on his right temple. Push with head on palm resistant. Keep the position 6 seconds. Collect 6 seconds. Do the exercise 10 to 20 times on each side.
Standing knee slightly bent, leaning slightly torso forward while keeping the back straight. Without load or with light dumbbells, up the arm above the head 20 to 40 times.
In the same position, spread your arms to the side 20 to 40 times.
Make 10-30 pumps laying hands on a table. All five movements keep an intermediate position 6 seconds. So you play the muscular constraints of support on the handlebars.
Perform the "gym of the cyclist's neck," 1 to 2 times per week, on the days you are not going to roll.
At the beginning of training or the kilometers, in the ribs or sending large gears, the front of your knee becomes painful. Sometimes you experience crackles or projections.
This is probably a pain your kneecaps. A deep to this small disk-shaped bone, there is a smooth coating and precious: the cartilage. It is vital to the slip joint parts. When he wears the body can not repair it! So be careful!
When pedaling motion, the ball slides in a corridor dug into the femur, the thigh bone. On his journey, the ball can be compressed or bumping in several ways. Pushing large developments, the strong contraction of the thigh and is planing crushes your patella on the femur. Conversely, if your leg is too weak and poorly coordinated, the ball oscillates on its course and crashes into the shores of bony groove in which it slides. If your foot is fixed in a clipless pedal whose rotations are limited or blocked, your leg can not follow the natural pivot of the knee. The ball hung on your shin risk rub excessively on one side of the bone corridor.
By quickly turning the legs over small developments, the ball is much less crushed. More preferably, the alternation of small pressure variation on cartilage maintenance and texture contributes to suck its nutrients from the blood.
By actively bending the knee on one side to lift the pedal, you relieve all the extension of the other. You reduce the contraction of the quadriceps, the muscle on the front of the thigh, and you decrease the crushing of the ball.
When the saddle is too low, the knee is flexed in high position. The quadriceps is too tight and crushes the patella on the femur. Take care of your saddle height control and check that the shaft has not insidiously down!
Thus, during knee extension movement, the foot rotates freely and naturally on the pedal. Ankle, tibia, patella and the femur is aligned spontaneously. The ball is stuck on one side and does not rub on the banks of its bony corridor.
To avoid your ball is too compressed to the femur, to support its entry into the bone corridor must stretch the thigh.
Lying on his stomach. Bring the heel toward the buttock. Contract your abs to not cheat by digging back.
Keep the position for 30 seconds then increase the voltage for 10 seconds. Do 3 times the exercise, alternating right side and left side.
To better stabilize your kneecap when browsing in the femoral groove, to avoid unwanted friction on the banks, we must strengthen your thigh.
The half-squat rider: Main resting on a table as if holding a handlebar bend your knees to a comparable amplitude pedaling about 110 ┬░. Step back in good rhythm. Stop exercising if he reproduces your pedaling pains.
Do 2 to 3 sets of 20-40 repetitions. Collect 30 seconds between each.
While you ride for a good hour, you feel tingling in your hands. This numbness affects mainly the index and middle fingers. That is very different from the diffuse perception of "dead fingers" long winter outings characteristics. This time he is suffering from a nerve in the wrist.
The "median nerve", as the name suggests, runs through the middle of the palm of the hand. It can be compressed between the bones of the wrist and the handlebars too long when you keep the same support on the handlebar. If, in addition, you allow your wrist hang hyperextended, the nerve is stretched!
The joints are made to articulate! The movement is beneficial to our musculoskeletal system you learned during spinal pain, it is also true at the wrist. By changing how you hold the handlebars, you vary the support points and the median nerve is not permanently crushed and less suffering.
Do not break your wrists. Your hand and forearm should remain aligned. In this attitude, the median nerve maintains a straight path, it is not twisted and you will have trouble.
The vibrations of the road directly affect the hanger and wrist. To reduce vibration on the nerve fleece gloves and a thick bar tape are beneficial.
If these tips are not enough to eliminate your pain, your doctor sport is required. It must specify the diagnosis: is this really the disc, the ball or the nerve that hurts? And even if recommendations of "Cyclo Health" remain rigorous, medications and some physical therapy can be helpful to complete the treatment.
Around a recent need, the treatment of pathologies related to the sport, the former Clinique Saint-Fran├žois, now Sport Clinic, was taken over by General of Health in 2002. The renewal of the medical staff with surgical team renowned helped to design and implement a medical and scientific project based on the quality of practice. G├ęn├ęrale de Sant├ę has worked to support this project, including through an intense program of renovation and careful management of human resources.
Today, the sport of Clinic is a hyper-specialized private institution under agreement in orthopedics, traumatology and sports medicine.
Medical and surgical consultations highly specialized, a reference imaging and functional rehabilitation recognized competence guarantee our patients the best care for diseases of the musculoskeletal system, either degenerative or related to physical activity.
The rupture of the Achilles tendon in athletes, is a rare event that usually occurs during the 3rd decade in athletes and 4th among the sedentary. The break often occurs when an eccentric effort (Work together a muscle elongation instead of the normal shortening) as a startup, acceleration or landing from a jump. Read more ......
Attention! This is no shock absorbing soles, type "ready to wear" sold in stores. No, they are "haute couture", tailored to your injury and imperfections of your stride. They are made ??"to measure" by a podiatrist sports. He knows the injuries encountered in sports. It does not use cork or leather. It uses synthetic materials flexibility cleverly distributed, which tolerate sweat and mechanical stress.
Iron is essential to your health and performance. It is a central component of hemoglobin. The latter is contained in red blood cells and gives it color. It is the iron that captures oxygen when blood passes through the lungs. It carries the precious gas to muscles. When they arrived, it drops its cargo which then allows the burning of energy substances and muscle contraction.
When you run or when you jump, your heels hit the ground and the fat pad of the foot of the plant is crushed. It is through many blood vessels. These red blood cells burst and release their hemoglobin. Iron is released into the blood and pass into urine.
Muscle contains a twin sister of hemoglobin, myoglobin. The latter also contains a lot of iron which sets some oxygen. This small local reserve allows starting the contraction before the blood vessels do not provide the necessary complement. When you experience aches, your muscle membranes are victims of micro-fissures. Myoglobin and iron leaves the muscle and gaining the blood. The precious metal is eliminated in the urine.
When you make an effort, the majority of blood flow is directed towards your muscles. There remains very little to the digestive tract and the bladder wall. These organs suffer from lack of oxygen and are shaken with every stride. Small areas are damaged and start to bleed. Red blood cells and iron are lost in the feces and in urine.
You enter the assiduous why athletes often lack iron, especially if they do not take care to concoct "menus and recipes" adapted. Sports are even more concerned since all these iron losses are added the massive elimination of blood during menstruation!
That is why it is good to occasionally perform a blood test to assess the stock in body iron. This levy is necessary when it comes to review a state of fatigue. It unnecessary to dose iron in the blood because the body is able to keep within the limits of normal while the reserves are at their lowest! It is necessary to measure levels of "serum ferritin" because this structure is the storage form of iron.
Each sports movement constitutes a solicitation for the bone structure. At each reception process, the tibia runner undergoes vibratory impacts. Unrolling not, the hiker twists slightly small bone in his foot. Even the body-builders, powerfully contracting its muscles, pulls on his bone.
Each strain injures a little bone of sports. Fortunately, during the rest period, the bone trying to rebuild. If time allows, if they bring him the necessary food, it is repaired! It reconstructs even louder than before as if to prepare for new mechanical attacks. This phenomenon is called by coaches cycle decompensation / overcompensation. This process has been described in many body organs and functions: muscle, stock energy, hormones, etc. It is a key driver of growth.
Thus, it was shown that the well-trained marathoner had stronger bones than sedentary. Indeed, its more dense bone structure, higher in fiber and calcium. In addition, the microscopic architecture of the bone is perfectly oriented along the axis of mechanical stresses.
Indeed, the chemical structure of the bone is comparable to reinforced concrete. The protein network is the steel rods. Calcium is comparable to concrete mired these metal axes. At the hip and pelvis direction of the bone structure is very characteristic. On a radiograph, it is found that the fibers leave the femur, the thigh bone, tilt in, come from hip to withstand the weight of the body resting on the hips. The lines of force from the right leg and left leg meet in the middle of the basin and support each other in the manner of the nave of a church.
Physical activity associated with a sufficiently high protein diet, vitamin D and calcium is a great engine of bone construction. This cocktail is particularly useful to hinge periods of life. During growth, it is necessary to eat 4-5 dairy products every day to build strong bones. It should also move: it is essential to practice a sport requiring the running and jumping at least 3 times a week for 30 minutes. In the absence of impact, bones harden less. It has been shown that a young competitive swimmer had lower bone density than sedentary because he was deprived of gravity during those long hours of pool training. In addition, bone densification stops 25 years. At this age you have made up your bone capital for life!
In adulthood, sport reinforces very hard bone and the amount of calcium necessary for the maintenance of bone is still debated. In case of fracture, the rest of the broken area needed a few weeks to allow to "ensnare" the broken area. In addition, gradually increasing mechanical stress are indispensable to "mechanize" the callus. Again, they help to guide the fabric of the bone in the center of the constraints to prepare him for his mission. An increase in calcium intake in consolidation period is proposed by some doctors without that interest has been really shown.
After menopause, the bone structure is gradually degraded to make the brittle bones is osteoporosis. Ladies, remember, your resistance to hip fracture depends on your diet and your sport for 25 years! If physical activity after menopause can no longer denser bones, reduces the loss of bone tissue. So it is advisable to go see jumping around or jog. It is also good to make the soft gym to maintain bone strength to strength. To make the most of this stimulation, it is again necessary to take 4-5 dairy products daily. It should also go out every day to enjoy the sun and make the vitamin D essential for the absorption and calcium binding. Fresh coordinating sports such as Thai Chi or "balance workshops" have proven effective in reducing the risk of falls and fractures.
If the sporting activity is excessive, the micro-cracks caused by impacts on the bones fail to consolidate over the rest. Rather, these lesions worsen in the next workout. Finally the splits right through bone, it breaks without any violent trauma. It is the stress fracture. In a postmenopausal woman, it was demonstrated that 6 hours of sport load per week may be sufficient to break insidiously bones. Among younger adults, this type of injury is favored by dietary deficiencies and hormonal disorders. Lack of calcium, vitamin D and protein alters the rebuild bone victim of microcracks in the exercise. Insufficiency sex hormones reduces the stimulation microscopic chemical plants be responsible for the synthesis of bone tissue. Functional changes occur when the deep depletion of the body. That kind of burnout is most often diagnosed in women because it causes menstrual irregularities and a cessation of menses. The victim is found in a state of "early menopause". In humans this hormone suffering is more insidious but it exists and its effects on bone density are comparable. The sports overwork cocktail, dietary deficiencies and disappearance of rules typically found in young women anorexic. Faced with a stress fracture, the sports physician must remain vigilant. It should not simply treat a "bone". It has an obligation to support a whole person, he is responsible for seeking overtraining or behavioral disorders.