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  1. #1
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    Bike Fitter in the Sacramento Area

    Hi All,

    I recently took up road cycling after a 10+ yr hiatus. I am really enjoying it but I am developing issues with numbness in my left foot, left knee pain around the kneecap and lower back pain. This usually occurs after I've gone some distance (~15 miles). I also get some numbness in my right foot but less so.

    I've discovered quite a few fitters doing searches -- Wheelworks in Davis; Athleticamps; Bicycle Plus; UCDMED. What I'm looking for is a recommendation for a bike fitter who would be able to help me address those issues.

    Thanks in advance!

    ph

  2. #2
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    Judd at UCDavis sports is really good. The guys at Athleticamps do a good job too. As does Mike at Beretta. Lots of options.

    My wife has used the first two, Judd at UCDavis ended up helping her the most. Friends of mine have been fit by the other two and are quite happy.

    Here is a link to Judd's web site: http://www.ucdmc.ucdavis.edu/sportsm...cal_tests.html
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  3. #3
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    Thanks JoelS. I'm angling that way myself since they are a part of a medical institution.

  4. #4
    Senior Member metalheart44's Avatar
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    Rob at Body Concepts http://bodyconceptsinc.com/ in Folsom is an avid cyclist/physical therapist who helped me with several knee and foot issues.

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    Thanks metalheart44. May I ask what he did to help you?

  6. #6
    Senior Member metalheart44's Avatar
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    Sure, I was having IT band issues as well as foot issues. There were some alignment problems I just could not sort out, so he put me on the bike and examined my position and then made changes to seat and cleat position. That combined with some exercise and stretches solved the ITB problem that had been persistent for the year prior. He referred me to a local sports podiatrist for further work on the alignment issues. I have arthritic knees with varus bowing in my left knee etc..... the result being that I was always having some sort of foot or knee pain. Rob was astute in diagnosing the nature of the problem(s) and the steps to solve them. It helps that he is a cyclist, as is Beretta and some of the others mentioned, but I found his personality and approach to problem solving worked well for me. My experience in trying various fitters was that the "fit" between who you and the fitter is important and it worked well for me with Rob.

  7. #7
    Senior Member VaultGuru's Avatar
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    Clay Meeks is also very good. He works out of Bicycles Plus in Folsom. I have worked with both Judd and Clay. Different presentation styles (bedside manners in MD language), but both of them are very good. Judd is probably more clinical, but Clay was a hard core racer and walks the talk (been there and done that), so he knows what needs to be corrected, and has done an exceptional job of fitting the client to their bike for a very long time.

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    Thanks VaultGuru. Why did you go to two different fitters? I would think going to one should be sufficient. My fear is that one will undo what the other adjusted.

    Would you say that Clay would be good at dealing with biomechanical issues? I'm at the point where I should get fitted - back, knee and foot numbness is not getting better.

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    One question for those of you who went to UCDMED (Judd). Will they adjust your cleats by adding shims? Do they change out parts (handlebars, stems, etc.)? Will they provide you a list/report of the adjustments made?

    i know that Bicycles Plus, athleticamps and body concepts work with or are bike shops so they can trade or swap parts out.

  10. #10
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    Judd will add shims if you need it. He doesn't have parts to change out, but will provide you with a suggested list of what to buy and a chart of your new position so that you can duplicate it on other bikes. When my wife went to see him, he did a complete biomechanical exam, including flexibility, strength, leg length discrepancy check, pelvic alignment, etc. The complete deal.

    I've used Clay Meeks with good success personally. He does all that too.
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  11. #11
    Senior Member VaultGuru's Avatar
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    I used Judd for a bike stress test. My longtime riding buddy went through his full fit program and was very happy. Clay Meeks fit me. Love the changes, but they were very subtle.
    If it is Neuropathy of your feet, go see Dr. Brian McDowell and/or Dr. Tracy Basso. They work together in Dr. McDowell's office on Coyle Ave. Both are excellent physicians and specialize in Neuropathy. Dr. Basso is also a bike racer, so he knows how to solve foot issues.

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    Thanks VaultGuru. I'm hoping that the numbness in my feet are caused by poor cleat alignment and not something else.

    To everyone who responded, thank you! I decided to go with UCDMED and have an appointment with Judd. I went for a ride yesterday and now the top of my left knee cap is sore, making it hard to walk up stairs. So I am definitely looking forward to my fitting.

    In addition to my fitting, I'm trying to decided whether to do the combo package. The combo is the bike fitting and a choice of VO2Max or a lactate test. Which would you guys recommend? I've only been riding for the last 2 months with the goal of getting stronger to ride longer with the ambition of doing a duathalon or triathalon.

  13. #13
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    If you're training with a power meter, either of those tests may be helpful. If you're using an HR monitor, the lactate threshold test will be helpful to establish your training zones. If you're not using either, don't bother.
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    Thanks JoelS. I ride with a HR monitor so a lactate threshold test it is.

  15. #15
    Senior Member hack's Avatar
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    Quote Originally Posted by phooi View Post
    Thanks VaultGuru. I'm hoping that the numbness in my feet are caused by poor cleat alignment and not something else.

    To everyone who responded, thank you! I decided to go with UCDMED and have an appointment with Judd. I went for a ride yesterday and now the top of my left knee cap is sore, making it hard to walk up stairs. So I am definitely looking forward to my fitting.

    In addition to my fitting, I'm trying to decided whether to do the combo package. The combo is the bike fitting and a choice of VO2Max or a lactate test. Which would you guys recommend? I've only been riding for the last 2 months with the goal of getting stronger to ride longer with the ambition of doing a duathalon or triathalon.
    Just to follow up...how'd the fitting go?

  16. #16
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    Hey everyone,

    I thought I would share my experience with Judd at UCDMED. I decided to do both the bike fit with a VO2 Max test. I was originally planning to do the lactate threshold test. After speaking with Judd, he convinced me that the VO2 Max would be a better starting point. I would gain some interesting data points about myself as well as provide training zones. The total bike fit and VO2 Max session lasted almost 4 hours. The cost was $300.

    The session started with Judd taking measurements of my bike and discussing what my needs/expectations were. It was followed by a physical assessment and an EKG (for the VO2 Max). Once I received clearance from one of the docs, I began the VO2 Max test. During the test, Judd would watch me from different angles while I pedaled. I'm not sure how long the session took but I was certainly tired when it was over.

    Once I had a chance to cool down, we began the fit. He set up the Serrota fit bike based on my bike and I started to pedal. During the fit session, he would make adjustments to my cleats, crank arm length and shorten my reach with the goal of alleviating my knee pains, numb feet and back pain. What I found interesting was that Judd made all of the adjustments without using instruments. I was expecting something more scientific especially after considering a Retul fit. I guess experience can outweigh tools. The result of this is that I will now have to buy a shorter crank (160mm), stem and handlebar.

    What I learned was that my bike was too big for me. His comment was that I was "comically stretched out" and I thought I was fine. Just as a clarification, I am not tall and I did TRY to buy the smallest bike I could find. The most challenging part of the fit was adjusting my cleats and crank to alleviate my knee pain. He made multiple adjustments to my cleats which resulted in angling and shimming both cleats with more adjustments made to the left than right. We played with crank arm length. What was interesting was that when he shorten the crank arm length, my knee pain went away. However, when we shorten the crank arm even more (where he thought it should be), my knee pain returned. The fitting process to some degree reminded me of a visit to the optometrist... "Is A better than B? Is B better than C?..."

    After the fitting, we went over my test results and fit report with recommendations on what equipment I needed to buy. The final discussion was a training regimen with specific goals based on my thresholds. Overall, I would highly recommend Judd and UCDMED as well as getting a professional bike fit. If I were to do this over, I would have started with a bike fit and then use this information to buy my bike.

    So if any of you know of a good way of either selling some lightly used parts or whether my bike shop would do a trade or resell, I would appreciate it!

    Thanks again for all of your help!

    PS - I have not made the changes yet. I will do a follow up once the changes are in and I have put some miles in.

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