(without reading all that was posted I agree with the above)

I agree with the majority and I think the seat should be higher, stem looks too short and perhaps the frame is to small and could use some set back on the saddle as well. once you have the extension correct I think your body will have to aclimate slightly and perhaps even a little sore in some areas. in the current position you will get some knee soreness.

Raise the seat and experiment with the saddle angle a bit more. It will put you in different positions. I would suggest adding a basic brooks b17 saddle. The stock saddles on those lemond bikes are terrible. The leather seat will make your body feel better. It also looks like you could use a longer stem. You look like your on the borderline of being cramped up in the cockpit.

As others have said, it looks like your fit could improve with a longer stem and a higher saddle.
One of my friends has scoliosis. He's an avid cyclist who does centuries and about 1000 kms a month.

Thanks for the suggestions everyone, I appreciate it.

I raised the saddle (Specialized Toupe) 1/4" and did my morning commute of 15 miles. I had some mild thigh pain at the beginning of the ride but the pain was gone with 5 minutes. Raising the saddle definitely helped!

The stem is 90mm although I do have a 110mm I could put on. The frame is 51 and I'm 5' 7.5". I suppose I could sell this bike and get another Lemond, maybe a 53, but then I will have to go through this fit process all over again. I admit that I do feel 'cramped' a bit on the bike but the guy at LBS seemed to think this bike fit well, and it felt good when I bought it, so I assumed that was how a fit was supposed to feel.

I've also scheduled an appointment with a dermatologist about that white thing. I didn't realize it was so noticeable. :)

Ok I'll throw in my 2 cents....

You've been riding this frame for over 8 months? If so then getting into the perfect position should probably be done in small increments. Example your seat might be a 1 CM too low but I wouldn't move it in more than say 1\4 CM increments as your legs need time to adapt to the higher position. I think the .883 x inseam is a good technique that will get you in the ball park. Another good technique is to raise your seat until your hips start rocking (need another rider to watch you) then lower it until they stop rocking. I have found through experimentation that there is a sweet spot where you are most efficient power wise that will take time to find. I'm not a big fan of KOPS I think achieving good fore\aft balance on the bike is more important. As far as frame size, as long as you can achieve good fore\aft balance on the bike and your saddle height to handlebar height differential doesn't exceed your personal comfort tolerance (with the seat height adjusted properly then you are good frame size wise. If you find yourself moving the seat fore\aft you're gonna need to change your seat height. Don't be afraid to experiment with seat fore\aft and stem length. Just remember when you change one thing (like seat height) it will effect lot's of other things (like reach). I tend to think that these static pics of folks on trainers can be misleading. As far as getting good feedback on your position, you would be probably be better served by riding with someone who is knowleable about good fit and who can observe you while you are actually riding. Hopefully you can achieve a pain free riding position. It will probably take lot's of miles and experimentation to get there. What kind of pedals are you using?

Here's a Peter White article on bike fit. He's also a big fan of fore-aft balance rather than KOPS.

http://www.peterwhitecycles.com/fitting.htm

-murray

I'm using SPD-SL's. That's a good article and the fore/aft argument makes sense. That article reinforces the idea that there isn't a definitive "answer" and I'll have to keep adjusting my position until I find something that works.

Yeah, I agree that static pictures don't give a true sense of the pedal motion but it has allowed me to compare the position against other cyclists. I'll put on the longer stem and adjust the saddle position...maybe that will do the trick.

Frame size looks ok, seat looks way low.