One of the most common problems I see in my cycling patients is neck pain. This usually relates to a prolonged time spent in an extended position. The constant compression of any joint over a long period will lead to muscle fatigue and chronic muscle pain. A prolonged position will also result in cumulative tensile stress on joint capsules and ligaments. This can produce long term structural changes to joint arthrokinematics. Cervical extension with shoulders in a depressed position increases neural tension. Cervical extension with shoulders in a depressed position increases neural tension. This can result in ulnar or median neuropathy. The symptoms are pain, numbness or tingling. Acupuncture offers relief from the pain.
(reference: Sean Fyfe/Sports Injury Bulletin)
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