Made a fancy new intro.
Let's hit that intro.
How official do we look after that?
The sound effect and the graphic, Eric?
So pro.
It's awesome.
I love it.
It's great.
Eric Moen back on orthostatic with us.
Thanks for the time, Eric.
You are so welcome.
It's just really a pleasure to be here.
What's your 15-second superhero backstory?
I mean,
you've got the bicycle in the background.
You're a physical therapist.
I see a bike.
What should people know?
Well, I don't know.
I've been riding bikes for
all my life and bike as
part of clinical practice
has really been there since
day one when it wasn't really a thing.
And so
Uh, I'll say, uh, that I'm,
I'm one of the earlier people to adopt,
uh, clinical bike work or bringing, uh,
bicycles to the clinic.
And, and, uh, I have a sorted past of, uh,
just lifetime cyclist,
recreational cyclist, also licensed racer,
licensed coach, um,
educator and bike or bicycle
clinical work.
And currently I'm working
with paracycling at the
international level where
I'm head of paracycling
classification for the UCI,
which is the International Cycling Union.
Did you, was this in the, was this in the,
in the cards when you started?
Like,
did you ever expect any of this cool
stuff to happen?
Or it's like,
it's one of those fun things
that happened along the way.
Like all the different
places that cycling and like,
I love that.
Yes.
And right.
That's the one rule.
Yes.
And you just, yes.
And did your career.
You're like, I'm a cyclist.
Okay.
I'm going to be a PT.
Like, Ooh, what would happen if I, yes.
And did this, like, did,
was this in a plan or is
this happy accidents along the way?
You know,
I have to say that I had
early visions of doing bike stuff,
and really a lot of what my
early interactions of
clinical bike work were
actually more centered
around me trying to figure
out how I could participate
at a higher level in cycling,
because I have, we'll say, orthopedic
Uh, dysfunction, uh, in a lower extremity,
which actually,
interestingly enough
qualifies me for paracycling.
So I could be a paracyclist
because of my impairment, but at the time,
you know,
it was really not well known
around the United States, uh,
what paracycling was.
So I was,
I was just trying to keep up with
the people with two normal legs, uh,
which created a need for me
to figure out how to, how to.
change or alter my equipment
to get best medical advantage.
And so at the time,
there really weren't many
people doing it at all.
Or if they were,
they were in a very distant place,
or maybe they weren't able
to answer my questions or
creatively problem solve
with me for my issues.
And so I was just like,
out of the heck with it.
I'm going to do it myself.
I've got an inquisitive brain.
I know how to research.
I've got my physical therapy background.
And, you know,
I was talking to someone
about this the other day, like as a youth,
you kind of,
you kind of get inklings of
what people are going to do.
Like, like for, for example,
like my daughter, you know,
she's always been a runner,
but she's a runner.
And so like, for me,
I was always studying movement, motion,
like,
coaching skills.
I remember tearing articles
out of magazines about like certain, uh,
sport technique.
Uh, so there,
there was always that kind of
interest in biomechanics
and biomechanical function, uh,
pedagogy or learning a sports skill.
So it really, it all kind of fits in,
I guess the,
was it incidental just kind
of did it kind of fall upon me?
You know, I think,
I think we make our luck so to speak.
And so a lot of, uh,
a lot of the work that I've done,
has created opportunities
and it's hard work.
It's not like, oh,
I just get lucky and
something gets thrown into my lap.
I mean, that happens to people,
but I'd like to say the
hard work I've done and the
good work I've done has
helped create these
situations where I've just
kind of moved along.
It's such a shock, right?
We get really good at things
that we're excited about working hard on.
And it's, of course, not luck.
It's because you've decided, I like this.
This is worth working hard on.
And then you put a lot more
time into that.
And then suddenly you stop
and look back and you're like, wow,
look how far I've gone.
I've learned a lot.
How can I apply this?
Yeah.
You know, frankly,
for this whole bike niche genre thing,
for me, it's like,
It's dessert all day.
So it's not drudgery like this week.
Right now, I mean,
the peak of my season
because everybody's riding bikes.
They've got events and
they're getting new equipment.
And so I've got I have a
really onerous schedule that I've thrown.
I've made this problem, but, you know,
like.
last night I saw people till 10 PM.
And so, you know, I had a 7 AM start and I,
I ended up seeing people
till about 10 last night.
And so it was, it was a,
it has kind of been that
way for the last month.
And so it's been it's been, but it's like,
it's one of those things
like it's good fun.
It's not drudgery.
It's not like I'm like
burned out because you know,
this work task really stinks.
And so it's just like a,
If they're willing to come that late,
I'll see them.
Cause I don't mind doing this stuff.
Cause this is the time of year.
And that's,
that's something that a reason
we're doing sort of this
and you're kicking off sort
of a mini series that we're
doing with a bunch of
different physical
therapists who are yes.
And maybe that's the name.
Maybe that's what we'll call the series.
Yes.
And PT,
which is you take this background
and you put it together
with something you're
passionate about that other
people in the public too.
And you get to, you get the,
something that is greater
than the sum of the greater
than the sum of the parts.
right that's really pretty
awesome jimmy you know the
yes and is um is taking the
opportunity to go just a
little bit further than
just kind of your typical
circumstances there are
people who like to just
clock in and clock out and
I respect that but uh I
don't know it's so much
more exciting when you take
that yes and step really so i
Brilliant.
Well, let's get into it.
So this is really designed
for the physical therapist
who maybe didn't grow up
with a cycling background,
but they're seeing people
in clinic and maybe they
feel they have this sort of
feeling in their gut.
I know I had it when I was
working with someone who
maybe I didn't know
everything about their sport,
but I wanted to know.
So this is sort of like the
introductory guide with, hey,
you got a patient on your
schedule tomorrow.
they've mentioned in their
intake form cycling,
or maybe they're coming back again,
or you're seeing a patient
from one of your colleagues,
The information that we're
going to give is really
introductory but can take
you the long way.
You're going to get the most
miles per gallon of information.
You're going to be really efficient.
So let's kick it off with this.
Most common.
What are some of the most
common orthopedic injuries
that we're going to expect
from somebody who
self-identifies as a cyclist?
Meaning either they dug the
bike out of the garage this year and,
dang it, this year I'm going to do it.
I'm going to be a cyclist.
Or they've been riding for a long time.
Well,
the most common thing is usually
around the knee and it's
most oftentimes the front of the knee.
It's most oftentimes, uh,
irregular compression
around the patella femoral joint, uh,
that that's really the most common.
And then probably the second, um,
most common is we'd say low
back pain or pain around the back.
And that's more just
postural stresses and strains.
There's certainly positions
and functions on the bike,
which will set that, that off.
Also, you know,
I think the other thing to
understand is that bicycling,
bicycling is not walking, you know,
we're the human body.
We walk, we run, we hunt and gather,
not on a bike.
And so bicycles were,
were born around the 1800s.
And so,
There's something that takes
specific adaptation to.
And so when you have a
person with strong
motivation and excitement
to get on the bike,
they're probably not going
to have the strength,
the coordination to just
jump on a bike that's maybe
not well positioned for them.
Oftentimes back and neck pain come around.
Uh,
and then also it's really kind of
around the contact points after that.
So it's like hand pain, hand numbness,
foot pain, foot numbness.
Um, those,
those are really the common things.
Also we, we, the, the unspoken, the,
the not often, well, more,
more commonly talked about, uh,
are the saddle discomforts, uh, pain,
numbness, my butt hurts.
And this was one of those
aha moments I had as a PT
student when someone framed it this way.
And then I took this thing
that they taught me and I
sort of put it in a lot of
different places, which is, Hey, as a,
as a cycling physical
therapist or a physical
therapist who works with cyclists,
Um,
they framed it as my job was to move
the bike to be comfortable for the human,
not to tell the human to be
comfortable for the, for the bike.
So essentially adapt the
bike as much as you could.
So the human could be
optimized on that or to
reduce the pain of discomfort.
And that led me to my first, um,
aha moment or my second aha moment,
which was I bought my first bike on eBay.
Cause I was dang it.
I'm going to be a cyclist.
And I did.
And then this is two,
three years into me riding a bike.
It was a bike with aero bars
and I was riding them and
this is for the podcast, sorry,
the YouTube viewers.
I was riding them and I
didn't realize that the handles,
the extended arms.
Yes.
They telescoped and they
were telescoped all the way
in and my arms were longer.
So I was riding with my
wrists completely flexed to
change the gears.
And someone said,
that's an interesting position.
Why do you ride like that?
And I said, well,
it's because my arms are longer.
And they said, you know,
that little screw right
there loosens and you can
shoot those things in and out.
And I remember the entire
ride just thinking how
smart I thought I was 10
minutes before and how dumb
I now realized I was.
I never thought about it.
But when I,
when you now look at a bike and you go,
Oh, all these, well,
a lot of the different
parts can be moved.
So the human is actually comfortable.
Yeah.
It really is amazing.
Um, when,
when we deal with the human on the bike,
how many different variables are managing,
uh, and how much you know about the adapt,
we'll say adaptive parts and pieces.
that are out there and
available to put on a bike
and the ones that can work
and can't work and the ones
that can imply your ability
to safely ride a bike.
Because honestly,
there's some adaptations
that are just unsafe and
not appropriate for the
inclusion to a bike.
And so we have to be careful of that.
Just to kind of back up a little bit,
that whole your aha moment about
the adaptability of the bike
and or the adjustability of
the bike and the adaptation of the body.
That was kind of first made
popular by a guy named Andy Pruitt,
who's done a lot of work,
early work in this clinical
scene where kind of was on
the earlier side of making it popular.
He would have a slide of of
this groom with their bike
on the wedding altar.
talking about the marriage
of the body to the bike and
the bike is adjustable and
the body is adaptable.
And so that,
that really is kind of carried,
carried out to where you, you know,
that was probably early nineties that,
that he had his,
that was on his slide deck.
And so it really is, you know,
that's really an important
concept that we carry
forward is the adaptation of
of the bike position and
acknowledging that the body
also has to make some changes.
Yeah.
And understanding.
So you really sort of,
and for the person who's
listening to this right now, who's like,
well, I'm not really a bike expert,
but you do bring a lot to
the table as a physical therapist.
First of all, understanding,
I'm imagining what's going
on or why might that happen?
And then you get to think backwards,
which is okay.
how can we, how,
how can we use what I know
about biomechanics and what
I can learn about bicycle
geometry or bicycle
mechanics to make this
activity more enjoyable for
the person and,
and be able to do it better, pain-free,
whatever their issue might be.
Yeah, a hundred percent.
You know, the, the physio,
the physical therapist is
really uniquely qualified
to work in this space
because of what they know about, uh,
the human anatomy and human biomechanics,
uh, knee function, uh,
adaptation to strength, mobility,
our ability, you know, day in and day out,
when people talk about, oh,
my right leg is doing something dorky,
you know,
we can look at the bike and try
to do adaptation bike.
But if we don't have the perspective of,
hey, their hip is just crap, you know,
it has no mobility.
Closed pack position, I can't even,
you know,
That's the bigger picture is
that they have that limitation,
impairment, immobility.
That's the bigger driver of how we take,
we'd say adaptation or
adjustment strategies on the bike.
So it really,
what we know as physios is
really super critical
towards we'd say most efficient,
effective adaptations to the bike.
So let's talk about assessment, right?
That's a PT term.
That's something PTs are
pretty familiar with doing.
What are maybe some
differences or some
techniques or tools that
you might use with a
cycling athlete that maybe
someone who hasn't traded a
cyclist before might not be
accustomed to or might not think about?
Well,
I think when we talk about assessment
of the cyclist,
really the important thing
is to start with the subjective.
And so the subjective piece of it,
you know, I spend...
I spend some,
I'll say my practice right
now is cash-based.
So I'm not like, oh gosh,
I got to get this person
out of here in 20 minutes sort of thing.
So I take the time to ask
questions because if I can
ask some good questions,
they're going to tell me
what their problem is.
And I think that's the
challenge with today's
healthcare delivery is we've lost that
connection and ability to
ask good questions of our patients,
clients.
And so when,
so it starts there and it
starts with asking good
questions around how
they're using their equipment,
when they started,
what's their development as a cyclist,
what's their, you know,
Have they had any bike crashes?
You know,
just sorts of like how they developed it.
Are there pains only related to the bike?
Do they have pains with other things?
Do they have any past medical history?
And so really that's
probably the most critical thing.
And then really when we talk
about working with cyclists,
the piece that sometimes
the physio may not have is
the ability to evaluate the
person with their equipment.
which is critical to me.
It's like, if you have, we're physios,
we watch people walk, right?
So we watch them walk in.
That tells a lot about who they are,
what they do,
what their impairments might be.
If we have a runner,
we watch them run on the treadmill.
Why wouldn't we watch a
person on the bike?
So really when we talk about
the assessment of
a bicyclist,
we have to look at them with
their equipment and on the bike,
if we're going to truly treat them.
And what I tell physios,
physical therapists is that
if we're able to see them
with their equipment and
have like reasonable
physical examination with them,
we can come to resolution
pretty quickly with regards
to their problems and
issues around the bike.
I often tell this story like,
Uh, the typical deal is, uh,
a person may come in to a
physio office and they get
treated for knee pain for the bike.
And, you know,
they go through the different exercises.
They're like, oh,
you've got a weak glute medius.
You know,
I'll say every cyclist has a weak
glute medius and it has
nothing to do with their knee pain,
but the, um,
when you get them on their
bike and you see that their
cleat position is totally off.
If all I do is change the cleat position.
their knee is magically fine.
And so it takes one visit to appropriately,
effectively intervene for
this person and then back
out riding their bike,
just happy and healthy.
And so really then the
evaluative tools around the
bicycle are very simple,
simple goniometer,
gravity-based tools like
levels and plumb bobs.
There's lots of fancy tools
that a person can use in evaluation,
but really,
for the, for most people, um,
those fancy tools, they kind of,
they can lead you asunder
and they're full of, uh, error sources.
So I would say for the vast
majority of people using
the simple tools and
understanding good questions,
good understanding of the
physicality of your cyclists, um, you can,
you can treat them very
well and get great outcomes.
Yeah.
So even something as simple as a,
as a bike trainer that you
can put that human on and get,
get them in the, in the cycling motion,
that's, that's, that's low hanging fruit.
Yeah.
There it is right there.
Yeah.
I set this up in the background,
but this is just,
this is just a bike set up
on the trainer.
We level it up.
And then, you know, I,
I look at the bike for forensics, uh,
forensic information,
like their handlebar position, their,
you know, their saddle,
what's your saddle look like?
Is it, is it roughed up in one area?
you know,
it's kind of funny as I'm getting
on in clinical exam, you know,
it's just like pattern recognition.
If what you do in physios,
you're like a SI specialist, like you say,
really acts are, are you,
you see a person walk across the room.
You're like, Oh, you know,
there's their problem.
And so it's kind of at this
point to where it's kind of
at this point where I can
have a bike walk,
I'll have a bike walk in
and it'll be like, Oh,
Don't talk.
Let me just fix this.
And I don't exactly do that,
but there's some things that you're like,
oh my gosh,
you've been riding this this way.
And so if we just do some
very simple things,
but it starts with seeing
their equipment.
If we see their equipment
and understand how they're
interacting with it and how
they're developing or how
they're able to hold postures,
how they're able to move in
the pedal stroke,
what gears they're using.
Those are all super
important bits of
information towards
understanding why they're
visiting you with their dysfunction.
You could have saved me a
lot of time and effort and
pain when you saw me riding
like I had T-Rex arms.
That would have been...
That would have been a
Phillips head screwdriver
in about 30 seconds.
But you touched on this a
little bit in terms of
equipment customization.
You know,
what role does equipment
customization play in
treating cycling injuries?
It sounds like, hey, yeah,
by pointing out that their
cleat position is actually
the thing that a little
modification can go a long way.
You sort of have to,
if you're going to continue
to see these athletes,
you got to get more
familiar with what can you
do from that end, I'm imagining.
Well, you know,
I think that's the biggest
challenge of the physio
getting going in bike is
just understanding the
mechanical aspects of it
and understanding which
equipment is safe to use.
And how do I even turn a screwdriver?
Sure.
Cause these are not cheap.
Just so people know,
like you start messing
around with cyclist spikes
and you're not doing it right.
They're not going to be happy people.
Yeah.
So for example,
my last two bikes last night,
one was like a
$12,000 time trial bike.
And then the next one was
like a $12,000 E road bike.
And so, I mean, there,
there's a level of match.
I'll say level of maturation in, in how,
how you,
you serve this group and how you
take care of their equipment, because,
I mean, you don't want to,
dork their equipment in your
office space and then you
need to also respect that a
lot of this stuff is very
it has weird mechanical
attachments and fixes and
then also understanding
your scope of practice like
can I make this change or
how do I how do I partner
with bike shops you know it
really is no different than
what we do in clinical
practice in the sense that
we have our scopes of
practice where you know
there's things that are
appropriate for us to do and then
There's, there's, uh,
times where we need to, uh, refer out for,
uh,
further interventions or more
appropriate interventions.
And so that's really how
there's things that I can do.
You know, I've been,
I've been wrenching on my bikes for years,
you know, since I was a little, you know,
as a little kid, you know,
I've always been
mechanically interested in
turning wrenches on my bicycles.
And so there's that
background knowledge that, you know,
bikes from the, not to
give away my age, but I'm secure in my age,
so it's fine.
But back in the 70s,
I was tearing apart my
bikes all the time.
And the bikes these days are
very different.
We've gone to much more
technically intricate bikes
that require special attention.
And so it's not just like, oh,
I'm going to take a weekend
course on bikes,
and then I'm going to be a bike fitter.
It's like,
Oh my gosh, I need tools.
I need to have the
perspective of how to
attach these bikes to stand, you know,
just simply attaching a
bike to a stand these days.
It's not easy.
You know, there's some,
there's some trickiness to it.
And so, um,
so it is this type of practice
I'll say is not for
everybody and really almost
kind of have to have to be
the triple threat, if you will,
of clinicians where physio.
Some bike background
understanding and then mechanical skills.
So you really,
it's just like your example of fixing the,
you know,
we talked earlier before the recording,
you know, you had that,
that you were out riding
your bike and you didn't
know how to fix a flat.
And it's like,
if you don't know how to
turn these wrenches and
appropriately tension bolts
to parts and pieces,
that one exposes you to liability.
Two, it doesn't help your patient client.
So it really, you do have to,
as much as people have
enthusiasm for this,
you do have to have some
base understanding of these things.
And really when I'm working, you know,
I pretty much only see bike, you know,
I have a little tiny bit of
orthopedic practice these days,
but it's all bike.
And so,
but to have that array of like
bikes that come in, you know,
I have like from,
The seventies bikes all the
way up to today's bikes,
which are vastly different, uh, in how we,
how we can adjust them and adapt them.
Well, let's talk about this.
We talked a lot about, you know,
a little bit about modifications, right?
A cleat position,
a saddle height or a saddle
pitch might change things.
But let's take the two
common injuries that you talked about,
which is anterior knee pain or low back.
What preventative measures
typically can cyclists take
to avoid those common injuries?
How do you educate your
cyclist to avoid that
anterior knee pain or maybe
that low back issue before
it becomes something that
keeps them off the bike?
Yeah.
You know, when people progress it,
so for example,
if I'm never ridden a bike,
one of the things,
the first thing is starting
out with the right size of
equipment or the right size of bike.
And so there's ways of
acquiring that equipment.
You know,
bike shops are great places to
start to find the right size of bike.
Sometimes, you know, it doesn't work out,
but that's, you know, for the most part,
it generally works out.
You know, bike shop,
is pretty darn good about
getting you the right basic size of bike.
Then from there,
it's understanding that
there will be positional changes.
So when we look at a person
who's starting out on bike,
it starts with kind of
maybe a basic rudimentary
bike fit or bike changing
of the bike position to
improve their postural
tolerance and gait function on the bike.
And that can be, you know,
I'll say a lot of times
people these days are doing
the DIY things.
So they're watching a lot of
YouTube videos or watching this and that.
And they're like, ah, you know, this is,
these are the good
recommendations and things
to try to try to try to get
this taken care of,
but acknowledging that bike
fit has some or bike positioning.
I like to call it bike
positioning has something
to do with your postural
tolerance and pedaling function.
Then it's proper.
progression of training and
pedaling skills.
And it's not just as easy as
riding a bike.
And so, as I like to say,
it's as easy as riding a bike.
But riding a bike's not that easy.
I mean, there's a lot of things to go on.
It's one thing to pedal the bike.
It's one thing to keep the
bike upright in all different conditions.
And that doesn't just happen
through watching a YouTube video.
I mean, you have,
or riding the trainer
indoors while watching Netflix.
you have to be outside
riding your bike and you
have to go through certain
progression of skill
development in order to
keep the bike upright,
in order to provide yourself with a good,
reasonable biomechanical stimulus.
And so I think acknowledging
that there's a progression
and you're not just going to say, oh,
I'm going to buy a bike and
do a century drive in a couple of months.
It's just, I have those people,
those people,
buy bikes and try to do like, for example,
in Seattle or in the
Pacific Northwest where I'm located,
we have a, a big bicycle ride, um,
called Seattle to Portland that in July,
mid July,
it's either a one day or a two
day ride from Seattle to Portland.
It's 200 miles people.
There are people who buy new
bikes and take up cycling
and start training in March
for this ride in July.
it's really tough I mean
it's it's hard to do
particularly for people
without athletic background
to just pick up equipment
and do this and so but
they've watched youtube
videos and things like that
which might say oh yeah you
can do it and here's the
bike fit you're gonna be
fine and but physically
it's really difficult
difficult with regards to
adaptation and so you know
I think again understanding
That it's a physical task
that takes adaptation time
and that the position of
the bike is super duper important.
And then after that, I mean,
there's things like nutrition, uh, like,
uh, ration, uh, you know, how to fuel,
how to eat, how to eat well, recovery, uh,
things like sleeping.
So there's all these, you know,
all these different things,
basic bike skills.
Like how do I stop safely?
How do I corner safe?
Yeah.
How do I stand up and pedal?
There's lots of people who
don't even can't do that,
can't afraid to take a hand off a bar.
You know, they're like, oh, you know,
I can't do it.
Right.
So oftentimes, you know,
there are sports skills
required to safely use your bike.
And lots of people don't have them.
Some of those sports skills
are limited by the position of the bike,
too.
All right.
So if you were giving advice,
if someone's still nodding
along with us and they're saying,
you know,
I'd like to get into or
something I've got on my
schedule in the next couple of days,
what advice would you give
to a physical therapist
looking to specialize in
treating cyclists?
What's the 101?
Like, okay,
I've listened to what Eric said.
I've put some of these
things into practice.
What might be the next step
or the next place that you'd send them?
Well, kind of looking back to my story,
I would...
I would go to PubMed and
type in bicycle and just
start doing research.
Yeah.
You know, there's a lot of,
I'll say a lot of
well-intending authority
figures on YouTube who will
tell you all sorts of stuff
that I oftentimes spend
myth busting with people.
But
But I would start with the
research and understand
some of the clinical and
basic science and math and
physics of bicycling.
I find,
I have found in my past that leaning in,
almost thinking like a
mechanical engineer in how
we deal with pedaling, pedaling function,
positioning on the bike,
makes you so much more of a...
efficient bicycle clinician.
So I think really starting there.
And then I would say in
looking at the research,
don't just look at the last
five years and assume that
that's the only valid body of research.
There's some really
important stuff that's throughout the,
you know,
the 80s 90s 2000s 2010s
2020s so don't just look at
like current research and
assume that's the sure
that's the most informed
research sure so so I don't
know I i would start there
and then there's always
classes I mean I i teach
some classes uh and there's
I'll say there's been some
spin-off tributes uh uh to
some of the stuff I've
taught and then also some uh
just people who've been interested.
AOPT, I have to mention,
they do have an independent study course.
That one sort of rolled
cycling in with a couple
other disciplines too.
And it's ISC,
Physical Therapist Management
of Individuals Who Cycle, Surf,
and Rock Climb.
So they sort of bundled
those together in one
independent study course.
Let me ask you this last question.
Do I need to be a cyclist to
be a great physical
therapist who treats cyclists?
I like that.
Made you thick.
I like it.
I think it really helps.
Yeah.
That's probably one of the
biggest pieces of advice I
give people is go ride a
bike and understand it.
I think for me to be the
clinician that I am and for
the opportunities that I've had,
it's been because I've been
a bicyclist and I
understand the rigors and mechanics of,
of this and the other.
And so, um, so I would say that, um,
it's very helpful to ride a bike,
just like if I were to, um,
mentor a person a clinician
who is wanting to treat any
other practice group sure
running triathlon whatever
any other sport you have to
it just makes it so much
better sure so I i would
encourage I would encourage
everyone to ride a bike of
course but yeah ride a bike
All right.
The input study course I
mentioned can be found at AOPT's website,
and that is orthopt.org.
Eric,
appreciate the time giving us some
insight on the athletes on two wheels.
Thank you so much for having me.