SHERMER’S NECK: RAAM’s Own Unique Malady. By Vic Armijo

Ultra Cycling has it’s own set of interesting problems. The one feared by many is called Shermer’s neck. The best write up I have ever seen was written on a public Facebook post in the RAAM Ultra Cycling forum by the amazing Vic Armijo. In an effort to retain this great knowledge and his experience I have republished his post word for word in this blog. Now it can be preserved and archived for any ultra cyclists who want to learn from this great depth of Vic’s experience. **All photo credits to Vic Armijo and appear originally posted in his post.

SHERMER’S NECK: RAAM’s Own Unique Malady
By Vic Armijo

“We’re all familiar with eponymous diseases; that is, those that are named after a person. Baseball legend Lou Gehrig, “The Iron Horse” is possibly more known for “Lou Gehrig’s disease, the commonly used term for the debilitating disease amyotrophic lateral sclerosis that ended his life, than he is for his prowess as a hitter or for his long and illustrious career. Alois Alzheimer,a psychiatrist and neuropathologist who accomplished many things in his professional life will always be associated with the disease that bears his name. And then there’s Shermer’s Neck, a condition unique to UltraCycling in which after days on the bike the racer can no longer hold up his or her head. The condition is named for Michael Shermer, who in RAAM 1983 became the first recorded sufferer of the malady.

13254511_10209446957317091_1005201519610598596_n

MICHAEL SHERMER. He was one of the original four racers in the first RAAM 35 years ago (he’s shown here as an honored guest at the 30th RAAM), he’s an author, publisher and renowned speaker, “But I swear in a hundred years the only thing I’m going to be known for is this damn bad neck!” Photo Credit: Vic Armijo

These days Shermer is a renowned science writer, historian of science, founder of The “Skeptics Society,” and editor in chief of its magazine “Skeptic,” a publication focused on investigating pseudoscientific and supernatural claims. “But I swear in a hundred years the only thing I’m going to be known for is this damn bad neck!” he said in a 2011 interview, “I’ve written ten books, I’ve done all of these things and none of it matters but the fact that my neck went out!” Shermer described the condition,” It’s a collapse of your neck muscles and you can’t hold your head up. It’s fatigue pain. It hurts to lift your head so you drop your head—you just can’t do it.”

Over the years many RAAM and RAW racers have suffered from Shermer’s Neck. Some have ended their race, while other have propped up their heads through mechanical measures, “The guys have all developed techniques to hold it up; props, braces and pulleys and posts,” Shermer noted, “I wish I would have had that—I could have finished. I just kept holding my head up with my hand.” Some racers have done well despite a bout with Shermer’s Neck. Alan Larson won RAAM 2004 while wearing a brace during the latter miles. More recently Alberto Blanco rode to 4th place in RAAM 2011, riding over half of the race in a brace cobbled together out of a roof-rack wheel holder and lots and lots of duct tape.

What physically happens when a rider gets Shermer’s Neck? There are varying opinions, just as there are varying symptoms. Some describe it as being quite painful, which leads to the opinion that it is simply muscle fatigue, while others report no pain, just the inability to hold up the head, which lends credence to the theory that it is nerve fatigue—that the muscles are no longer receiving the signal to contract. Veteran of ten consecutive RAAM’s Gerhard Gulewicz holds the latter opinion. For his first seven RAAM’s he’d been immune to it, but then did not finish RAAM in 2013 and 2014 due to Shermer’s Neck. In a pre-RAAM 2014 interview he described his 2013 experience, “It was two weeks before it was better. Nobody could tell me why. It does

MISERABLE MARK. Mark Pattinson is usually one of the most jovial racers on the road. He wasn’t particularly cheerful on this night. Photo Credit: Vic Armijo

MISERABLE MARK. Mark Pattinson is usually one of the most jovial racers on the road. He wasn’t particularly cheerful on this night. Photo Credit: Vic Armijo

not hurt. The only thing that you can’t do is bring your head up. No pain. Nothing. It is crazy. No impulse to the muscles. You can do nothing. You are lying down and you think ‘Oh it is better.’ But sit up and…” he concluded his statement by flopping his chin to his chest.

To learn more about the physical causes of Shermer’s Neck I contacted someone whose racing background and medical background give her a unique insight; 2014 winner in the women’s Under 50 category, Dr. Janice Sheufelt, MD, who qualified her input by saying, “This is such a fringe type of problem. It’s not like there’s research on it.” She offered this opinion on the painful variety of Shermer’s Neck, “The neck muscles can still contract but are so inflamed and swollen—that’s what’s causing the pain—and your brain won’t let you continue. When you have pain your brain won’t let you contract those muscles. It’s ‘No! That’s what’s causing the pain and using it will only make it worse.’” As for the non-painful variety, Dr. Sheufelt said, “In this type I don’t agree that it is a nerve problem; the muscles are just positively unable to contract any more. It doesn’t hurt. The nerves are still firing—they’re still telling the muscles to react—but the muscles can’t respond. No muscle can contract indefinitely.”

13217313_10209446960877180_3506188906918059081_o

“PROBLEM SOLVED” – When Jim Rees arrived at the Camdenton, Missouri time station during RAAM 2008 he was wearing a soft neck brace that obviously wasn’t helping much. His crew was there waiting with this brace that they’d made from PVC tubes. Rees tried it on and exclaimed, “Problem solved.” Indeed, Rees continued on and finished in 11 days, 8 hours and 18 minutes. Photo Credit: Vic Armijo

Sheufelt further explained that in her opinion there’s not much that can be done physically once a rider has full-blown Shermer’s Neck, that time off the bike is the eventual means to recovery and that prevention is the best tactic. “I’ve seen UltraCyclists using aerobars in a low position without spending adequate training time prior. If you maintain a position that you body isn’t trained for, if you don’t change position, if you don’t move your head around, if you have that constant neck extension, those muscles can’t maintain that constant load. At some point they’ll just give out.” Gulewicz expressed much the same opinion prior to RAAM 2014, “It was coming during Kansas. I think it was the position of the bike. I was very low with a lot of headwind and I put my head down and then it starts.” Key too is recognizing if a racer could be prone to it. Sheufelt elaborated, “When I was preparing for RAAM some people told me it seems that Shermer’s Neck is more common in people who have had a previous neck injury—someone who has had a whiplash, an accident or some time of neck trauma is at higher risk and perhaps should work with a physical therapist beforehand. A lot of that can be worked out with good physical therapy for three or four months ahead of RAAM.”

Can training exercises prevent Shermer’s Neck? Both Sheufelt and Gulewicz are skeptics on this. Sheufelt said, “Using weights on your head or exercising and doing repetitions with weights on your head, I’ve read, is not going to help. It’s not how strong your muscles are, it’s the overall duration of just asking them to contract.” And Gulewicz said, “If you train your neck muscles too much then this is also a problem. You have to keep your body balanced. If you develop one muscle more and one less it makes no sense.”

13227610_10209446942596723_5794686061769366128_o

NON-AERO BARS. When Paul Danhaus developed Shermer’s Neck in RAAM 2009 his crew cleverly mounted a second set of aerobars, turned them upward and affixed a pad on which he could rest his chin. Danhaus finished. Photo Credit: Vic Armijo

Success in RAAM is all about preparation. Smart riders, even those with no history of Shermer’s Neck, bring one of the previously mentioned devices along. “Some riders think ‘That won’t happen to me!’” Sheufelt said. Gulewicz agreed, saying this about his first bout, “I could not believe. You see different people have Shermer’s Neck and think ‘This cannot happen to me,’ and then there you are.” Over the year’s we’ve seen several effective means of keeping a Shermer’s Neck afflicted racer on the road. The most common method is a harness that utilizes a sort of backpack with a strut that extends up and over the rider’s head. A cord or strap then hangs downward and is attached to the rider’s helmet. Neck braces are common too, though the soft ones commonly used for whiplash victims don’t really provide enough support—the rider’s head will compress the soft cushion and flop down. The hard-shell braces that are used by ambulance personnel when transporting someone with a suspected neck injury are much more effective, but are also very uncomfortable. The third common method is to create a surface on which the rider can rest his or her chin. We’ve seen cans taped to handlebars as did Gulewicz in 2014, and in 2009 Paul Danhaus finished RAAM with his head propped up on a set of aerobars that had been rotated back with a makeshift chin cushion attached to the highest point.

RAAM racers are beyond dedicated. Each year they come to Oceanside intent on reaching Annapolis knowing full well that along the 3,000 miles they’ll surely suffer saddle sores, sunburn and blisters, they’ll ride through scorching desert heat and freezing alpine cold, will likely be rained upon, will endure –shall I say—digestive issues and yes—there’s a chance that their neck muscles may scream “Enough,” bringing about the choice between quitting or carrying on in a brace or harness. Shermer’s Neck is just one of the many challenges faced by the participants in the World’s Toughest Bicycle Race.”

13173680_10209446943716751_8514519109696468865_n

CAN IF YOU CAN’T. Another common remedy is to attach some type of can to the handlebar to act as a chin rest. Gerhard Gulewicz took this approach last year. Photo Credit: Vic Armijo

-Vic Armijo

Original write up posted in the RAAM Ultra-Cycling Forum, and expertly written by Vic Armijo. All photo credits belong to Vic Armijo as well. Thanks Vic for the great insight and education! Original Source: https://www.facebook.com/groups/523225327828742/permalink/630594193758521/

Arizona bicycle crash and bicycle accident lawyer Ben Dodge

Ben-&-BikeA bicycle crash is not always an accident. If you, or someone you know were injured in a bicycle crash or accident caused by a road hazard or dangerous road condition, hire a personal injury attorney who is experienced and has a successful track record. Ben Dodge, a licensed bicycle accident lawyer in Arizona, has dedicated his entire firm to one purpose: representing cyclists. Bicycle accident cases are the only cases Bike Accident Attorneys, PLC handles. Home based out of the great state of Arizona, Ben can still help cyclists in the entire United States. Ben also founded Bike Accident Attorneys Network, a national network of attorneys who focus on representing cyclists. Ben can find you help anywhere in the country.

Ben Dodge has represented and assisted bicycle accident victims across the entire united states. As an avid and competitive cyclist himself, Mr. Dodge currently participates in national and local cycling events all over the country. It isn’t uncommon to spot him in early morning hours out riding his bike. The day he fell in love with his job was the day he devoted himself completely to bicycle accident cases.

Ben represents cyclists injured in bicycle accidents, at the police station, with insurance companies, and in the courts. He advocates for the rights of all cyclists, not just his clients. He teaches the police about bike laws and bike safety, he educates drivers about the rules of the road, and he trains cyclists and clubs to ride more safely.

A consultation with experienced Arizona bicycle accident attorney Ben Dodge is free

In recent years there has been approximately 700 bicycle fatalities in the united states every single year. Approximately 2,000 bicycle accidents are reported in Arizona every year. approximately 30 fatal bicycle accidents are reported in Arizona every year. Bicycle fatalities are terrible and horrific tragedies that affect the lives of too many families and friends to count. Understanding your rights and obligations as a cyclist can bring clarity to your specific accident situation. It will always be in your best interest to be represented by an attorney who knows the bicycle laws and has a successful track record of winning bicycle accident cases. The negotiation tactics and strategies of winning a case are extremely important but should always take a back row seat to the litigation experience and knowledge of court room rules, local, state, and federal rules of civil procedure that can have significant impact on your bicycle accident case. It is wise to be represented by someone well versed in bicycle accident law, local and state bicycle ordinances, rules, regulations, policies, and laws. You should hire someone very familiar with negligence and tort law, civil procedure, and the rules of evidence as they all relate specifically to bicycle accident cases.

Ben dodge always offers a complimentary in person consultation to all local cyclists and a complimentary phone consultation to any cyclist injured in a bike accident. Typically the consultations are schedule from 30-60 minutes depending on the severity of the accident. You can expect to get answers to questions, clarity, information, and reassurance of your personal bike accident liability and potential for recovery. In your free consultation you can generally expect to discuss such topics as:

  • your specific bike accident details, diagrams, and pictures from your perspective and then from the perspective of your bike accident attorney.
  • the applicable local, state, and federal laws underlying your case.
  • your cyclist’s rights, obligations, and any potential liability.
  • the process, procedure (in and out of court), and the time frame required to conclude your case.
  • the value of your case and what you might expect as compensation.

You can call Arizona bicycle lawyer Ben Dodge of bike accident attorneys, PLC at 1.855.663.3922. Mr. Dodge’s staff is standing and ready to accept your call 24 hours a day, 7 days a week, every single day of the year. Ben will personally return your call within 24 hours. there is never an obligation for a complimentary consultation with Mr. dodge. His passion is in representing cyclists and his entire office stands ready to serve with kindness and patience.

Bike Accident Attorneys, PLC

Call Ben Dodge, the Bicycle Lawyer today at 1.855.663.3922. Reach him by fax at 1.800.958.8902.

Mr. Dodge can also be reached by email at ben@bikeaccidentattorneys.com

His main Arizona offices are located at:

Mesa Arizona (home base office)
4824 E. Baseline Rd., Suite 124
Mesa, Arizona 85206

Phoenix Arizona office
2415 e. Camelback rd., suite 700
Phoenix, Arizona 85016

Tucson Arizona office
One South Church Avenue, 12th Floor
Tucson, Arizona 85701

Mr. Dodge represents cyclists in the entire state of Arizona including but not limited to mesa, phoenix, tucson, yuma, gilbert, peoria, glendale, scottsdale, ahwatukee, tempe, chandler, prescott, sedona, flagstaff, surprise, kingman, page, lake havasu city, payson, goodyear, buckeye, queen creek, paradise valley, show low, winslow, maricopa, nogales, globe, avondale, cave creek, fountain hills, apache junction, carefree, wickenburg, pinetop-lakeside, strawberry, anthem, safford, and more. Ben Dodge is currently involved with bicycle accident cases all over the country and can assist in representation in all 50 states.