Addressing Knee and Lower Back Pain with Martin Kumm

Interested in working with a coach? Send us a text! (https://www.buzzsprout.com/557458/fan...) Summary In this episode of the Training Babble Podcast, host Dave Schell and guest Martin Kumm discuss why cyclists get hurt and what to do about it. Martin, a sports chiropractor for Team EF Pro Cycling, breaks down the mechanics behind knee and back pain, explains why bike fit is only part of the equation, and introduces a framework for understanding how load, tissue capacity, and recovery all interact. They explore the creep principle, the kinetic chain, and why pain location is rarely the same as pain source. The conversation also covers the role of the nervous system in recovery, how life stress affects your ability to absorb training, and simple self-tests athletes can use at home to identify their own restrictions. Martin closes with a reframe that ties injury prevention and performance together as the same goal. Takeaways • Too much load plus not enough capacity equals injury. Every overuse injury traces back to that formula. • There are two injury mechanisms: acute overload and chronic accumulation. Knowing which one you're dealing with changes how you recover from it. • The creep principle means tissue under constant load gradually deforms and loses capacity, often before pain ever appears. • Bike fit matters, but body capacity matters more. The best fit in the world won't protect tissue that hasn't adapted to the demands of that position. • Pain location is rarely pain source. A knee problem often traces back to the hip. A back problem often traces back to a restriction further down the chain. • Hip mobility, specifically flexion range, is the single biggest predictor of long-term pain-free riding. • Anti-rotation core work is more valuable for cyclists than rotational exercises, because what you need on the bike is the ability to resist rotation, not create it. • Eccentric loading is the one category of training most cyclists are missing entirely. • Your nervous system can be exhausted by life, not just training. A stressful day at work counts against your recovery. • Injury and performance are the same thing. The longer you stay healthy, the more consistent work you do, and the better you perform. Cycling Clinic Booklet (https://cycling.clinic/ride-pain-free...) Instagram (https://www.instagram.com/martinkumm_...)