SATURDAY, Nov. 1, 2003 (HealthDayNews) -- Not long after Lance Armstrong triumphed over cancer, he noticed a recurring pain in his left shoulder while he was training.
The five-time Tour de France cycling champion and his coach, Chris Carmichael, looked in vain for a reason and even began to wonder if the cancer had come back.
"At first we thought the cancer had returned. Then we looked at his position on the bike," Carmichael said.
The culprit was, in fact, much simpler and more benign. It was also staring them right in the face, or at about torso level. Armstrong had recently acquired a new bike that had a handlebar width of 40 centimeters. The handlebars of his previous bike measured 42 centimeters across. Armstrong switched the handlebars and, almost immediately, felt the pain start to recede.
Armstrong was suffering from an overuse injury, caused from repetitive trauma to the tissue. According to the American Orthopaedic Society for Sports Medicine, some common overuse injuries are to the rotator cuff (the shoulder), tennis elbow, jumper's knee (common in basketball and volleyball) and Achilles tendonitis (seen frequently in runners).
Clearly, you're more likely to suffer an overuse injury if you're biking hundreds of miles a week in preparation for the Tour de France. But as thousands of first-time marathoners head for the New York City Marathon on Sunday, it helps to keep in mind some tried-and-true rules:
More information
The Mayo Clinic has details on some stretching exercises. Here is the official site for the New York City Marathon.