2009
12.10

Perfect Fit – Part 2. Interview, Medical History

In part 1 we discussed the portion of the interview which entails retrieving the athletic history as well as other lifestyle information from the client.  In part 2 we will be continuing with the interview with a particular emphasis on the client’s medical history.

We ask all of our clients to fill out an extensive medical history at home before coming in for the fit. Once the positioning process begins the pre-completed form is reviewed by the fitter.  The fitter will then go through the entire body starting at the toes and working up the chain to the head of the athlete.

For each section of the body there are a multitude of questions to be asked of each individual body part.  All are important and should not be ignored or dismissed as unessential.

For example.

The feet are an integral and imperative part of the body to be discussed at length.  Subsequent questions would follow along the lines of  do you have Hot Spots?  Where are the hot spots on the foot, Are the hot spots in both feet or just one.  Do you experience any numbness? Where is the numbness, is it isolated to one area of the foot or is it the entire foot as a whole.  Is the numbness only experienced in one foot or is it prevalent in both feet.  Is there any soreness or irritation in any or all parts of the each or both feet. where is this soreness or irritation located on the foot. Do you experience any heel spurs or Heel pain. have you ever been diagnosed with Planter Fasciitis.

The result of these questions are the first step to diagnosing the root cause of the issue and beginning  the mending process.  Some issues can be easily fixed with something as simple as moving the cleat, or the creation of additional support for the arch and/or  forefoot.  ( Please note that a small change in the shoe, cleat or alignment of the foot can create good or bad effects on the rest of the system above the foot. ) Other issues can be far more complex and require a more delicate touch.  It may also be determined from this question and answer section that the use of a different style  pedals or shoes could greatly improve the athlete’s well being and efficiency.  Rarely, but not improvable it may be determined that the issues are severe enough that athlete should be referred out to a podiatrist for further evaluation and then return to the positioning process with any and all medically treated issues repaired or at the very least diagnosed.

It will also be important to talk about what treatments or remedies have been tried for each specific issue, what was the outcome of that treatment or remedy.  Would they do the same course of treatment in the future.  Finally, are there  any alternative methods of treatment that have yet to be tried and are they a viable option.

As we move past the feet we asses the ankles and lower leg;  points of interest consist of  Breaks and or fractures, Lateral soreness, Achilles issues, Calf tears and or strains, anterior tibialis pain or splints.  Once again some of these can be an easy fix, or may require a longer course of treatment and strengthening. Regardless, this is all essential information to help with the direction and theme the fitting will need to follow to best meet the needs and desires of the athlete.

From there we move to the knee with its potential many subsequent questions. Next we move onto a small but what I believe to be one of the most important mussels as it can dramatically effect the efficiency, power, and endurance of the Rider: the TFL. We then begin to talk about the hips and the myriad of issues that can be associated with it.

Saddle Issues are next on the list and represent a major category of conversation and will in fact have its own write up in the series of articles to follow.

Continued points of conversation will be the lower, central, and upper back, the neck, shoulders, elbows, wrists, and finally the hands.

Before the medical interview is over it is  important to discuss any and all other health related issues that have or currently effect the athlete. Surgeries,  diseases, and/or previous disorders, may have an effect on the outcome of the position or ability of the athlete to maintain said position.  It is imperative for the fitter to have a full understanding of the health and physical wellness of the athlete in order to educate, make recommendations for specific exercises and most importantly to determine the correct position and the style of application that best meets the individual needs of the athlete.

Pleases feel free to question or comment on this post.

Next: Perfect Fit – Part 3 Interview Goals


This post was written by: DGG
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