This is an excerpt from Andy Pruitt's Medical guide for cyclists. Because I
used it, I'll give it a plug. It's available as an e-book from
www.roadbikerider.com for a small fee.


� Shermer Neck

DESCRIPTION

Shermer neck is named after Michael Shermer, a Race
Across America competitor who suffered from what can
be termed neck failure. Things got so bad that his crew
members constructed a makeshift brace from bungee
cords to hold up his head as he rode. Shermer isn�t the
only RAAM rider to suffer debilitating neck fatigue and
pain, but he was the first and, now, most famous.
SYMPTOMS

Your neck feels tight and painful after you�ve
been riding a while.

It�s hard to turn your head to the side or look be-
hind for traffic.

In extreme cases, such as riding 350 miles day
after day in the Race Across America, the neck
muscles go into spasm. Like Shermer, riders
can no longer hold up their head.
CAUSES

Improper bike fit, primarily excessive reach to
the handlebar that makes you crane your neck
to see ahead

Insufficient strength in the neck muscles.

Riding long distances without sufficient breaks.

Riding in an aero position that requires you to
hyperextend your neck to see down the road.
61

TREATMENT

Raise your stem or install a shorter, high- rise
stem.

If you�re on aero bars, raise them so you can
see ahead without strain.

Change position frequently as you ride. Stand
often so your neck is supported by your spine
rather than your muscles. Frequently turn your
head from side to side and up and down to
stretch and relax your neck.

Tilt your head slightly to the left or right of verti-
cal, rather than lock into the dead center
position.
IF THESE REMEDIES DON�T WORK

Strengthen your neck with exercises provided by
a physical therapist or cycling coach.

Gradually increase mileage so your neck be-
comes conditioned to holding your head in the
riding position for longer periods.



Steve Reinisch

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