The Bike Doctor

The Bike Doctor I evaluate your cycling position and body's biomechanics. Then correct those pain causing problems to improve your comfort and performance.

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01/01/2026

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You might not feel it happening, but every time you clip in and ride, your body is quietly defending your brain.

For years we've known that cycling keeps our hearts strong and our legs powerful. But new research reveals something far more profound. When you ride, your muscles release a hormone called irisin that crosses into your brain, stimulates the growth of new neurons, and actively fights the processes that lead to Alzheimer's disease.

Scientists at Harvard's Stem Cell Institute recently confirmed what many of us have sensed for years. Movement isn't just good for the body. It's medicine for the mind.

Here's what happens beneath the surface of every ride.

As your legs turn the pedals, your muscle fibers produce a protein called FNDC5. That protein is then cleaved into irisin, a hormone that enters your bloodstream and crosses the blood-brain barrier. Once inside your brain, irisin goes to work in the hippocampus, the region responsible for learning and memory.

In animal studies, researchers found that irisin boosts the production of brain-derived neurotrophic factor, or BDNF. Think of BDNF as fertilizer for your brain. It encourages the growth of new neurons, strengthens the connections between them, and protects existing brain cells from damage.

Even more striking, when scientists blocked irisin in mice, the cognitive benefits of exercise vanished. When they increased irisin levels in mice with Alzheimer's-like symptoms, memory improved and brain inflammation decreased. The hormone didn't just correlate with better brain health. It caused it.

Human studies are still early, but the findings are promising. Post-mortem analyses of human brains show that people with Alzheimer's have lower levels of irisin than healthy individuals. And in small trials, people who exercised regularly showed measurable increases in circulating irisin, along with better cognitive performance.

The implications are staggering.

We're not just riding to stay fit. We're riding to stay sharp. To remember the names of our grandchildren. To hold onto our independence as we age. To protect the very essence of who we are.

And unlike experimental drugs or unproven supplements, this intervention is free, accessible, and something many of us are already doing. You don't need a prescription. You don't need a lab. You just need a bike and the willingness to ride it regularly.

The evidence suggests that consistency matters more than intensity. Whether you're hammering intervals or enjoying a steady spin through the countryside, your muscles are producing irisin. The key is to keep showing up, week after week, because the protective effects accumulate over time.

So the next time someone asks why you spend so much time on your bike, you can tell them this. You're not just chasing fitness or burning calories. You're building a fortress around your brain. You're investing in decades of clear thinking, sharp memory, and the ability to live fully and independently.

Every pedal stroke is a deposit into your cognitive future.

And that might be the most powerful reason to ride.



Studies referenced:

• Wrann, C.D., et al. (2013). "Exercise induces hippocampal BDNF through a PGC-1α/FNDC5 pathway." Cell Metabolism, 18(5), 649-659.

• Lourenco, M.V., et al. (2019). "Exercise-linked FNDC5/irisin rescues synaptic plasticity and memory defects in Alzheimer's models." Nature Medicine, 25(1), 165-175.

• Islam, M.R., et al. (2021). "Exercise hormone irisin is a critical regulator of cognitive function." Nature Metabolism, 3(8), 1058-1070.

• Belviranli, M., & Okudan, N. (2022). "Exercise-induced hormone irisin protects against neuronal injury via activation of Akt and ERK1/2 signaling pathways in Alzheimer's disease." Frontiers in Psychiatry, 13, 967683.

11/01/2023

I am honored to have my research paper published in The Journal of Science & Cycling.

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11/18/2021

I am collecting data to complete a research paper I am writing and then submitting for publication. Please take a minute of your time to fill out my survey. Thank you. Please feel free to share the link.

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Knee problems is cyclists arise from the hip/pelvis or ankle. Call me so that we may evaluate you to determine where the...
09/17/2021

Knee problems is cyclists arise from the hip/pelvis or ankle. Call me so that we may evaluate you to determine where the origin of your problem is coming from and fix it.

A common source of injuries for athletes, the knee is a pivotal hinge joint and the largest joint in the body.

Is your positioning allowing you to take full advantage of the power in your glutes? Call me so that we may evaluate you...
09/14/2021

Is your positioning allowing you to take full advantage of the power in your glutes? Call me so that we may evaluate you on and off the bike.

Across a range of studies, the gluteus maximus displays its greatest activation levels during hip extension when the muscle is producing force while it is shortened (either by hip extension itself, by hip external rotation, or by hip abduction). This is likely because the shorter muscle displays a larger hip extension internal moment arm, and is thereby activated to a greater extent in accordance with the principle of neuromechanical matching.

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Research showing to concentrate on the gluteal muscles to ride faster.
09/01/2021

Research showing to concentrate on the gluteal muscles to ride faster.

Faster sprinters display larger hip flexor muscles and larger hip extensor muscles than slower sprinters. However, maximum strength levels at the hip joint do not differ between these athlete groups (and in fact, greater knee extensor strength was associated with slower 100m times). This suggests that the key differentiating factor between them is maximum speed (and therefore high-velocity strength) rather than maximum strength.

Sign up to the next S&C Research Review to read more about this topic: https://www.patreon.com/SandCResearch

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08/30/2021

This morning I just noticed the similarities to cycling positioning and how riders may assume the same posture. Call me or send me a picture so that I may evaluate you and make necessary corrections.

Excellent video showing how to relieve TFL tightness.
08/27/2021

Excellent video showing how to relieve TFL tightness.

Overload of the TFL can lead to pain and tightness in the front of the hip. Very common is also tightness or pain radiating into the ITB and in the outer par...

Deep gluteal pain syndrome is common with cyclists as most of the pedaling power arises from these muscles. However, tre...
08/25/2021

Deep gluteal pain syndrome is common with cyclists as most of the pedaling power arises from these muscles. However, treating just these muscles WILL NOT resolve the symptoms. Call me, we will get to the BOTTOM (🤣) of your problem and fix it.

This is what happens to cyclists as their quads strengthen and tighten, then effecting the glutes. Call me, I evaluate a...
08/23/2021

This is what happens to cyclists as their quads strengthen and tighten, then effecting the glutes. Call me, I evaluate and treat all conditions arising from tight quads.

Although rare, cyclist's may sustain foot stress fractures. It is due to pressures being exerted in the foot improperly....
08/18/2021

Although rare, cyclist's may sustain foot stress fractures. It is due to pressures being exerted in the foot improperly. Orthotics are required to correct this. Call me, I can evaluated and cast you with the proper custom inner soles you need.

Stress fractures are small, microscopic cracks in bone that commonly occur in the feet. Foot stress fractures are often caused by overuse injuries in sports, such as soccer or dance.

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