On Saturday I did a long "brick" session of 55-60 miles (3hrs) and then a 11-12 mile run (1hr 50). The problem became apparent 3 minutes into the bike ride and at that point I couldn't be bothered to turn around and get an allen key...
The previous week I'd completed a duathlon and my bike was set up for a fast, flat course with tri-bars. I'd moved the saddle forward and lowered it slightly to compensate and raised the stem slightly too to allow for the fact that the tri-bars fitted below the normal bars.
For Saturdays ride I removed the tri-bars but forgot to do anything else so the bike wasn't set up for a hilly and windy 60 mile course with no tri-bars.
The ride went ok, if a little uncomfortable but I paid for not turning round. The real problems came towards the 9 or 10 mile point on my run and my back really started to feel it!
So, lesson - ensure you sort your positions out. I feel really annoyed with myself as I'm nomally quite a stickler for this point.
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Do you not take a small multitool on training rides?
butI'd obviously recommend a proper bike fitting for everyone else who can indeed be arsed.
I nomally do take a multi-tool with me, I just left it behind and couldn't be ar$£d to go back and get it, even tho' I was only a few hundred meters away... No long term affects after the run, but it's as well to be prepared.