I visited Wade at Spokesman Bicycles and almost immediately he recognized that the position I was in was not all that aerodynamic. Without really knowing what I was doing I had picked a bike that was not fit to me that well and it was not allowing me to get into an efficient position. Below are some frame captures from the fit session. On the left I am on my Transition and on the right I am on the Cérvelo that we built to fit my body's geometry and optimize my TT position. The geometrical changes that we made were moving the seat forward 7 cm and dropping the bars 10 cm.
This new position did a lot of things to make me more aerodynamic and was simultaneously more comfortable. By being closer to the bars and with them lower my back became more horizontal making my front profile smaller and also put my arms in a more natural position so that my shoulders can rest in line with my neck and back so my scapulae are no longer flaring up and I no longer have to do any sustained lateral or vertical compensation. With the extra freedom in my shoulders I can also roll them forward to squeeze my forward profile even thinner.
The new position, though a better fit for my physiology, is agressive and stretches my hips and back more than I am used to so over a couple of months I am slowly stepping down the drop in the bars. The other thing we worked on was my foot and knee position. We added varus wedges to my shoes so that my knees would shift slightly outward and sit directly above the center of my foot. My knees had been slightly out of line and my leg muscles compensated so Wade also gave me stretches and exercises to compensate for the imbalances I have developed. In the videos you can see (hopefully) that my knees are moving into a more neutral and efficient position engaging the proper muscles.
This is still a work in progress and my body is capable of geting into an even lower position which will require a different bike frame because we have almost reached the limit for drop on the Cérvelo.