On March 23, 2009, Armstrong fell with over a dozen other bicyclists on the first leg of the Vuelta a Castilla y Leon race in Spain. He was taken to a nearby hospital clutching his collarbone, although information about his specific injury has not been released.New York Times: Armstrong Injured in Cycling Crash (March 23, 2009) CNN: Armstrong in hospital after race crash (March 23, 2009)

On November 18, 2008, Armstrong stated that he fears for his personal safety when he returns to the Tour as planned. Armstrong feels there is a lot of resentment towards him in France due to negative press.ESPN.com: Armstrong says 'emotions' could put his safety in jeopardy (November 18, 2008)

Armstrong has stated on several occasions that his return to cycling is to raise cancer awareness. But some critics believe that Armstrong has returned to prove that he raced clean during his historic run.ESPN.com: Armstrong racing for cancer awareness

"I'm going to try and win an eighth Tour de France."—Lance ArmstrongSI.com: Armstrong returning to cycling

"This year alone, nearly eight million people will die of cancer worldwide. ... It's now time to address cancer on a global level."—Lance ArmstrongSI.com: Armstrong returning to cycling