epa01674285 Astana's US rider Lance Amstrong (L) and his team-mate Spanish Alberto Contador (R) moments before starting the first stage of the 24th Castilla y Leon cycling tour, in Paredes de Nava, Palencia, Castilla y Leon, Spain, 23 March 2009. Lance Armstrong fell during the first stage of the Vuelta of Castilla and Leon cycling race on Monday and has been taken to hospital. Some 20 kilometres before the stage finish at Baltanas, Armstrong was involved in a multiple fall and sat on the ground for several minutes, visibly suffering pain to his right arm. EPA/Bragimo