I feel like I should try to set the record straight based on the currently-available EVIDENCE and not what some posters "feel" they get having done it or what they've "heard" from their local gym rat.
Let's start from the basics here. As we probably all know already, high-intensity, short duration (<15 s) work is achieved primarily via the ATP-CP system where Creatine (Cr) is broken down. During this work, muscle creatine stores can fall to <30% of initial concentrations (somewhere in the 75-85 mM/kg of dry muscle weight). So, the THEORY (yes, it's still very much a theory) is that exogenous Cr supplementation will increase the resevoir available for PCr splitting. The problem is that it is very likely there exists an upper limit of creatine storage (somewhere near the 85 mM/kg dry muscle).
Cr supplementation will NOT increase maximum speed or power! It will however increase speed MAINTENANCE, primarily by acting as a "buffer" for H+ from the PCr+ADP+H+ reaction to ATP+Cr.
It is not known whether increased Cr stores enhance recovery during repeated, high-intensity efforts, but my thoughts are that it probably does. With that said, recovery of PCr within the muscle is EXTREMELY rapid (95% replenished within 3 mins, without Cr supplementation), so that begs the question, is there really any need to supplment? Maybe if you were doing a series of high-intensity intervals where your recovery is <1 min (PCr recovery is "only" about 67% replenished within 60s).
With that said, here are the side effects:
1. Increased weight gain, within the first few days of supplementation. In sports where carrying your weight is of importance (almost all of them except for rowing and cycling on the level), this excess weight gan may be detrimental. Think of the force-power-velocity relationship people!!!
2. Many complain of tight or stiff muscles
3. With continued use of Cr supplementation, endogenous production of Cr by the liver and kidneys is down-regulated. While it APPEARS that endogenous production resumes after supplementation stops, there are really not enough good longitudinal studies out to confirm this
4. It MAY be stressful on your kidneys. Again, not enough really good longitudinal studies to confirm this one way or the other.
5. Athletes, particularly those who are already highly-trained, with a high percentage of Fast-twitch fibres may not see any performance gaines since their PCr concentrations will already be very high to begin with through years of training and/or a very high proportion of Type II fibres (which are able to store larger quantities of PCr).
6. Many coaches/athletes don't know how to properly cycle creatine to maximize the potential (albeit potentially limited) performance benefits. Maintenance phases often are not incorporated into the Cr loading and/or long term loading persists.
I hope that helps dispell some of the myths.
jT