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pudendal nerve problems

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Road Cycling
Published
25 July 2003
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Chris Smith
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  1. HI All, First off, I know their'll be a lot of humorous replies to this, can't stop that.

    I'm a male, 43, just started riding a roadbike for about a month or so, I tend to ride about 40
    minutes to an hour every day. I've noticed sustained slight numbness in my crotch area and assume
    it's the result of pressure on the pudendal nerve. Is it possible to change seat adjustment or
    something else to minimize the pressure problem?

    Thanks Chris

  2. In article <[email hidden]>, [email hidden] says...

    Quoted message said:

    HI All, First off, I know their'll be a lot of humorous replies to this, can't stop that.

    I'm a male, 43, just started riding a roadbike for about a month or so, I tend to ride about 40
    minutes to an hour every day. I've noticed sustained slight numbness in my crotch area and assume
    it's the result of pressure on the pudendal nerve. Is it possible to change seat adjustment or
    something else to minimize the pressure problem?

    I had the same issue.

    First, make sure your seat is either level or the nose slightly lower than the back. Nose-up will do
    this all the time.

    Second (which worked for me): get a seat with a cutout in the center to take the pressure off your
    soft tissues, leaving it only on your "sit" bones. I really like my Specialized body geometry seat
    (I don't remember the exact model), but which seat works for any given individual is a highly
    personal decision, often requiring much experimentation.

    --
    David Kerber An optimist says "Good morning, Lord." While a pessimist says "Good Lord,
    it's morning".

    Remove the ns_ from the address before e-mailing.

  3. Chris Smith said:

    HI All, First off, I know their'll be a lot of humorous replies to this, can't stop that.

    I'm too lazy to look up "pudendal nerve", so you're in luck. <G>

    Quoted message said:

    I'm a male, 43, just started riding a roadbike for about a month or so, I tend to ride about 40
    minutes to an hour every day. I've noticed slight numbness in my crotch area and assume it's the
    result of pressure the pudendal nerve. Is it possible to change seat adjustment or something else
    to minimize the pressure problem?

    Yes. Possible adjustments, in the order I'd guess they'd be effective:

    Shorts -- Not wearing proper bike shorts? They're rather comfortable, and not as embarassing as you
    think (and you could put loose shorts over them, or even get loose bike shorts). Get them. Even
    cheap ones help -- [censored]'s Sporting Goods is a chain store that has useful bike shorts for $30.
    Better shorts are cheaper on sale at LBS sometimes or online.

    Saddle -- The saddle may just be the wrong shape / materials for you. Still, instead of blowing
    money, try adjustments first.

    Saddle tilt -- Too far up and it's pushing up; too far down and you slide forward until your weight
    is on your crotch on the nose

    Handlebar position -- Too low and you bend forward too much, exposing only your crotch to the
    saddle. Too high and your back is vertical, so your crotchtal area is unsupported (unless you wear
    proper cycling shorts).

    Quoted message said:

    Thanks Chris


    --
    Rick Onanian

  4. In article <[email hidden]>, [email hidden] says...

    Quoted message said:
    Chris Smith said:

    HI All, First off, I know their'll be a lot of humorous replies to this, can't stop that.

    I'm too lazy to look up "pudendal nerve", so you're in luck. <G>

    Quoted message said:

    I'm a male, 43, just started riding a roadbike for about a month or so, I tend to ride about 40
    minutes to an hour every day. I've noticed slight numbness in my crotch area and assume it's the
    result of pressure the pudendal nerve. Is it possible to change seat adjustment or something
    else to minimize the pressure problem?

    Yes. Possible adjustments, in the order I'd guess they'd be effective:

    Shorts -- Not wearing proper bike shorts? They're rather comfortable, and not as embarassing as
    you think (and you could put loose shorts over them, or even get loose bike shorts). Get them.
    Even cheap ones help -- [censored]'s Sporting Goods is a chain store that has useful bike shorts for
    $30. Better shorts are cheaper on sale at LBS sometimes or online.

    My personal experience is that shorts don't affect numbness, but will affect irritation, chafing,
    and other sources of discomfort. As usual, YMMV.

    Quoted message said:

    Saddle -- The saddle may just be the wrong shape / materials for you. Still, instead of blowing
    money, try adjustments first.

    Saddle tilt -- Too far up and it's pushing up; too far down and you slide forward until your
    weight is on your crotch on the nose

    Handlebar position -- Too low and you bend forward too much, exposing only your crotch to the
    saddle. Too high and your back is vertical, so your crotchtal area is unsupported (unless you wear
    proper cycling shorts).

    These are all good suggestions; I had forgotten to mention some of them in my post.

    --
    David Kerber An optimist says "Good morning, Lord." While a pessimist says "Good Lord,
    it's morning".

    Remove the ns_ from the address before e-mailing.

  5. HI Guys, Thanks so much for the tips. I'm wearing proper riding shorts (not a pretty sight with my
    scrawny legs!! Chris "archer" <ns_archer1960@ns_hotmail.com> wrote in message
    "]news:[email hidden]...

    Quoted message said:

    In article <[email hidden]>, [email hidden] says...

    Quoted message said:
    Chris Smith said:

    HI All, First off, I know their'll be a lot of humorous replies to this, can't stop that.

    I'm too lazy to look up "pudendal nerve", so you're in luck. <G>

    Quoted message said:

    I'm a male, 43, just started riding a roadbike for about a month or


    so, I

    Quoted message said:
    Quoted message said:
    Quoted message said:

    tend to ride about 40 minutes to an hour every day. I've noticed


    slight

    Quoted message said:
    Quoted message said:
    Quoted message said:

    numbness in my crotch area and assume it's the result of pressure the pudendal nerve. Is it
    possible to change seat adjustment or something else to minimize the pressure problem?

    Yes. Possible adjustments, in the order I'd guess they'd be effective:

    Shorts -- Not wearing proper bike shorts? They're rather comfortable, and not as embarassing as
    you think (and you could put loose shorts over them, or even get loose bike shorts). Get them.
    Even cheap ones help -- [censored]'s Sporting Goods is a chain store that has useful bike shorts for
    $30. Better shorts are cheaper on sale at LBS sometimes or online.

    My personal experience is that shorts don't affect numbness, but will affect irritation, chafing,
    and other sources of discomfort. As usual, YMMV.

    Quoted message said:

    Saddle -- The saddle may just be the wrong shape / materials for you. Still, instead of blowing
    money, try adjustments first.

    Saddle tilt -- Too far up and it's pushing up; too far down and you slide forward until your
    weight is on your crotch on the nose

    Handlebar position -- Too low and you bend forward too much, exposing only your crotch to the
    saddle. Too high and your back is vertical, so your crotchtal area is unsupported (unless you
    wear proper cycling shorts).

    These are all good suggestions; I had forgotten to mention some of them in my post.

    --
    David Kerber An optimist says "Good morning, Lord." While a pessimist says "Good Lord, it's
    morning".

    Remove the ns_ from the address before e-mailing.

  6. HI Guys, Thanks so much for the tips. I'm wearing proper riding shorts (not a pretty sight with my
    scrawny legs!! Chris "archer" <ns_archer1960@ns_hotmail.com> wrote in message
    "]news:[email hidden]...

    Quoted message said:

    In article <[email hidden]>, [email hidden] says...

    Quoted message said:
    Chris Smith said:

    HI All, First off, I know their'll be a lot of humorous replies to this, can't stop that.

    I'm too lazy to look up "pudendal nerve", so you're in luck. <G>

    Quoted message said:

    I'm a male, 43, just started riding a roadbike for about a month or


    so, I

    Quoted message said:
    Quoted message said:
    Quoted message said:

    tend to ride about 40 minutes to an hour every day. I've noticed


    slight

    Quoted message said:
    Quoted message said:
    Quoted message said:

    numbness in my crotch area and assume it's the result of pressure the pudendal nerve. Is it
    possible to change seat adjustment or something else to minimize the pressure problem?

    Yes. Possible adjustments, in the order I'd guess they'd be effective:

    Shorts -- Not wearing proper bike shorts? They're rather comfortable, and not as embarassing as
    you think (and you could put loose shorts over them, or even get loose bike shorts). Get them.
    Even cheap ones help -- [censored]'s Sporting Goods is a chain store that has useful bike shorts for
    $30. Better shorts are cheaper on sale at LBS sometimes or online.

    My personal experience is that shorts don't affect numbness, but will affect irritation, chafing,
    and other sources of discomfort. As usual, YMMV.

    Quoted message said:

    Saddle -- The saddle may just be the wrong shape / materials for you. Still, instead of blowing
    money, try adjustments first.

    Saddle tilt -- Too far up and it's pushing up; too far down and you slide forward until your
    weight is on your crotch on the nose

    Handlebar position -- Too low and you bend forward too much, exposing only your crotch to the
    saddle. Too high and your back is vertical, so your crotchtal area is unsupported (unless you
    wear proper cycling shorts).

    These are all good suggestions; I had forgotten to mention some of them in my post.

    --
    David Kerber An optimist says "Good morning, Lord." While a pessimist says "Good Lord, it's
    morning".

    Remove the ns_ from the address before e-mailing.

  7. "Chris Smith" <[email hidden]> wrote in message "]news:[email hidden]...

    Quoted message said:

    HI All, First off, I know their'll be a lot of humorous replies to this, can't


    stop

    Quoted message said:

    that.

    I'm a male, 43, just started riding a roadbike for about a month or so, I tend to ride about 40
    minutes to an hour every day. I've noticed sustained slight numbness in my crotch area and assume
    it's the result of pressure


    on

    Quoted message said:

    the pudendal nerve. Is it possible to change seat adjustment or something else to minimize the
    pressure problem?

    Check out this article on bicycle seat neuropathy:
    emedicine.comtopic12.htm --Tock

  8. Chris Smith said:

    I'm a male, 43, just started riding a roadbike for about a month or so, I tend to ride about 40
    minutes to an hour every day. I've noticed sustained slight numbness in my crotch area and assume
    it's the result of pressure on the pudendal nerve. Is it possible to change seat adjustment or
    something else to minimize the pressure problem?

    You need to make sure the bike really fits you, first. Most bikes can be adjusted to fit a wide
    range of people reasonably well, so I am not talking about buying a new bike, but you should find a
    shop that does a "bike fit" and have someone help you get comfortable on the bike.

    Beyond the specific points mentioned elsewhere on this thread, be sure that you are not too
    stretched out. Your hands should _comfortably_ rest on the brake hoods allowing you to keep a finger
    or two on the brake lever itself. Many people are only comfortable with their hands on the tops --
    because the bars are too far forward, or too low, or the seat is set back too far. These are things
    that can be diagnosed and cured by a good fit. The most you would have to do is replace the stem.
    Beats replacing that thing that is going numb.

    You may find a new saddle to be an improvement, but no one can really recommend the saddle that will
    be best for _you_. (Despite that, many will recommend a specific saddle...). That may take some
    experimenting, but shops are pretty good about returns of saddles, and some have a repository of
    saddles to try out.

    --

    David L. Johnson

    __o | To announce that there must be no criticism of the president, or _`\(,_ | that we are to
    stand by the president right or wrong, is not (_)/ (_) | only unpatriotic and servile, but is
    morally treasonable to the American public. --Theodore Roosevelt

  9. Chris Smith said:

    HI Guys, Thanks so much for the tips. I'm wearing proper riding shorts (not a pretty sight with my
    scrawny legs!!

    Better than for those of us with the opposite problem, and yours will improve quickly with riding.

    --

    David L. Johnson

    __o | A mathematician is a machine for turning coffee into theorems. _`\(,_ | -- Paul Erdos
    (_)/ (_) |

  10. archer <ns_archer1960@ns_hotmail.com> wrote:

    : I had the same issue.

    Me too, it sucks as I'd like to ride the bike more.

    : First, make sure your seat is either level or the nose slightly lower than the back. Nose-up will
    : do this all the time.

    I think it started from tilting the nose up a bit and riding 200 km, for me... Not really had
    it before...

    : Second (which worked for me): get a seat with a cutout in the center to take the pressure off your
    : soft tissues, leaving it only on your "sit" bones. I really like my Specialized body geometry seat
    : (I don't remember the exact model), but which seat works for any given individual is a highly
    : personal decision, often requiring much experimentation.

    Recumbent seats are often touted as the patent solution for this problem, but I go 'bent for
    other reasons.

    --
    Risto Varanka | helsinki.fihpv.html varis at no spam please iki fi

  11. Quoted message said:

    I tend to ride about 40 minutes to an hour every day. I've noticed sustained slight numbness in my
    crotch area and assume it's the result of pressure on the pudendal nerve. Is it possible to

    Get a Brooks leather saddle. You will ride painless the best $50 I've spent on cycling gear. First
    try adjusting sadlle to just hit your sit bones. They will be sore for a bit but then there will be
    no pressure your equipment.

  12. "Chris Smith" <[email hidden]> wrote in message news:<[email hidden]>...

    Quoted message said:

    I'm a male, 43, just started riding a roadbike for about a month or so, I tend to ride about 40
    minutes to an hour every day. I've noticed sustained slight numbness in my crotch area and assume
    it's the result of pressure on the pudendal nerve. Is it possible to change seat adjustment or
    something else to minimize the pressure problem?

    Thanks Chris

    No jokes from me, I've been there and it ain't funny. In my case, it wasn't the fit of the bike,
    rather it was the stock seat that came with the bike. The money spent on a new Selle Italia Prolink
    Gel Flow was worth every penny. Of course, this may not be the seat for you, or even the remedy for
    your problem. I'd advise seeing a urologist if the numbness lasts longer than a couple of days.

    Art

  13. Chris Smith said:

    First off, I know their'll be a lot of humorous replies to this

    I guess, but it's not amusing for you I would think.

    Audax riders, who ride anything up to 1400km virtually non-stop, mostly seem to use leather
    saddles, and the B17 is being replaced by the Selle San MArco Rolls; whether this is because people
    are more affluent or because the Rolls is so bloody good I don't know because my Brooks is still
    hanging in there :-)

    Saddles with cutouts? Well, maybe. The talk of numbness seems to date mostly from the introduction
    of padded saddles, which deform to put pressure on the nerves to your nearest & dearest. You can
    colour me unconvinced on saddles with cutouts - I have a B17 on my tourer.

    So, the traditional solution is:
    - check the bike fits properly (wrenchscience.comwrenchscience.com has a great bike fit analyser)
    - check the top of the saddle is level
    - use a quality saddle
    - use good quality bike shorts with no underwear

    All of this, of course, provokes wry smiles among those who have followed the Path to Enlightenment
    and said goodbye to sore [censored] misery with New! Improved!! recumbent :-D

    Guy
    ===
    ** WARNING ** This posting may contain traces of irony. chapmancentral.comchapmancentral.com [currently
    offline awaiting ADSL transfer to new ISP]

  14. (Art) said:

    No jokes from me, I've been there and it ain't funny. In my case, it wasn't the fit of the bike,
    rather it was the stock seat that came with the bike. The money spent on a new Selle Italia Prolink
    Gel Flow was worth every penny. Of course, this may not be the seat for you, or even the remedy for
    your problem. I'd advise seeing a urologist if the numbness lasts longer than a couple of days.

    Hi Art

    My cheap road bike came with a saddle that was too soft, as I found out after a prolonged trundle.
    This softness allowed my bony bits to sink through the padding and I ended up sitting on the
    saddle's shell. The staff at my LBS were a little shocked when I asked for the seat to be replaced
    with a harder model. Apparently most in my position (no pun intended) automatically assume that a
    softer seat will solve their problems. Not so, IMO.

    My <goes to look at bike> San Marco Rolls was relatively cheap (about £35.00/$48(approx)) and is
    extremely comfortable. I'm a bit of a fiddler regarding saddle position. After a lot of fiddling -
    backwards/forwards, up/down, tilt both ways - I found a perfect riding position.

    I'd spent several years riding rigid ATBs before I bought my road bike and the more stretched out
    position did cause a few problems for a while. However, I resited the temptation to buy a shorter
    stem - thank goodness. I now find riding the road bike as comfortable as the more upright ATB.
    Incidentally, following a skiing accident, I've suffered from quite painful back trouble. The road
    bike's stretched out position (I need a thesaurus) has gone some way to lessening this pain and
    reducing the frequency of my lower going into spasm.

    From what you say above, Art, I think your own problem has been sorted out. I hope so.

    Regards James

    --
    homepage.ntlworld.comLarrau.jpg

  15. you know? said:

    Audax riders, who ride anything up to 1400km virtually non-stop, mostly seem to use leather
    saddles, and the B17 is being replaced by the Selle San MArco Rolls; whether this is because
    people are more affluent or because the Rolls is so bloody good I don't know because my Brooks is
    still hanging in there :-)

    See, I said that someone would be recommending a particular saddle.

    Quoted message said:


    Saddles with cutouts? Well, maybe. The talk of numbness seems to date mostly from the introduction
    of padded saddles, which deform to put pressure on the nerves to your nearest & dearest.

    General padded saddles and those with cutouts are different animals. The cutout allows you to ride a
    softer saddle without the padding affecting the pudental nerve. For me, it works (Terry Fly). For
    me, Brooks (Pro) was pure hell.

    --

    David L. Johnson

    __o | I don't believe you, you've got the whole damn thing all wrong. _`\(,_ | He's not the kind
    you have to wind-up on Sundays. --Ian (_)/ (_) | Anderson

  16. David L. Johnson said:

    General padded saddles and those with cutouts are different animals. The cutout allows you to ride
    a softer saddle without the padding affecting the pudental nerve. For me, it works (Terry Fly).
    For me, Brooks (Pro) was pure hell.

    Doesn't the cutout and padding combination result in squeezing your soft tissues into that little
    hole in the saddle? I've always feared that...If I hate having my soft tissues on a padded saddle,
    I'd really hate having them squeezed into a 1cm x 5cm hole in the saddle...

    --
    Rick Onanian

  17. I have a Giant MB and the saddle that came with it (Giant Groove Plus, Dual Density MTB with Kevlar
    bumpers) has a hole in the middle. I have proper bicycle shorts and I never had problems with the
    saddle being not comfortable. Even before I bought the shorts, the saddle was ok.

    "Rick Onanian" <[email hidden]> wrote in message "]news:[email hidden]...

    Quoted message said:
    David L. Johnson said:

    General padded saddles and those with cutouts are different animals.


    The

    Quoted message said:
    Quoted message said:

    cutout allows you to ride a softer saddle without the padding affecting the pudental nerve. For
    me, it works (Terry Fly). For me, Brooks (Pro) was pure hell.

    Doesn't the cutout and padding combination result in squeezing your soft tissues into that little
    hole in the saddle? I've always feared that...If I hate having my soft tissues on a padded saddle,
    I'd really hate having them squeezed into a 1cm x 5cm hole in the saddle...

    --
    Rick Onanian

  18. In article <[email hidden]>, [email hidden] says...

    Quoted message said:
    David L. Johnson said:

    General padded saddles and those with cutouts are different animals. The cutout allows you to
    ride a softer saddle without the padding affecting the pudental nerve. For me, it works (Terry
    Fly). For me, Brooks (Pro) was pure hell.

    Doesn't the cutout and padding combination result in squeezing your soft tissues into that little
    hole in the saddle? I've always feared that...If I hate having my soft tissues on a padded saddle,
    I'd really hate having them squeezed into a 1cm x 5cm hole in the saddle...

    Not IME. The hole gives them a place to go, rather than being compressed against the seat.

    Keep in mind that different seat designs work for different people, so the seat I love may feel like
    a medievel torture device to you!

    --
    David Kerber An optimist says "Good morning, Lord." While a pessimist says "Good Lord,
    it's morning".

    Remove the ns_ from the address before e-mailing.

  19. Rick Onanian said:
    David L. Johnson said:

    General padded saddles and those with cutouts are different animals. The cutout allows you to
    ride a softer saddle without the padding affecting the pudental nerve. For me, it works (Terry
    Fly). For me, Brooks (Pro) was pure hell.

    Doesn't the cutout and padding combination result in squeezing your soft tissues into that little
    hole in the saddle?

    Not for me. The padding stays near the sit bones, and the middle bits are floating free.

    --

    David L. Johnson

    __o | It doesn't get any easier, you just go faster. --Greg LeMond _`\(,_ | (_)/ (_) |

  20. Quoted message said:

    Check out this article on bicycle seat neuropathy:
    emedicine.comtopic12.htm --Tock

    Oh yeah, I've seen variations of this seat spongywonder.comspongywonder.com in mags like Unpopular
    Mechanics . . . there was some guy in Alpine, Texas (150 miles east of El Paso) advertising in the
    local paper out there a year ago or so looking for financial backing for yet another version--said
    he had a patent and everything. Anyway, good luck with your pains . . . --Tock

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