Pains

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Cycling injury, recovery and health issues.
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Pains

Postby Broken? » Mon Dec 19, 2011 10:26 am

So about two weeks ago after an 80km ride I got off the bike to have pain in my “slug”. Not the nuts, but the actual “slug”. I did a short ride the following day and the pain again presented. During the whole following week I continued to get pain in the slug particularly after sitting at my desk at work. I found myself having to stand at my desk to alleviate the pain and found reason not to sit. Laying down or standing helped quite a bit.

After a bit over a week of this I went to my GP who checked me out and advised I had “soft tissue” damage. The advice was to get into anti-inflammatory tablets for a week and be off the bike for at least 4 weeks to let things settle down. Following this I could introduce a few short duration rides to see how it all feels.

Part of the GP visit was the typical type of questioning you would expect on this issue about if my slug “works” in an appropriate manner. For the record all that seems to be fine.

I have not been on the bike since the original issue occurred and I am following the GP’s advice. I have now been off the bike for 2 weeks and for the most part things seem to have returned to normal. I have had my bike into the LBS who has fitted a new saddle and tweaked the saddle forward slightly with the effect that I will sit more upright on the bike.

I am 40 and would love to think that I am still riding when I am 80. I am in no way dissatisfied with the work of my LBS in its most recent set up works, nor am I dissatisfied with my GP’s advice, but to give me the best possible chance of achieving a great outcome I am seeking advice about specialists out there who might be able to advise on my specific issue.

I am seeking advice or direction on specialists in terms of bike set up and fit (with my issue in mind and not just the LBS fit) and specialists in terms of the medical aspect (not just your everyday urologist, but someone who know about bike specific issues). I’d appreciate any advice you guys might have to offer.

Forgot to mention i am based in the Newcastle Area.

cheers
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by BNA » Tue Dec 20, 2011 10:54 am

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Re: Pains

Postby Abby » Tue Dec 20, 2011 10:54 am

Use a seat with a perineal cut-out?

And if your 'slug' is really a 'snake' (or a 'python'!) - then don't sit on it, rearrange said 'snake' so that he is forward rather than aft...

Far out - weirdest conversation ever........ :shock:

Cheers,
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Re: Pains

Postby Broken? » Thu Dec 22, 2011 8:21 am

Ok, so not a lot of traffic on this one.....
Has anyone experienced similar type of issues? Did you take time off the bike? How did you bounce back?
cheers
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Pains

Postby gabrielle260 » Thu Dec 22, 2011 8:30 am

Sorry to hear of your troubles! (and, yes - very strange!!)
I would suggest you invest the money and book yourself a session with Steve Hogg. Bike fit is too important to be left to your LBS... More to the point, your manly bits are too important!


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Re: Pains

Postby durilium » Sat Dec 24, 2011 5:11 pm

I've had a similar issue before and since using a "cutout" Selle Italia saddle i've not had the issue again.

I can't ride commando for the same reason, i end up "sitting on it" or my nuts which obviously is quite excruciating when it unfortunately happens.
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Re: Pains

Postby Comedian » Sun Dec 25, 2011 7:45 am

Bike clothing should be tight so that everything stays in place. Plus, as much of your weight as practical should be borne by your sit bones, keeping pressure off all those nerves that I suspect are your problem. Talk to your LBS, and if they can't help consider a bike fit. :)
Once you can climb hills on a bike it's all downhill. :mrgreen:

Hopefully I'll know what that's like..... one day. :shock: :lol:

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Re: Pains

Postby Schmenz » Sun Dec 25, 2011 12:11 pm

as the others have suggested - id try a seat with a cutout. and shorts should definitely be tight.

id also +1 for making the pilgrimage to sydney to see steve hogg. hes really good at the biomechanics as well as the anatomical side. he also looks at the effect on changing one aspect on the others. ie change the seat tilt, then you need to change x y z as well.
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Re: Pains

Postby PawPaw » Sun Dec 25, 2011 6:21 pm

P-pain is very often due to compression of the P-nerve within your perineum. Solution is to get the pressure off your peri.
Before buying a seat with a cutout, try tilting the nose/front of the seat down towards the ground slightly a few mm at a time.
You might feel like you are going to slide forwards, but try and find a compromise between relieving pressure on soft bits vs sliding forwards.

Cut outs aren't always the right solution due to soft tissue being compressed by the edges of the cut out, as sometimes the cut out isn't wide enough.
Some guys even get a better fit with a girl's saddle.

BTW, if you are overweight, guess what is going to help take the pressure off a heap?

The other thing is to invert your head stem and rotate your handle bar up a little so you are not bending down to the bars as much. Once you and your P adapt to leaning forwards, and you lose some weight, you can put it back the way it was.
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Re: Pains

Postby Broken? » Tue Dec 27, 2011 7:38 am

Thanks for the thoughts. I have been to my LBS and am looking at a Selle SMP saddle. Any thoughts on these?

For the record i am 6 foot and 70kg, so weight is not really a problem.

I am now a couple of days over 3 weeks since this trouble first flared up (no pun intended) and seem to be feeling "normal" again so hope to get a new saddle sorted and return to the bike soon.

cheers
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Re: Pains

Postby Schmenz » Tue Dec 27, 2011 11:37 am

steve hogg rates these very highly! (for guys and girls) - i nearly got one but for the money wasnt sure of the difference between it and another that was cheaper.. i also felt the edges were a little unconfortable near the cutout but apparently you get used to that. (i was only on it for 5 mins)

i know lots of people love theirs.
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Re: Pains

Postby Baalzamon » Wed Dec 28, 2011 4:01 pm

And if a cutout saddle doesn't solve your problem, think bent and going for a recumbent or recumbent trike.
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Re: Pains

Postby cavebear2 » Wed Dec 28, 2011 4:07 pm

I find that the SMP (I've tried the Stratos & Glider) make me very sore on long rides. The Brooks Swift is a much better option for me.
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Re: Pains

Postby Bruce T » Fri Feb 10, 2012 11:59 am

Re Pains.
Trust me you are not alone.
There is a huge business in the USA based on just this issue. It is caused by pressure on the perineum. Eurologists in the USA actually recommend Hobson EasySeat but The inventer himself will admit that his saddles are not for road racing bikes. He has recently added a German manufactured saddle to his range SQ-Lab and these are a possible remedy. There is heaps of info on this subject Just Google Hobson EasySeat and go from there.
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