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pudendal nerve entrapment

cmermier2010-12-12 11:03:18 +0000 #1
I have been recently diagnosed with pudendal nerve entrapment. It is very painful and the only solutions I have been given by doctors is to stop cycling altogether for some unknown amount of time, and to take neurontin (an anti-seizure druf that helps with nerve pain). I have not ridden for 3 weeks, and the pain remains. Upon researching this condition, it seems somewhat common in long distance cyclists, and 2/3rds of cases are women, according to one source.

Anyone ever dealt with this issue,and/or have any suggestions to help me get back on the bike? Thanks
mimitabby2010-12-12 11:16:57 +0000 #2
sounds like a fancy name for bad saddle fit syndrome.

Have you tried different saddles ? have you been professionally fit to your bike?

I'm sorry to hear this.
cmermier2010-12-12 11:18:54 +0000 #3
Thanks for the reply. I've had 2 professional fits, tried many saddles, ride with 2 pair of bike shorts, have 2 different bikes with different saddales and have have deep bruises on my ischial bones anyway- this is different though - it's an intense burning pain in the groin area that is constant....
makbike2010-12-12 11:20:13 +0000 #4
Have you considered a recumbent?
cmermier2010-12-12 11:24:53 +0000 #5
I am very resistant to a recumbent. I just want to ride my regular bikes. I feel like it is already dangerous enough riding a little higher up here in a big city, but down low seems suicidal (sorry to those who ride recumbants). Also, when I have ridden a recumbant stationary bike, I have been very uncomfortable- it seems to cause me low back pain....
KnottedYet2010-12-12 12:33:18 +0000 #6
Can you get to a Pelvic Floor physical therapist? There are treatments for pudendal nerve entrapment, and they don't require you to quit cycling.

Google Pelvic Floor Therapist, Pelvic Pain Therapist, and Incontinence Therapist in your area. Not that this causes incontinece, but most PTs who have advanced training in incontinence will also know how to treat pudendal nerve problems.

If that doesn't prove fruitful, try contacting the folks at this website and ask for a list of their trainees:

It would certainly help if the pelvic floor therapist you find is also a cyclist! (we are out there, just gotta find us!)



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