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Any of you totally recovered from or avoided cyclist's syndrome?

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Any of you totally recovered from or avoided cyclist's syndrome?

Old 03-19-19, 09:48 AM
  #26  
Clem von Jones
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I think you have an issue with your saddle or your riding position. Consider tilting the front of your saddle down about two degrees. Perhaps the shape of saddle is too high in the middle/center where it should be concave, or maybe it's too plush, or maybe it's too narrow to support your ischial tuberosities. Any one of those three problems can cut off blood circulation. Alternately, your saddle might be too low and your handlebars too high so most of your weight is on the saddle. That kind of riding position in combination with an inappropriate saddle can create the issues you're having.

Can you post a photo of your bicycle from a side view and another of your saddle?

Last edited by Clem von Jones; 03-19-19 at 10:35 AM.
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Old 03-23-19, 01:06 PM
  #27  
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30 years ago, while touring thru UK, I saw & bought a cartoon postcard, Image was of a family walking bent over,
with a caption reading " Enjoying our Cycling Holiday"
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Old 03-26-19, 11:54 AM
  #28  
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Originally Posted by johnsmith246

But I still got some minor pain during and after ~30mi routes, so following the bike fitter's advice, I bought a pair of Endura FS-269 Pro SL bib shorts. Based on the extensive research I did, these seem to be the very best at avoiding this type of injuries. I rode 30mi with them, but frankly, I'm not sure they make a huge difference compared to my cheapest cycling shorts.
Several years ago, I rode about 4,000 miles and six double centuries in a 120 day period. Part of the reason I could do that was by trial and error I got a fantastic bike fit, and from that got on a Bontroger Anja Elite women's saddle with a enormous cut out (I'm 6'4'), and those Endura shorts you mention.

They are not my favorite bibs (I perfer the Izumis, they have more compression which I like), but they have the best chamois for long days. Everything else is only good for 150 miles. Under 100 a day and everything feels the same.

The seat was the most important. I do best with one with the least padding I can get. The Anja with steel rails and a bigger gel or pad or whatever caused hotspots and wasn't as good as the full race version. Because of my height, I have the handlebars about 4" below the seat in the best of situations and don't spend any time on my sitbones.

In fact, I just went through this on the touring bike I built from cast off (free) parts. I went to the trouble to actually buy another Anja, which kinda defeated the purpose of the build, but if I couldn't ride it (and I couldn't with any other seat I could scrounge up), what's the point?
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Old 03-26-19, 12:03 PM
  #29  
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Originally Posted by lazysunbather
Turns out my issues were ZERO to do with cycling or saddle. My issues are down to a pelvic floor dysfunction. Where the pelvic floor muscles become tight and cause no end of problems. So I would certainly avoid Dr's, and seek help from a specialist pelvic floor physiotherapist. Sounds to me like it could be that, or if not certainly get it ruled out.
This is a good point.

I got super lucky and went to a PT starting a few months before I restarted cycling after 30 years off. They had me do a bunch of core work, the first thing they had me do was strengthen my pelvic floor. The more core work I do (even now), the better my rides are. Same for working on my hip mobility.

Originally Posted by Carbonfiberboy

If I go out for a century tomorrow, I will experience no butt pain, and no numbness. Why? Because not only is my fit correct, my saddle is perfectly suited to the shape of my undercarriage. That latter is actually more important than exact fit. I don't have two bikes which fit exactly the same, yet I have the same experience of no pain on all of them because they all have the same saddle. Yeah, I ride a lot. I tell folks that sex after a long bike ride is a good check on your health.
I wasn't going to go there, but yeah. I could have wrote that, and concur 100%. I have exactly the same seat on the four bikes I ride on a regular basis.

The day after a double, attempting sex is a surprisingly fantastic delightful recovery activity. Your attitude toward it is a parallel indicator of your bike fit and pelvic floor health.
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Old 03-26-19, 01:22 PM
  #30  
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Numbness is a nerve/pressure issue same as sleeping on your arm. It does not cause ED.
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Old 03-26-19, 03:21 PM
  #31  
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I'm not sure if it's related, but a few years ago, I had achy balls. It took quite a long time for me to correlate it with the cause, because the aching came a day after riding one particular bike of mine. My doctor told me to switch to a saddle with a cutout. I didn't follow his advice. I switched to a harder saddle. I had been riding a saddle with more padding than usual for me. It came to me cheap. The saddle wasn't causing any discomfort while riding. So sometimes, too soft is bad.
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Old 03-27-19, 05:42 PM
  #32  
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Originally Posted by KraneXL
Numbness is a nerve/pressure issue same as sleeping on your arm. It does not cause ED.
Not. It's due to a decreased penile blood supply due to compression of the perineum and it does cause ED.

If you want to learn what causes ED in cyclists, at least in those who ride a lot, have a look at these studies:
https://www.ncbi.nlm.nih.gov/pubmed/12074400
https://www.ncbi.nlm.nih.gov/pubmed/11531032
https://www.ncbi.nlm.nih.gov/pubmed/11523016
https://www.ncbi.nlm.nih.gov/pubmed/19009871
Cycling in a seated position leads to a compression of perineal arteries with a consequent significant decrease in penile perfusion. But, there are unexpected differences between different saddle types. It was possible to demonstrate that the most important factor in safeguarding penile perfusion is not the amount of padding, but rather a saddle width which prevents sufficiently the compression of the perineal arteries.
It's commonly known by experienced cyclists that more padding is frequently more painful than less padding. Too much padding reduces blood supply to more tissue than just the sex parts. This is also a female problem.
The penile blood supply--which correlates with the transcutaneous PO2 at the glans-- decreased significantly in over 70% of the test subjects during cycling in a seated position. Cycling in a standing position did not show any alteration in the penile blood supply as compared to the values measured before exercising. Numbness of the genital region was reported by 61% of the cyclists. 19% of cyclists who had a weekly training distance of more than 400 km complained of erectile dysfunction. The results of the present study showed that there is a deficiency in penile perfusion due to perineal arterial compression.
Preventing numbness and the resulting ED is very simple: Find a saddle which never makes you numb. It can be done. I have a riding buddy who did PBP on a noseless saddle. That's what worked for him and his wife. Everyone's different, hence the 100's of saddles on the market, all different.
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Old 03-27-19, 06:45 PM
  #33  
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Originally Posted by Carbonfiberboy
Not. It's due to a decreased penile blood supply due to compression of the perineum and it does cause ED.

If you want to learn what causes ED in cyclists, at least in those who ride a lot, have a look at these studies:
https://www.ncbi.nlm.nih.gov/pubmed/12074400
https://www.ncbi.nlm.nih.gov/pubmed/11531032
https://www.ncbi.nlm.nih.gov/pubmed/11523016
https://www.ncbi.nlm.nih.gov/pubmed/19009871
It's commonly known by experienced cyclists that more padding is frequently more painful than less padding. Too much padding reduces blood supply to more tissue than just the sex parts. This is also a female problem.

Preventing numbness and the resulting ED is very simple: Find a saddle which never makes you numb. It can be done. I have a riding buddy who did PBP on a noseless saddle. That's what worked for him and his wife. Everyone's different, hence the 100's of saddles on the market, all different.


See 3:10-6:30 for my claim. If you believe differently then I look forward to your comments and the response from GCN.
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Old 03-27-19, 08:13 PM
  #34  
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Originally Posted by KraneXL
https://youtu.be/nmPgJV643h8?t=189


See 3:10-6:30 for my claim. If you believe differently then I look forward to your comments and the response from GCN.
These people are selling cycling. I don't really need to respond or comment. I already did. They are wrong, simple as that. I tend to believe scientists who study these matters rather than salespeople. The urologist is expressing a minority opinion. Had to do some looking to find him. The fact that he is, in fact, wrong is shown clearly by the studies which I posted and which you obviously did not read.

He is correct however in 2 of his assertions: that one period of numbness will not cause ED, and that many repeated sessions of numbness can cause ED. But then he jumps to saying basically, "of course this will not happen." Duh. But of course it does, in fact to 19% of the LD riders in one of those studies I posted.

It happened to me as I mentioned in an earlier comment and after just one 150+ mile ride with the wrong saddle, I couldn't get it up for 3 days. My dick was totally numb. It actually doesn't take too many of those to cause permanent damage, i.e. ED. My opinion, without scientific confirmation, is that greatly reduced blood flow to any part of the body will result in nerve damage there due to the nerves being oxygen-starved. Hence numbness. And in fact, that's what happens when we condition our butts so we can ride for many hours with no butt discomfort - but we like that feature of it.

And then this urologist says well, if you do get this problem, just go to a urologist and "get it sorted out." In my trade this sort of thing is called "job security." First he says that it won't cause a problem, then he says if you get a problem come see me, but it certainly couldn't have come from the activity which he says to go ahead and do without regard to symptoms, because, well, because of course no one would persist in an activity which might cause ED, right? Yeah, except they do and he knows damn well they do.

I suppose I should also call attention to the ridiculously poor cycling position of the cyclist shown in the video's cartoon. This is the sort of posture which causes BFers to ask about back and neck pain. You might notice that this posture/position is not exhibited in any of the road riders briefly shown in the video. His complaint of going numb in only 30' is a bit funny to me. I can ride my rollers for 2 hours without stopping or standing and not go numb. He needs to get his fit and saddle sorted before he needs to get his dick sorted.

It's all silliness in defense of the indefensible. GCN does a lot of that. They have their viewpoint and in most cases, it doesn't really matter. In this particular case, it matters very much. Reminds me of antivaxers.
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Last edited by Carbonfiberboy; 03-27-19 at 08:16 PM.
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