Cyclist’s Syndrome: What You Don’t Know Might Hurt You

Posted on Oct 23 2014 - 2:57pm by Simbaa Da Lion

There are many group concerned in a sports of cycling and triathlon, though many do not comprehend that crude bike fits can means a critical condition famous as cyclist’s syndrome. Women can also get this condition, though for group a syndrome can be some-more upsetting and means many upsetting side effects that no masculine wants (including erectile dysfunction).


What is a Pudendal Nerve?

Cyclist syndrome involves a pudendal haughtiness (PN). The PN arises from a roots of a sacral plexus (S2-S4). 20% of a PN is engine fibers, 50% are sensory, and 30% are autonomic.


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From a sacral plexus, a PN descends medially in propinquity to a box of a sciatic nerve, and from this area it enters a gluteal segment and afterwards traverses a larger sciatic foramen. Eventually, it turns into a haughtiness that innervates a perinea, skin, and extraneous muscles. This haughtiness is accompanied by a pudendal artery and venous formidable during a course.


The accurate pathophysiology of PN entrapment is not totally understood, though there are a few theories. Many trust that neuronal insult can be caused by serious stretching or application of a nerve, that can lead to ischemic neuropathy (a cadence of a PN) due to hypoxia (lack of oxygen).


Symptoms of Cyclist’s Syndrome

The symptoms of cyclist’s syndrome are really upsetting for males. In a box investigate on a 41-year-old masculine who competed in an Ironman, researchers settled a vital sign to be penis pain with a lifeless pain to a perineum twelve to 24 hours after long-distance cycling.


This sold athlete’s cycling training was 6 to eleven hours, 3 days per week. The pain began in Sep and by mid-September he gifted pain to a perineum after passionate retort and pain with urination. He afterwards competed in an Ironman and stopped training for several months. At this point, a pain subsided.


When a theme resumed his training, he began to feel pain to his penis again, that stirred him to see his doctor. You might be wondering if he had STDs, though he was tested for all STDs and came adult clean. He afterwards saw a neurologist who diagnosed him with cyclist’s syndrome.


Possible symptoms we might feel if we have cyclist’s syndrome are:


  • Penis pain
  • Erectile dysfunction
  • Pain to a perineum
  • Pain with urination
  • Trouble sitting on a bike saddle though pain
  • Pain after intercourse


These are usually a few things to demeanour for if we feel pain during your bike training. Remember, we might not feel all of these symptoms, though even if we have a few it might consequence a revisit to your medical practitioner.


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Treatment Options

Physical therapy, chiropractic care, and even massage therapy can assistance recover a worried symptoms of cyclist’s syndrome. In a same box investigate as above, a chiropractor found that by palpation of a obtuse sciatic nick and a obturator internus caused pain to a penis during a measure of 9 out of ten. The chiropractor diagnosed a masculine with pudendal haughtiness entrapment. He began to use a technique called active recover therapy (ART) on a area.


Chiropractors are not a usually therapists that can sight and plead in this form of treatment. Physical therapists and massage therapists can also sight and plead in ART. After dual weeks of ART, a investigate subject’s pain went from a 9/10 to a 5/10 and he began to sight again. After 4 weeks of ART, his pain was down to 1/10 and he continued to cycle. After 8 weeks of ART, his pain after passionate retort was left and pain to his penis and perineum had subsided. At this point, he began to sight for another Ironman.



As they say, a best diagnosis is prevention. Male athletes need to make certain they have a correct fit for their bike and bike saddle. There are people who dedicate their lives to biking, bike fits, and saddle fits. Go to one of them and have them work some sorcery on your bike. There are a few things that an consultant will demeanour into in a saddle such as figure (different shapes fit opposite physique types), bombard and cutout design, padding, rails (the tie indicate to a rest of a bike), and covering.


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Another aspect many do not cruise is bike geometry. Your bike can be altered to assistance forestall injuries compared with cycling. In many areas, we can find someone who does this arrange of work along with bike equipment and can make your bike truly customized for you. Specialists will demeanour into where a saddle, bars, and front circle lay in propinquity to one another so a supplement sits comfortably, generally for prolonged distances. If we are looking for a bike, it’s best to see someone who will make certain a bike fits we in all directions to forestall all injuries compared with biking before creation a tangible purchase. 


No one wants a bike that causes penis pain. If we are looking to start cycling, make certain we use medicine caring to keep yourself from using into this condition. Don’t skimp on yourself. Make certain that your bike is customized for you.


If we run into problems in a future, always speak to your primary caring medicine before starting any diagnosis program. Many earthy therapists, chiropractors, and massage therapists can assistance with this condition, though make certain they know what they are looking for and what to do. Take caring of your physique – and that includes a tools that are lonesome adult by underwear.



1. Durante, Jaclyn and MacIntyre, Ian. “Pudendal Nerve Entrapment in an Ironman Athlete: A Case Report.” The Journal of a Canadian Chiropractic Association (2010): 276-281, accessed May 27, 2014, PMCID 2989401

2. Deakin, Robert T MD. “Chronic Musculoskeletal Conditions Associated with a Cycling Segment of a Triathlon; Prevention and Treatment with an Emphasis on Proper Bicycle Fitting.” Sports Medicine and Arthroscopy Review (2012): 200-205, accessed May 27, 2014, DOI: 10.1097/JSA.0b013e3182688fa0

3. Tate, Philip. Seely’s Principles of Anatomy and Physiology. (New York: McGraw Hill Companies, 2012), 791

4. Baechle, Thomas R and Earle, Roger W. Essentials of Strength and Conditioning Training and Conditioning, Third Edition. (Illinois: Human Kinetics, 2008), 291, 491-502


Photo 1 by Mikael Häggström (User:Mikael Häggström) [Public domain], around Wikimedia Commons.

Photos 23 pleasantness of Shutterstock.

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