Bike Seat Neuropathy

Cycling is a popular activity for people of all ages. When a narrow bicycle seat fails to properly support a cyclist's body weight, however, pelvic symptoms can develop. The resulting condition is known as bicycle seat neuropathy.

Cause

• Neuropathy means nerve damage. The pudendal nerve runs from the genitals to the anus, an area of the body known as the perineum. Compression of the nerve against the bicycle seat during prolonged cycling can damage the pudendal nerve.

Symptoms

• Bicycle seat neuropathy occurs in both men and women. Women experience numbness in the perineal area. Symptoms in men include penile numbness and tingling. In severe cases, impotence can result.

Treament

• Treatment for bicycle seat neuropathy consists of rest and abstinence from cycling. Cyclists should refrain from riding until all symptoms have resolved.

Prevention

• Prevention of bicycle seat neuropathy may require a professional bike fitting. Lowering the seat and tilting it forward may alleviate pressure in the perineal area. Cyclists should consider purchasing seats designed with cutouts to accommodate the male and female anatomy. Padded shorts and periodic breaks help to alleviate long term pressure on the pudendal nerve as well.