Bike seats and the pelvic floor

Riding home on the subway last night I opened my Women’s Health magazine to a picture of a bike seat with two banadages on it. “Ischial tuberosity and pubic symphysis” my PT brain said, knowing what anatomy sits where.  Geekily I read on, excited to read about how the pudendal nerve can be compressed and what to do about it. The article mentioned 63% of female cyclists experience genital pain, numbness, or tingling. While pudendal neuralgia was not mentioned, the article recommends getting checked out by a physician. As pelvic floor physical therapists, we would also perform a musculoskeletal evaluation of the lumbar spine, pelvic girdle, and hip. Professional bike fitting for the prevention of pain is highly beneficial: Help your pelvis enjoy the ride!

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