eMedicine Specialties > Sports Medicine > Neurological

Bicycle Seat Neuropathy: Multimedia

Author: John M Martinez, MD, Medical Director, Primary Care Sports Medicine, Coastal Sports and Wellness Medical Center
Coauthor(s): Kenneth Honsik, MD, Consulting Staff, Department of Primary Care Sports Medicine, Kaiser Permanente
Contributor Information and Disclosures

Updated: Jun 17, 2008

Multimedia

Example of a bicycle seat with a cut-away middle.
(Enlarge Image)
Media file 1: Example of a bicycle seat with a cut-away middle.
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Example of a bicycle seat with a cut-away middle.

Example of a bicycle seat with a cut-away middle.

More on Bicycle Seat Neuropathy

Overview: Bicycle Seat Neuropathy
Differential Diagnoses & Workup: Bicycle Seat Neuropathy
Treatment & Medication: Bicycle Seat Neuropathy
Follow-up: Bicycle Seat Neuropathy
Multimedia: Bicycle Seat Neuropathy
References
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References

  1. Schrader SM, Breitenstein MJ, Lowe BD. Cutting off the nose to save the penis. J Sex Med. May 7 2008;epub ahead of print. [Medline].

  2. Kennedy J. Neurologic injuries in cycling and bike riding. Neurol Clin. Feb 2008;26(1):271-9; xi-xii. [Medline].

  3. Asplund C, Barkdull T, Weiss BD. Genitourinary problems in bicyclists. Curr Sports Med Rep. Oct 2007;6(5):333-9. [Medline].

  4. Weiss BD. Clinical syndromes associated with bicycle seats. Clin Sports Med. Jan 1994;13(1):175-86. [Medline].

  5. Silbert PL, Dunne JW, Edis RH, Stewart-Wynne EG. Bicycling induced pudendal nerve pressure neuropathy. Clin Exp Neurol. 1991;28:191-6. [Medline].

  6. Gemery JM, Nangia AK, Mamourian AC, Reid SK. Digital three-dimensional modelling of the male pelvis and bicycle seats: impact of rider position and seat design on potential penile hypoxia and erectile dysfunction. BJU Int. Jan 2007;99(1):135-40. [Medline].

  7. Leibovitch I, Mor Y. The vicious cycling: bicycling related urogenital disorders. Eur Urol. Mar 2005;47(3):277-86; discussion 286-7. [Medline].

  8. Andersen KV, Bovim G. Impotence and nerve entrapment in long distance amateur cyclists. Acta Neurol Scand. Apr 1997;95(4):233-40. [Medline].

  9. Oberpenning F, Roth S, Leusmann DB, van Ahlen H, Hertle L. The Alcock syndrome: temporary penile insensitivity due to compression of the pudendal nerve within the Alcock canal. J Urol. Feb 1994;151(2):423-5. [Medline].

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  15. Amarenco G, Kerdraon J, Bouju P, et al. [Treatments of perineal neuralgia caused by involvement of the pudendal nerve] [French]. Rev Neurol (Paris). Jun 1997;153(5):331-4. [Medline].

  16. Bond RE. Distance bicycling may cause ischemic neuropathy of the penis. Phys Sportsmed. 1975;3(11):54-6.

  17. Lowe BD, Schrader SM, Breitenstein MJ. Effect of bicycle saddle designs on the pressure to the perineum of the bicyclist. Med Sci Sports Exerc. Jun 2004;36(6):1055-62. [Medline].

  18. Bressel E, Larson BJ. Bicycle seat designs and their effect on pelvic angle, trunk angle, and comfort. Med Sci Sports Exerc. Feb 2003;35(2):327-32. [Medline].

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  22. Taylor JA 3rd, Kao TC, Albertsen PC, Shabsigh R. Bicycle riding and its relationship to the development of erectile dysfunction. J Urol. Sep 2004;172(3):1028-31. [Medline].

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  24. Sommer F, König D, Graft C, et al. Impotence and genital numbness in cyclists. Int J Sports Med. Aug 2001;22(6):410-3. [Medline].

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  26. Akuthota V, Plastaras C, Lindberg K, et al. The effect of long-distance bicycling on ulnar and median nerves: an electrophysiologic evaluation of cyclist palsy. Am J Sports Med. Aug 2005;33(8):1224-30. [Medline].

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Further Reading

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Keywords

saddle numbness, erectile dysfunction, impotence neuropathy, bicycle saddle neuropathy, vascular or neurologic injury of the pudendal nerve, urinary incontinence

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Contributor Information and Disclosures

Author

John M Martinez, MD, Medical Director, Primary Care Sports Medicine, Coastal Sports and Wellness Medical Center
John M Martinez, MD is a member of the following medical societies: American Academy of Family Physicians, American College of Sports Medicine, and American Medical Society for Sports Medicine
Disclosure: Nothing to disclose.

Coauthor(s)

Kenneth Honsik, MD, Consulting Staff, Department of Primary Care Sports Medicine, Kaiser Permanente
Disclosure: Nothing to disclose.

Medical Editor

David T Bernhardt, MD, Director of Adolescent and Sports Medicine Fellowship, Associate Professor, Department of Pediatrics, University of Wisconsin
David T Bernhardt, MD is a member of the following medical societies: American Academy of Pediatrics, American College of Sports Medicine, and American Medical Society for Sports Medicine
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Russell D White, MD, Professor of Medicine, Department of Community and Family Medicine, University of Missouri-Kansas City School of Medicine, Truman Medical Center Lakewood
Disclosure: Nothing to disclose.

CME Editor

Jon B Whitehurst, MD, Clinical Instructor of Surgery, University of Illinois College of Medicine; Partner and Executive Board Member, Rockford Orthopedic Associates; Orthopedic Chairman, Rockford Memorial Hospital
Jon B Whitehurst, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Orthopaedic Society for Sports Medicine, and Arthroscopy Association of North America
Disclosure: Nothing to disclose.

Chief Editor

Sherwin SW Ho, MD, Associate Professor, Department of Surgery, Section of Orthopedic Surgery and Rehabilitation Medicine, University of Chicago
Sherwin SW Ho, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Orthopaedic Society for Sports Medicine, and Arthroscopy Association of North America
Disclosure: Nothing to disclose.

 
 
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