Training & Nutrition - Saddle height vs. sciatica/piriformis

Bikeforums.net is a forum about nothing but bikes. Our community can help you find information about hard-to-find and localized information like bicycle tours, specialties like where in your area to have your recumbent bike serviced, or what are the best bicycle tires and seats for the activities you use your bike for.




horatio
06-21-04, 05:04 AM
Does anyone know of a connection between low saddle height and piriformis
syndrome (sciatica from irritated/injured piriformis muscle deep in the
buttock) ? I believe I may have triggered such a problem this year.

I've just gotten over a 10+ week bout of sciatica. Normally I attribute my
attacks to a bulging lumbar disc, but this most recent episode began
differently. Prior to onset of the leg/back pain, I noticed a pain in the
left buttock. This began following a relatively short bike ride with
moderate hills, after I had lowered my saddle height for better power (i.e.
higher cadences) on the hills.

I stayed off the bike afterwards, but the pain only increased. Eventually it
became sciatica in the left leg. I am pain free now, and just beginning my
training riding for the year. :(

Has anyone experienced a similar problem related to changes in saddle
height? Any suggestions as to how to avoid this? Should I raise my saddle to
the old setting? I'm leaving it as is right now.

FWIW, I posted this question on rec.bicycles.misc and so far have received no answer.

Thanks for any info.

Horatio


Jawbone
06-22-04, 06:21 AM
I haven't found a connection between saddle height and the piriformis going into spasm, but it sounds like the bike riding has aggravated it a bit. I had the piriformis go into spasm when I (duh) tried to pick up my son's clothing with my foot. It went berserk, spasmed out, I lost all feeling down the back of my right leg and, 4 years later, still have numbness. It kept me off the bike for several months. But I found bike riding has actually helped, and I've ridden with various saddle heights (on different bikes) and that doesn't seem to hurt it.

JLD
07-24-04, 07:32 PM
[QUOTE=horatio]Does anyone know of a connection between low saddle height and piriformis
syndrome (sciatica from irritated/injured piriformis muscle deep in the
buttock) ? I believe I may have triggered such a problem this year.

....I had back surgery about 6 years ago--the removal of a disc. Prior to that I was still cycling. On that bicycle I had a fairly narrow seat. Riding then, seemed to help control my persistent leg pain. After the surgery though, I was not allowed to ride for well on 12 weeks. The surgeon was not concerned with my far forward lean and pointed out that in the immediate post-op stage, I should not 'see-saw' at the hips. I was naturally pretty deconditioned by the time I did get back on the bike and switched to an upright bicycle. It took several trials to get the new bike seat right where it needed to be-to avoid setting off the burn in the sciatic nerve. I moved on from that retro bike to my present Norco. The seat on this is okay-not bothering my leg-but could go a long way to being comfortable for the sit bones! None the less, my impression is that any 'see-saw' movement if the seat is just not at the right level, will start the beginnings of sciatica. I would suggest raising or lowering the seat in short increments--test drive--see how it goes. Maybe as well, you need to alter that forward lean a bit too?