I'm on pain meds now for a few days, a few days off the bike and it stops hurting, I'm lined up for physical therapy with a therapist who has treated this often enough, I may also take some private yoga classes to learn how to stretch my hamstrings and pelvis more effectively. I'll be walking the dog daily for exercise, I'll probably start doing some ab work too. I haven't been off the bike for more than 10 days, I would imagine 60 days off might really help in conjunction with the PT. I'll also research different saddles.

This condition is not unusual, and it's very poorly understood. P.T. involves various treatment modalities, some of which are TMI (trust me). But whatever works. I can feel the pain radiating from my left sacroiliac joint, which has been sore since 2000, down through my prostate area and then down through my left leg. Whether or not that pain chain is really linked in any meaningful way is anyone's guess I suppose, my guess is that it's not, because up until now the S.I. joint pain wasn't connected to any pain in the pelvic floor area.

It's possible that enough relief of that region may give it time to heal, the stretching releases any tension, etc. I can tell you that after a week or so off the bike it feels normal, then I get back on the bike and it relapses. Hell, for all I know, 20 days off the bike is all it needs. But I'll give it a full 8 weeks or so and then re-assess with the physical therapist. The fact that simply laying off the bike for a short stretch alleviates all the symptoms strikes me as a hopeful sign, i.e., it's not so badly injured that even doing that doesn't help.