Go Back  Bike Forums > Bike Forums > Fifty Plus (50+) > Pills and Ills
Reload this Page >

Perineal Nodular Induration - pinches that are not exactly saddle sores

Notices
Pills and Ills This is a discussion subforum for the health challenges faced by riders 50+. These discussions are in no way to be considered professional medical advice.

Perineal Nodular Induration - pinches that are not exactly saddle sores

Old 07-16-20, 06:17 AM
  #1  
masi61
Senior Member
Thread Starter
 
masi61's Avatar
 
Join Date: Oct 2005
Location: SW Ohio
Posts: 2,628

Bikes: Puch Marco Polo, Saint Tropez, Masi Gran Criterium

Mentioned: 21 Post(s)
Tagged: 0 Thread(s)
Quoted: 617 Post(s)
Liked 88 Times in 67 Posts
Perineal Nodular Induration - pinches that are not exactly saddle sores

Just wonder if anyone has heard of this condition.

I have 2 grape sized hard subcutaneous nodules on the left/central perineum at the base of my scrotum.

The one one closer to center is more painful but both feel kind of “pinchy”. These little bits of scar tissue have a lot of nerve endings in them. They can get really “angry” and go from pea sized to grape sized to (small) egg sized when inflamed.

I found the term “Perineal Nodular Induration” or “PNI” while doing a web search on this condition.

I have had saddle sores that were from infections such as infected hair follicles but these nodules do not resemble those. It seems more like a pinch in the perineum has led to subcutaneous scar tissue perhaps from poorly fitted shorts or “riding the rivet” or nose of my saddle too much. I used to be heavier and I am 58 now so my so I do have some loose skin in this area. I am pretty consistent about applying Queen Helene Shea Butter body creme to his region prior to embarking on my 2 to 3 hour training rides and it helps some. Now that my season has progressed, I am more fit so I am able to use my abdominal strength and shove my ass furtherback on the saddle and ride the drops a bit more to lessen the forward pressure. I like my Turbomatic Team carbon saddle - it is long and firm but does have elastomers under the rails and I intend to keep them on both my active roadbikes.

I plan to reach out to my family physician for him to check these 2 painful perineal nodules. I’d like it if he would be willing to try injecting some cortisone into both of them to try to reduce the inflammation, thus softening them. If this does not work, I might be seeking a surgical referral to have the 2 spots excised.

Has anyone experienced this rare, Nodular type of saddle sore?

Last edited by masi61; 07-16-20 at 01:02 PM.
masi61 is offline  
Old 07-16-20, 12:14 PM
  #2  
OldTryGuy
Senior Member
 
Join Date: Jun 2013
Location: SW Fl.
Posts: 4,895

Bikes: 1981 Custom Touring Paramount, 1983 Road Paramount, 2013 Giant Propel Advanced SL3, 2018 Specialized Red Roubaix Expert mech., 2002 Magna 7sp hybrid, 1976 Bassett Racing 45sp Cruiser

Mentioned: 15 Post(s)
Tagged: 0 Thread(s)
Quoted: 816 Post(s)
Liked 275 Times in 180 Posts
Originally Posted by masi61 View Post
....................I plan to reach out to my family physician for him to check these 2 painful perineal nodules............................
Logical action.
OldTryGuy is offline  
Old 07-16-20, 04:04 PM
  #3  
Carbonfiberboy 
just another gosling
 
Carbonfiberboy's Avatar
 
Join Date: Feb 2007
Location: Everett, WA
Posts: 16,491

Bikes: CoMo Speedster 2003, Trek 5200, CAAD 9, Fred 2004

Mentioned: 102 Post(s)
Tagged: 0 Thread(s)
Quoted: 2452 Post(s)
Liked 515 Times in 379 Posts
I've had a spot like this on the right side for several years. This year, seeing that all my event rides would be cancelled, on May 12 I went to a dermatologist who injected 1/2 cc of Kenalog 10,
triamcinolone acetonide, a synthetic glucocorticoid corticosteroid with marked anti-inflammatory action, in a sterile aqueous suspension suitable for intralesional and intra-articular injection.
This resulted in a severe skin ulcer which has finally begun to heal. Prognosis is at least another month before I might possibly be able to ride again. I can't sit on it at all, sitting only on a doughnut cushion to keep pressure off the ulcer which also has to be protected by a dressing I change every day. Thus I haven't been able to ride since early May and it's unclear when I might be able to sit on a saddle again. Also, it looks like the lump is still there, though much smaller, and the skin quality in that area is much worse, sort of loose and weird looking. In retrospect, I should have gone for the surgery right off. This was a complete disaster. I'll probably still have to have the surgery.
__________________
Results matter
Carbonfiberboy is offline  
Old 07-16-20, 09:30 PM
  #4  
canklecat
Me duelen las nalgas
 
canklecat's Avatar
 
Join Date: Aug 2015
Location: Texas
Posts: 11,631

Bikes: Centurion Ironman, Trek 5900, Univega Via Carisma, Globe Carmel

Mentioned: 184 Post(s)
Tagged: 0 Thread(s)
Quoted: 3690 Post(s)
Liked 1,271 Times in 835 Posts
Yeah, I've occasionally developed those nodules the past year. It was immediately noticeable so I made a few changes as soon as I felt a small pea sized lump.

I use an ordinary barrier cream (zinc oxide, menthol, etc), switched shorts and saddles, waited a day or so for it to subside. So far, so good. It threatens to return once in awhile but the barrier cream seems to keep it in check for now.

A minor tweak in my bike fit may have helped as well, by reducing pressure on that particular point. I switched from a 90mm to 110mm stem. Along with a different saddle, it seems to have changed pressure points just enough to eliminate the problem for now.

I suspect the saddle was the main culprit. I was a saddle with a large perineum relief cutout and flexible shell. But by eliminating pressure on the perineum my weight had to go somewhere else. So there was more pressure on a tendon or ligament, where the nodule developed. Switching to a more conventional saddle seems to have helped. I didn't really need the cutout saddle, I just decided to try it last year. Seemed okay for awhile but wasn't really any more comfortable than a solid top saddle or one with a smaller relief cutout.
canklecat is offline  
Old 07-17-20, 03:40 PM
  #5  
masi61
Senior Member
Thread Starter
 
masi61's Avatar
 
Join Date: Oct 2005
Location: SW Ohio
Posts: 2,628

Bikes: Puch Marco Polo, Saint Tropez, Masi Gran Criterium

Mentioned: 21 Post(s)
Tagged: 0 Thread(s)
Quoted: 617 Post(s)
Liked 88 Times in 67 Posts
Carbonfiberboy - so sorry you are having this issue. I am beginning to think it is much more widespread than anybody knows.

I'm wondering what specialty surgeon could remove these lesions? Since it is pretty deeply subcutaneous, I doubt that my dermatologist would want to excise one (or two) like I need.
masi61 is offline  
Old 07-18-20, 01:14 AM
  #6  
masi61
Senior Member
Thread Starter
 
masi61's Avatar
 
Join Date: Oct 2005
Location: SW Ohio
Posts: 2,628

Bikes: Puch Marco Polo, Saint Tropez, Masi Gran Criterium

Mentioned: 21 Post(s)
Tagged: 0 Thread(s)
Quoted: 617 Post(s)
Liked 88 Times in 67 Posts
canklecat - your experience sounds similar to mine. My Team Turbomatic saddle has no cutouts. It is a bit longer than a lot of short modern saddles. I think riding a cutout saddle would not help anything for me. I do much better being able to slide forward a bit or all the way back depending on the terrain.

How my 2 left sided nodules got started I want to say started back at the beginning of this season wearing thermal bib knickers. I had a pinch of loose skin that I thought would work itself out while riding. I must have forgotten the barrier cream that day. Usually a healthy smear with the Queen Hélène stuff and you can feel your butt smoothly contouring itself to your shorts chamois pad. This one pair of thermal knickers (the Voler ones I think, not the Pactimos has more of a “grabby” seat pad) - too bad they don’t make silk short liners.

Anyway, the little painful nodules are here now and my job is either how to minimize the discomfort (like you apparently did) or set out to find a way to get rid of them completely. Nerve endings that you have cut out worry me though. I had Morton’s Neuroma surgery on my left foot and my left foot post surgery still experiences all kinds of pain, numbness, hotspots intermittently.
masi61 is offline  
Old 07-18-20, 08:03 PM
  #7  
Carbonfiberboy 
just another gosling
 
Carbonfiberboy's Avatar
 
Join Date: Feb 2007
Location: Everett, WA
Posts: 16,491

Bikes: CoMo Speedster 2003, Trek 5200, CAAD 9, Fred 2004

Mentioned: 102 Post(s)
Tagged: 0 Thread(s)
Quoted: 2452 Post(s)
Liked 515 Times in 379 Posts
Originally Posted by masi61 View Post
Carbonfiberboy - so sorry you are having this issue. I am beginning to think it is much more widespread than anybody knows.

I'm wondering what specialty surgeon could remove these lesions? Since it is pretty deeply subcutaneous, I doubt that my dermatologist would want to excise one (or two) like I need.
Thing to do is ask. Mine said he would if it came to that, though I'm not sure he meant him personally. They do a lot of fancy cutting though.
__________________
Results matter
Carbonfiberboy is offline  
Old 07-18-20, 08:35 PM
  #8  
JanMM
rebmeM roineS
 
JanMM's Avatar
 
Join Date: Jan 2006
Location: Metro Indy, IN
Posts: 15,885

Bikes: RANS V3 ti, RANS V-Rex, RANS Screamer

Mentioned: 15 Post(s)
Tagged: 0 Thread(s)
Quoted: 564 Post(s)
Liked 183 Times in 121 Posts
No personal experience with your issue, but do know that some dermatologists do highly specialized procedures. Or, '..fancy cutting..' as carbonfiberboy said.
__________________
Bacchetta Giro A20, RANS V-Rex, RANS Screamer
JanMM is offline  
Old 07-19-20, 04:36 AM
  #9  
masi61
Senior Member
Thread Starter
 
masi61's Avatar
 
Join Date: Oct 2005
Location: SW Ohio
Posts: 2,628

Bikes: Puch Marco Polo, Saint Tropez, Masi Gran Criterium

Mentioned: 21 Post(s)
Tagged: 0 Thread(s)
Quoted: 617 Post(s)
Liked 88 Times in 67 Posts
Originally Posted by JanMM View Post
No personal experience with your issue, but do know that some dermatologists do highly specialized procedures. Or, '..fancy cutting..' as carbonfiberboy said.
The larger, more central of these 2 nodules goes deep under the skin - almost down to the pubic bone. I will tell my dermatologist about it when I go in for my annual skin check with him this month.
masi61 is offline  
Old 08-07-20, 11:09 AM
  #10  
masi61
Senior Member
Thread Starter
 
masi61's Avatar
 
Join Date: Oct 2005
Location: SW Ohio
Posts: 2,628

Bikes: Puch Marco Polo, Saint Tropez, Masi Gran Criterium

Mentioned: 21 Post(s)
Tagged: 0 Thread(s)
Quoted: 617 Post(s)
Liked 88 Times in 67 Posts
I was hoping to hear from other bikeforums.net members who maybe had surgical excision of these PNI nodules and ask how the procedure went for them. I'm still being vexed by this and they seem to be getting worse not better. This is frustrating because I'm just past the mid-point of the cycling season where my bike fitness is quite good. My average speeds and/or my overall enjoyment of my rides has been impeded by the pinching pains from these d#mn nodules, the bigger of which is starting to bleed now.
masi61 is offline  
Old 08-07-20, 01:00 PM
  #11  
OldTryGuy
Senior Member
 
Join Date: Jun 2013
Location: SW Fl.
Posts: 4,895

Bikes: 1981 Custom Touring Paramount, 1983 Road Paramount, 2013 Giant Propel Advanced SL3, 2018 Specialized Red Roubaix Expert mech., 2002 Magna 7sp hybrid, 1976 Bassett Racing 45sp Cruiser

Mentioned: 15 Post(s)
Tagged: 0 Thread(s)
Quoted: 816 Post(s)
Liked 275 Times in 180 Posts
Originally Posted by masi61 View Post
I was hoping to hear from other bikeforums.net members who maybe had surgical excision of these PNI nodules and ask how the procedure went for them. I'm still being vexed by this and they seem to be getting worse not better. This is frustrating because I'm just past the mid-point of the cycling season where my bike fitness is quite good. My average speeds and/or my overall enjoyment of my rides has been impeded by the pinching pains from these d#mn nodules, the bigger of which is starting to bleed now.
Just thinking that a Gastroenterologist or a Urologist might be familiar with this issue.
OldTryGuy is offline  
Likes For OldTryGuy:
Old 08-07-20, 09:39 PM
  #12  
Carbonfiberboy 
just another gosling
 
Carbonfiberboy's Avatar
 
Join Date: Feb 2007
Location: Everett, WA
Posts: 16,491

Bikes: CoMo Speedster 2003, Trek 5200, CAAD 9, Fred 2004

Mentioned: 102 Post(s)
Tagged: 0 Thread(s)
Quoted: 2452 Post(s)
Liked 515 Times in 379 Posts
I'm almost healed now, things are looking better. Skin there now seems like it might be OK after all. Maybe another 2 weeks until I can test it. Of course there's the chance that it might happen all over again. However, these things first appeared when I was using a saddle which was too narrow. I'm keeping my hopes up. I've been running and walking and lifting while this has been going on. That's been interesting, too.

Bummer #2 is that my bike was what was keeping my back strong, so all of a sudden I got sciatica. What next? I think I have that figured out now, too. Need the right combo of stretches and workouts.
__________________
Results matter
Carbonfiberboy is offline  
Old 08-08-20, 07:19 AM
  #13  
metalheart44
Senior Member
 
metalheart44's Avatar
 
Join Date: Sep 2010
Location: The Northwoods, Wisconsin
Posts: 688

Bikes: Holland Exogrid & Holland HC

Mentioned: 3 Post(s)
Tagged: 0 Thread(s)
Quoted: 90 Post(s)
Likes: 0
Liked 6 Times in 5 Posts
I have an appointment with a Sports medicine / Family doc in a week or so to check what I believe is a PNI. I have had some discomfort/pain during and after rides for multiple months, most an aching pain on my right sit bone. It is uncomfortable while driving and sometimes while sitting. It also can be worse after a ride. About a week ago while I was putting on chamois cream I noticed a small nodule on the right side of my perineum but not the left. Did some internet sleuthing and discovered PNI as a potential explanation so I made an appointment with the doc. Then I remembered that some months ago I made a change to saddle position that is the most likely explanation for my pain. I thought this was just some other type of muscle/soft tissue issue untilI discovered the nodule. I have changed my saddle position back to where it was before and the discomfort seems less while riding. I am hoping that surgery is not the solution, but whatever happens with the doc happens.
metalheart44 is offline  
Old 08-19-20, 08:35 AM
  #14  
masi61
Senior Member
Thread Starter
 
masi61's Avatar
 
Join Date: Oct 2005
Location: SW Ohio
Posts: 2,628

Bikes: Puch Marco Polo, Saint Tropez, Masi Gran Criterium

Mentioned: 21 Post(s)
Tagged: 0 Thread(s)
Quoted: 617 Post(s)
Liked 88 Times in 67 Posts
Originally Posted by canklecat View Post
Yeah, I've occasionally developed those nodules the past year. It was immediately noticeable so I made a few changes as soon as I felt a small pea sized lump.

I use an ordinary barrier cream (zinc oxide, menthol, etc), switched shorts and saddles, waited a day or so for it to subside. So far, so good. It threatens to return once in awhile but the barrier cream seems to keep it in check for now.

A minor tweak in my bike fit may have helped as well, by reducing pressure on that particular point. I switched from a 90mm to 110mm stem. Along with a different saddle, it seems to have changed pressure points just enough to eliminate the problem for now.

I suspect the saddle was the main culprit. I was a saddle with a large perineum relief cutout and flexible shell. But by eliminating pressure on the perineum my weight had to go somewhere else. So there was more pressure on a tendon or ligament, where the nodule developed. Switching to a more conventional saddle seems to have helped. I didn't really need the cutout saddle, I just decided to try it last year. Seemed okay for awhile but wasn't really any more comfortable than a solid top saddle or one with a smaller relief cutout.
This is interesting: I have never used a cut-out saddle. I intend to try one soon. I really love my Selle Italia Turbomatic team carbon saddle without any cut outs. I plan to bid on the same saddle (on eBay) but with the cut out relief channel. I took a week off from riding then went for my normal 42 mile training route on Monday. Unfortunately, I was in a lot of "pinchy" discomfort from this nodule right at the base of my scrotum (but not on the scrotum). My appointment with the urologist is not for another month. I love riding but right now I'm a bit depressed because riding aggravates this condition.
masi61 is offline  
Old 08-19-20, 08:45 AM
  #15  
masi61
Senior Member
Thread Starter
 
masi61's Avatar
 
Join Date: Oct 2005
Location: SW Ohio
Posts: 2,628

Bikes: Puch Marco Polo, Saint Tropez, Masi Gran Criterium

Mentioned: 21 Post(s)
Tagged: 0 Thread(s)
Quoted: 617 Post(s)
Liked 88 Times in 67 Posts
Originally Posted by metalheart44 View Post
I have an appointment with a Sports medicine / Family doc in a week or so to check what I believe is a PNI. I have had some discomfort/pain during and after rides for multiple months, most an aching pain on my right sit bone. It is uncomfortable while driving and sometimes while sitting. It also can be worse after a ride. About a week ago while I was putting on chamois cream I noticed a small nodule on the right side of my perineum but not the left. Did some internet sleuthing and discovered PNI as a potential explanation so I made an appointment with the doc. Then I remembered that some months ago I made a change to saddle position that is the most likely explanation for my pain. I thought this was just some other type of muscle/soft tissue issue untilI discovered the nodule. I have changed my saddle position back to where it was before and the discomfort seems less while riding. I am hoping that surgery is not the solution, but whatever happens with the doc happens.
Hey, I'm just following up. After reading your post I was wondering if you made it to the doc and what his recommendation was? I still have not made it to the doc but man this nodule is super sensitive making me have to shift some of my weight to the right (the nodule is center/left). I have learned the importance of taking care of all 3 points of contact (the seat, the hands and the feet). Using abdominal strength and the hands/arms to unweight my ass does seem to help reduce the pressure somewhat as does running lower tire pressures. But these interventions are only stop gap right now since the one subcutaneous nodule that I have feels exactly like a sharp skin pinch (without an actual external skin pinch). I have noticed some pink serous drainage on my synthetic chamois pad following my rides lately and I also saw some blood stains on my sheets from this general area. Strange thing is, I don't see much of any surface wound. It is more like a prune sized knarly lump under the skin right in that spot. I also have a second nodule on the left side of my outer scrotal area that is benign in that it is not inflamed, enlarged or painful.
masi61 is offline  
Old 08-19-20, 11:05 AM
  #16  
Carbonfiberboy 
just another gosling
 
Carbonfiberboy's Avatar
 
Join Date: Feb 2007
Location: Everett, WA
Posts: 16,491

Bikes: CoMo Speedster 2003, Trek 5200, CAAD 9, Fred 2004

Mentioned: 102 Post(s)
Tagged: 0 Thread(s)
Quoted: 2452 Post(s)
Liked 515 Times in 379 Posts
Originally Posted by masi61 View Post
Hey, I'm just following up. After reading your post I was wondering if you made it to the doc and what his recommendation was? I still have not made it to the doc but man this nodule is super sensitive making me have to shift some of my weight to the right (the nodule is center/left). I have learned the importance of taking care of all 3 points of contact (the seat, the hands and the feet). Using abdominal strength and the hands/arms to unweight my ass does seem to help reduce the pressure somewhat as does running lower tire pressures. But these interventions are only stop gap right now since the one subcutaneous nodule that I have feels exactly like a sharp skin pinch (without an actual external skin pinch). I have noticed some pink serous drainage on my synthetic chamois pad following my rides lately and I also saw some blood stains on my sheets from this general area. Strange thing is, I don't see much of any surface wound. It is more like a prune sized knarly lump under the skin right in that spot. I also have a second nodule on the left side of my outer scrotal area that is benign in that it is not inflamed, enlarged or painful.
Exactly like that. Mine eventually did the same thing, blood on the chamois even though I've always ridden with lube. I've been to Dr. Google. Looks like excision is the standard treatment. Neither my PCP nor dermatologist had ever heard of it. Triamcinolone cream and Mupirocin antibiotic (both prescription) will help, but not fix.
__________________
Results matter
Carbonfiberboy is offline  
Likes For Carbonfiberboy:
Old 08-19-20, 12:27 PM
  #17  
masi61
Senior Member
Thread Starter
 
masi61's Avatar
 
Join Date: Oct 2005
Location: SW Ohio
Posts: 2,628

Bikes: Puch Marco Polo, Saint Tropez, Masi Gran Criterium

Mentioned: 21 Post(s)
Tagged: 0 Thread(s)
Quoted: 617 Post(s)
Liked 88 Times in 67 Posts
Originally Posted by Carbonfiberboy View Post
Exactly like that. Mine eventually did the same thing, blood on the chamois even though I've always ridden with lube. I've been to Dr. Google. Looks like excision is the standard treatment. Neither my PCP nor dermatologist had ever heard of it. Triamcinolone cream and Mupirocin antibiotic (both prescription) will help, but not fix.
Thanks for your reply. You're just googling the condition? What about the MD appointment (surgeon, or urologist)?
masi61 is offline  
Old 08-19-20, 03:31 PM
  #18  
Carbonfiberboy 
just another gosling
 
Carbonfiberboy's Avatar
 
Join Date: Feb 2007
Location: Everett, WA
Posts: 16,491

Bikes: CoMo Speedster 2003, Trek 5200, CAAD 9, Fred 2004

Mentioned: 102 Post(s)
Tagged: 0 Thread(s)
Quoted: 2452 Post(s)
Liked 515 Times in 379 Posts
Originally Posted by masi61 View Post
Thanks for your reply. You're just googling the condition? What about the MD appointment (surgeon, or urologist)?
My PCP never heard of it, though he prescribed meds to help it, and the dermatologist misdiagnosed and them maltreated, which has caused me at least an additional 2 months off the bike. I couldn't google it until I saw it described here!
__________________
Results matter
Carbonfiberboy is offline  
Old 08-19-20, 03:54 PM
  #19  
metalheart44
Senior Member
 
metalheart44's Avatar
 
Join Date: Sep 2010
Location: The Northwoods, Wisconsin
Posts: 688

Bikes: Holland Exogrid & Holland HC

Mentioned: 3 Post(s)
Tagged: 0 Thread(s)
Quoted: 90 Post(s)
Likes: 0
Liked 6 Times in 5 Posts
I had the appointment today with a sports doc and she is also a cyclist. She quickly confirmed my suspicion that the subcutaneous lump I have on the right side of the perineum is a PNI. She also did some manipulations of my legs/hips and her opinion is that my post-ride discomfort may be either piriformis related or possibly siattica. t could also be related to the PNI. We talked about an injection for the PNI, but she said her experience is that it tends to be messy and often not very successful. She said that surgery might be an option if the PNI is the primary source of the pain. For now, the plan is to do some PT and see if that can sort out the sciatic or piriformis possibilities and then follow up in a few weeks.

In the interval between making the appointment and seeing the doc today I adjusted my saddle about 5 or so mm forward so I was sitting on the wider part of the saddle. I have done a number of rides since then, including a couple longer (50+) rides without only minimal discomfort during the ride. Pain and stiffness post-ride is still there, but not to the degree that it was prior to this saddle adjustment. The PNI is clearly there, but it is less clear if this is the cause of my issues or not. I have no drainage or opening in the skin (she asked if I had looked at it and I described how I used my tool box flexible mirror too examine the area --- she was amused).

So, the PNI is still in play but so are some other possible issues.
metalheart44 is offline  
Old 08-20-20, 02:36 PM
  #20  
Carbonfiberboy 
just another gosling
 
Carbonfiberboy's Avatar
 
Join Date: Feb 2007
Location: Everett, WA
Posts: 16,491

Bikes: CoMo Speedster 2003, Trek 5200, CAAD 9, Fred 2004

Mentioned: 102 Post(s)
Tagged: 0 Thread(s)
Quoted: 2452 Post(s)
Liked 515 Times in 379 Posts
Originally Posted by metalheart44 View Post
I had the appointment today with a sports doc and she is also a cyclist. She quickly confirmed my suspicion that the subcutaneous lump I have on the right side of the perineum is a PNI. She also did some manipulations of my legs/hips and her opinion is that my post-ride discomfort may be either piriformis related or possibly siattica. t could also be related to the PNI. We talked about an injection for the PNI, but she said her experience is that it tends to be messy and often not very successful. She said that surgery might be an option if the PNI is the primary source of the pain. For now, the plan is to do some PT and see if that can sort out the sciatic or piriformis possibilities and then follow up in a few weeks.

In the interval between making the appointment and seeing the doc today I adjusted my saddle about 5 or so mm forward so I was sitting on the wider part of the saddle. I have done a number of rides since then, including a couple longer (50+) rides without only minimal discomfort during the ride. Pain and stiffness post-ride is still there, but not to the degree that it was prior to this saddle adjustment. The PNI is clearly there, but it is less clear if this is the cause of my issues or not. I have no drainage or opening in the skin (she asked if I had looked at it and I described how I used my tool box flexible mirror too examine the area --- she was amused).

So, the PNI is still in play but so are some other possible issues.
IME saddle shape and position on the saddle cause or do not cause a PNI. Go for a ride in nylon shorts. That might help make things clearer. The pad can cover a host of sins.

My injection-caused skin ulcers have now cleared up enough that I can tell that the PNI is still there, underneath, though much reduced in size. My current saddle is a much better fit for me, so I'll see what happens.
__________________
Results matter
Carbonfiberboy is offline  

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off


Thread Tools
Search this Thread

Contact Us - Archive - Advertising - Cookie Policy - Privacy Statement - Terms of Service - Do Not Sell My Personal Information -

Copyright © 2018 MH Sub I, LLC dba Internet Brands. All rights reserved. Use of this site indicates your consent to the Terms of Use.