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	<title>Comments on: Bicycling and Erectile Dysfunction</title>
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	<pubDate>Wed, 07 Jan 2009 01:53:34 +0000</pubDate>
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		<title>By: liz</title>
		<link>http://blog.athlo.com/2008/08/18/bicycling-and-erectile-dysfunction/#comment-69</link>
		<dc:creator>liz</dc:creator>
		<pubDate>Wed, 20 Aug 2008 06:00:53 +0000</pubDate>
		<guid isPermaLink="false">http://blog.athlo.com/?p=51#comment-69</guid>
		<description>I have also been learning a lot recently about pelvic torque and leg length discrepancies.  It's important that if you're going to be on the bike for a considerable amount of time that you get a proper bike fit and maybe even a retul assessment.  http://www.retul.com/</description>
		<content:encoded><![CDATA[<p>I have also been learning a lot recently about pelvic torque and leg length discrepancies.  It&#8217;s important that if you&#8217;re going to be on the bike for a considerable amount of time that you get a proper bike fit and maybe even a retul assessment.  <a href="http://www.retul.com/" rel="nofollow">http://www.retul.com/</a></p>
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		<title>By: Ryan Kistner</title>
		<link>http://blog.athlo.com/2008/08/18/bicycling-and-erectile-dysfunction/#comment-62</link>
		<dc:creator>Ryan Kistner</dc:creator>
		<pubDate>Tue, 19 Aug 2008 18:31:04 +0000</pubDate>
		<guid isPermaLink="false">http://blog.athlo.com/?p=51#comment-62</guid>
		<description>The type of route a person rides also plays a factor in the stress on the perineum.  I have found that long, flat rides are the worst for constant pressure and weight on the perineum.  On a flat ride I rarely change posture and most of my weight is squarely on the seat.  That's why I would much rather ride a hilly route.  

On the uphill I am often times out of the saddle when I pedal.  When I am seated, my weight is shifted more towards my butt.  On the downhill, a lot of the weight shifts to my arms and feet.  I also lean when going around turns which causes even less weight on my perineum.

If you live in a place with no hills you might want to also consider buying aero bars for your bike.  It might help alleviate the problem by allowing you to distribute more body weight to your arms.</description>
		<content:encoded><![CDATA[<p>The type of route a person rides also plays a factor in the stress on the perineum.  I have found that long, flat rides are the worst for constant pressure and weight on the perineum.  On a flat ride I rarely change posture and most of my weight is squarely on the seat.  That&#8217;s why I would much rather ride a hilly route.  </p>
<p>On the uphill I am often times out of the saddle when I pedal.  When I am seated, my weight is shifted more towards my butt.  On the downhill, a lot of the weight shifts to my arms and feet.  I also lean when going around turns which causes even less weight on my perineum.</p>
<p>If you live in a place with no hills you might want to also consider buying aero bars for your bike.  It might help alleviate the problem by allowing you to distribute more body weight to your arms.</p>
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		<title>By: liz</title>
		<link>http://blog.athlo.com/2008/08/18/bicycling-and-erectile-dysfunction/#comment-61</link>
		<dc:creator>liz</dc:creator>
		<pubDate>Tue, 19 Aug 2008 04:44:07 +0000</pubDate>
		<guid isPermaLink="false">http://blog.athlo.com/?p=51#comment-61</guid>
		<description>Patrick, I couldn't have said it any better myself.  This is actually what I devote the majority of my physical therapy practice too and I have treated many cyclists with these complaints.  In addition to erectile dysfunction,  many cyclists feel as though they have pain in their prostate, only to find that when they visit the urologist there is nothing wrong with their prostate.  There are many muscles in the pelvis in addition to the pudendal nerve that can result in prostate pain, bladder pain, penile pain, testicular and rectal pain.  I have also known cyclists to complain of secreting prostatic fluid when cycling.  Not only that, but females suffer from this as well in the way vaginal, labial and clitoral pain and pain inside the sit bones.  If anyone you know suffers from these symptoms I highly recommend getting it checked out by a PT knowledgeable in pelvic floor muscle dysfunction.  You can check out the website of my clinic at &lt;a href="http://pelvicpainrehab.com/" rel="nofollow"&gt;Pelvic Rehab&lt;/a&gt; or go directly to &lt;a href="http://www.pelvicpainrehab.com/symptoms_conditions_treated/symptoms_conditions/cyclist_syndrome.html" rel="nofollow"&gt;information&lt;/a&gt; about pelvic pain from cycling.</description>
		<content:encoded><![CDATA[<p>Patrick, I couldn&#8217;t have said it any better myself.  This is actually what I devote the majority of my physical therapy practice too and I have treated many cyclists with these complaints.  In addition to erectile dysfunction,  many cyclists feel as though they have pain in their prostate, only to find that when they visit the urologist there is nothing wrong with their prostate.  There are many muscles in the pelvis in addition to the pudendal nerve that can result in prostate pain, bladder pain, penile pain, testicular and rectal pain.  I have also known cyclists to complain of secreting prostatic fluid when cycling.  Not only that, but females suffer from this as well in the way vaginal, labial and clitoral pain and pain inside the sit bones.  If anyone you know suffers from these symptoms I highly recommend getting it checked out by a PT knowledgeable in pelvic floor muscle dysfunction.  You can check out the website of my clinic at <a href="http://pelvicpainrehab.com/" rel="nofollow">Pelvic Rehab</a> or go directly to <a href="http://www.pelvicpainrehab.com/symptoms_conditions_treated/symptoms_conditions/cyclist_syndrome.html" rel="nofollow">information</a> about pelvic pain from cycling.</p>
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		<title>By: John Nadzam</title>
		<link>http://blog.athlo.com/2008/08/18/bicycling-and-erectile-dysfunction/#comment-60</link>
		<dc:creator>John Nadzam</dc:creator>
		<pubDate>Tue, 19 Aug 2008 03:34:01 +0000</pubDate>
		<guid isPermaLink="false">http://blog.athlo.com/?p=51#comment-60</guid>
		<description>Great article.  I believe posture is key in avoiding excessive or lengthy pressure to the perineum.  The first time you sit on a road bike you no doubt feel the firm seat with or without padded bike shorts.  I recommend getting comfortable sitting on the bones in your butt to take pressure off of this area.  One thing that will help is ensuring your seat is angled downwards from rear to front.  I've known a few cyclists to have issues with numbness because that had their seat tilted in the opposite direction.</description>
		<content:encoded><![CDATA[<p>Great article.  I believe posture is key in avoiding excessive or lengthy pressure to the perineum.  The first time you sit on a road bike you no doubt feel the firm seat with or without padded bike shorts.  I recommend getting comfortable sitting on the bones in your butt to take pressure off of this area.  One thing that will help is ensuring your seat is angled downwards from rear to front.  I&#8217;ve known a few cyclists to have issues with numbness because that had their seat tilted in the opposite direction.</p>
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