The Vicious Cycling: Bicycling Related Urogenital Disorders

Leibovitch, Ilan; Mor, Yoram

doi:10.1016/j.eururo.2004.10.024

Cited by 174 publications

(172 citation statements)

References 60 publications

Supporting

Mentioning

160

Contrasting

Unclassified

Order By: Relevance

“…These symptoms abated mostly within 1 h after cycling had stopped, except in the small percentage (0.02%) of males who experienced erectile dysfunction. Leibovitch and Mor [11] reviewed bicycling-related urogenital disorders and reported erectile dysfunction in 13 -24% of cyclists, and urological complaints and nerve entrapment syndromes in 50 -91%. Our findings differ substantially; perhaps, as a result of underreporting of this sensitive subject in our study.…”

Section: Discussionmentioning

confidence: 99%

“…[7] Perineal pain, numbness and erectile dysfunction are complications of prolonged saddle pressure. [11] Twenty-two per cent of male cyclists reported symptoms arising from the innervation area of the pudendal nerve, and impotence was reported by 13%. [8] Much of the current knowledge on overuse cycling injuries comes from cyclists involved in cycle tours ≥5 days, or from professional cyclists attending training camps.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Non-traumatic injury profile of amateur cyclists

walt¹

2016

S Afr J SM

View full text Add to dashboard Cite

Background. Non-traumatic bicycle injuries are common. However, research available on non-traumatic injuries in amateur cyclists is more than a decade old, and most of the research on this topic has been done in Europe and America on professional cyclists in multi-day cycling events. An understanding of the common injuries may lead to appropriate prevention intervention. Objective. To determine the incidence of overuse injuries in amateur cyclists preparing for participation in a 1-day cycle challenge. Methods. A questionnaire was emailed to participants of the 2012 Momentum 94.7 Cycle Challenge, which amateur participants ≥18 years old were invited to complete. Data on demographics, training habits and the participants' injury profile in the preceding year were collected. Results. Of the 3 300 respondents, 75% were male and 59% were between 30 and 50 years old. Non-traumatic injury, pain or neurological symptoms were reported by 88% of the respondents. The percentages of all respondents who experienced problems in the following anatomical areas were as follows: neck 34%, back 41%, hand/wrist 41%, buttock/perineum 41%, hip 7%, knee 33% and foot/ankle 24%. Knee pain was responsible for the need to stop training for the largest percentage of respondents. Neurological complaints were common in respondents who experienced neck, back, hand/wrist, buttock/perineum and foot/ankle problems. Conclusion. Non-traumatic injuries in amateur cyclists are common, with back, hand/wrist and buttock/perineal symptoms the most frequent problems. Knee problems caused the greatest need to stop training and seek medical help.

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Non-traumatic injury profile of amateur cyclists

walt¹

2016

S Afr J SM

View full text Add to dashboard Cite

show abstract

“…Cyclists are a common population affected by pudendal neuralgia, but it is not known why it afflicts some cyclists and not others. 15,16 Although in most cases neurologic injuries are transient and resolve within a few days to weeks, this case study illustrates the importance of timely interdisciplinary care to address symptoms that may be longer lasting. Improving interdisciplinary communication to achieve better patient outcomes is a goal to which every health care professional should strive.…”

mentioning

confidence: 89%

“…13,14 The pudendal nerve is predisposed to entrapment at 2 sites 1 : the ischial spine by compression of the sacrospinous and sacrotuberous ligaments and 2 the pudendal canal by compression of the falciform process of the sacrotuberous ligament or thickening of the obturator fascia. 15 Published reports suggest that pudendal neuralgia is more common in women than men. Cyclists are a common population affected by pudendal neuralgia, but it is not known why it afflicts some cyclists and not others.…”

mentioning

confidence: 99%

Chiropractic Management of a Patient With Perineal Numbness After Arthroscopic Hip Surgery: A Case Report

Olson

Zetocha²,

Olson

2016

Journal of Chiropractic Medicine

View full text Add to dashboard Cite

Objective: The purpose of this case report is to describe the chiropractic management of a patient with postoperative perineal numbness as a result of hip arthroscopy. Clinical Features: A female patient presented to a chiropractic clinic with 7 weeks of ongoing perineal numbness after right hip arthroscopic surgery with labral repair. The patient reported lack of sensation during urination, sexual intercourse, and the insertion and removal of female hygienic products into the vagina. Intervention and Outcome: Conservative care included myofascial therapy to the psoas and obturator internus muscles and instrument-assisted soft tissue mobilization over the obturator internus. Manual manipulation to the pelvis was also performed. The patient reported complete resolution of perineal numbness after 3 chiropractic treatments. Conclusion: With conservative chiropractic management, full resolution of sensation for this patient was achieved. (J Chiropr Med 2016;15:305-309)

show abstract

“…10,12,13 Friction created in the pudendal canal from the repetitive nature of pedaling or direct compression of the nerve between the nose of the bicycle seat and pubic bone make cyclists susceptible to pathology of the pudendal nerve and its terminal motor and sensory branches. 14 Physical exam for those with potential posterior nerve entrapments should include the seated palpation, seated piriformis stretch, active piriformis, ischiofemoral, and active knee flexion tests. 6 The seated palpation test can be used to distinguish the source of entrapment based on location of tenderness.…”

Section: Posterior Nerve Entrapmentsmentioning

confidence: 99%

Nerve Entrapment in the Hip Region: Current Concepts Review

Martin

Kivlan

2017

Intl J Sports Phys Ther

View full text Add to dashboard Cite

The purpose of this clinical commentary is to review the anatomy, etiology, evaluation, and treatment techniques for nerve entrapments of the hip region. Nerve entrapment can occur around musculotendinous, osseous, and ligamentous structures because of the potential for increased strain and compression on the peripheral nerve at those sites. The sequela of localized trauma may also result in nerve entrapment if normal nerve gliding is prevented. Nerve entrapment can be difficult to diagnose because patient complaints may be similar to and coexist with other musculoskeletal conditions in the hip and pelvic region. However, a detailed description of symptom location and findings from a comprehensive physical examination can be used to determine if an entrapment has occurred, and if so where. The sciatic, pudendal, obturator, femoral, and lateral femoral cutaneous are nerves that can be entrapped and serve a source of hip pain in the athletic population. Manual therapy, stretching and strengthening exercises, aerobic conditioning, and cognitive-behavioral education are potential interventions. When conservative treatment is ineffective at relieving symptoms surgical treatment with neurolysis or neurectomy may be considered. Level of Evidence: 5

show abstract

The Vicious Cycling: Bicycling Related Urogenital Disorders

Cited by 174 publications

References 60 publications

Non-traumatic injury profile of amateur cyclists

Non-traumatic injury profile of amateur cyclists

Chiropractic Management of a Patient With Perineal Numbness After Arthroscopic Hip Surgery: A Case Report

Nerve Entrapment in the Hip Region: Current Concepts Review

Contact Info

Product

Resources

About