Bicycle seat after radiation

Posted by bonanzaman @bonanzaman, Jul 29 9:29am

Hi, I just completed radiation( five sessions for prostate and three for the hip). The doctor said not to start biking for at least two months.
My bike is a Trek DS3 hybrid bike, so it's not specifically built for the road or the bumps. but for gravel roads and such.
Right now I couldn't imagine riding as things are kind of tender down there.
Anyone have suggestions for a bike seat? It can be dorky, I'm not a trend setter or care what others think of me.
Thanks Dave

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I'm in my eighth month of ADT and two months past 44 radiation treatments. I use a stationary bike 20 min. during morning exercise. The seat still doesn't feel normal but it isn't painful. I hope to get out on my road bike soon, but my balance isn't that confident, seemingly affected a bit by ADT added to joint replacements.

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Hi jime51. Glad you are getting on your stationary bike. that's great exercise. I'm not there yet at my prostate is still burning. Not sure if my hip will complain too, but at this point it's doing good. My ADT is messing with me some, but not too much. Do you have a different seat on your bike?
Keep it up!!!

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Profile picture for chippydoo @chippydoo

As and avid rider and former MTB and road racer, I would suggest going to your local bike shop and getting fitted for a saddle. I currently ride 3-4 times a week and rode throughout ADT. Many have what is called a sit box that measures your sit bone distance. Then you can try various suggested sizes saddles until you find the one that is comfortable for you. Saddles are designed so that you are actually sitting on your sit bones and off of your perineal tissue. They now make more ergonomically fitted saddles that have cut outs and channels to protect the perirenal anatomy and nerves. I would suggest staying away from big bulky "seats" that can cause rubbing and chaffing of your inner thighs. Perhaps too much detail but with only 3 contact points on a bike it is recommended to get those right and will keep you more comfortable and riding more frequently. Hope this helps.

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@chippydoo
Catchy I.D.
Agree with you. It is those bones that your seat needs to be adjusted to. It will kept most of your weight off the perineal area.

When seated on a bid seat you weight is really downward on the seat. This weight balanced is changed somewhat with race bike with handlebars down. This where I found the slim seats on race bikes really hit the perennial area. It is why I try to stay with my hybrid bike. It has the abbreviated seat that has cushioned that hit those bones. It has literraly no tongue.

Even with a large seat you and bike when you are having radiation or surgery you have downward pressure on the perineal area and if on the road a lot of pounding dowward. With everyone's anaopmony (spell) different and what will bother one will not bother another better to play safe until after treatments and doctos say okay. I waited until my R/O said okay to bike now.

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I bought a seat similar to the one in Jeff's photo, except it has a hole in the middle and supports my weight on the bones of my butt and doesn't press on my perineum at all. I didn't start riding again until about three months after treatment, and for the first year stuck to the road and paved trails. Now I'm back to riding wherever I want.

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Here’s another option, not the easiest remedy but may help, try keeping the your butt off the saddle as much as possible and keep the pressure on your feet and legs. With some practice I was able to really limit my time on the saddle.

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