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Conference noted::bicycle

Title: Bicycling
Notice:Bicycling for Fun
Moderator:JAMIN::WASSER
Created:Mon Apr 14 1986
Last Modified:Fri Jun 06 1997
Last Successful Update:Fri Jun 06 1997
Number of topics:3214
Total number of notes:31946

102.0. "Saddle sores?" by BANZAI::FISHER () Thu Jul 17 1986 12:41

This is more about infections than just "sore buns."

I ended up with an infected sebaceous cyst in the groin.  That's
a sweat gland that's gone awry.  Normally when they swell up, folks just
pop them and that's it.  Once they become infected, however, one should not
do such a thing and must do such things as remove the source of iritation
that's helping it swell up if any (in this case, cycling), help the body's
defenses kill the infection (heat treatments) and then, probably, have
the cysts removed.

two questions arise:

How to stay in shape during the layoff? I don't want
to conditioning in the next 2 or 3 wks.

How to prevent them?  Yes, I wash my chamois, shower, etc.  I have been
caught in the rain quite a bit lately -- unavoidable on the 7 day trip
to Buffalo.  I have heard some statements that "diet" might help, I've
had these cysts before but in less problemtatic locations.

Anybody got any suggestions?
T.RTitleUserPersonal
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102.1SUPER::CONNELLThu Jul 17 1986 13:4710
    Have you tried a Spenco saddle pad.  They come in "touring" and
    "racer" models.  Feel kind of weird in your hands, but they really
    work for problem buns.
    
    How about swimming to stay in shape?  I used it after knee problems
    and it was great.
    
    Chuck
    
102.2Water isn't the cleanest place around...GLIVET::DOYLEJD DoyleThu Jul 17 1986 18:391
    Swimming's often a no-no for an open sore...Ask your Doc.
102.3walk/climb/run up hillsBANZAI::FISHERFri Jul 18 1986 09:3512
re. 0: Dick Ring of the New England Cycling Academy -- and a Master's bike
racer -- suggests that I walk/climb/run up hills to maintain cardiovascular
fitness druing the layoff.

re .1:  while the spenco would be softer, there would still be chafing
against the "tender skin."

I suppose I should learn to swim. If I could swim I'd be a tri, then I'd really
have problems with my better half.

re. 2: not open, they want the infection to go down before they open it.
I am currently sitting on a heating pad all day (toasty feeling).
102.4bad memoriesAPOLLO::DEHAHNMon Jul 21 1986 19:3137
    
    I know these problems only too well, being a rather thinly built
    person that has little extra "padding" in the "area" who usually
    rides a good bit.
    
    I've had no trouble continuing training while fighting these sores
    as long as you take extra precautions. Sterilize the chamois with
    97% isopropyl, then massage in Bacitracin/Neomycin or your favorite
    antibiotic cream in the area of the sore. Don't skimp, use a lot,
    even though it's expensive and feels gooey. There's little chance
    of getting infection in this environment. When you get home, wipe
    off the excess and REsterilize the chamois BEFORE you wash it. Chamois
    is a porous animal hide which can harbor bacteria very easily. Chances
    are you don't wash them with water hot enough to sterilize them
    (or the dye would bleed) so the little buggers can proliferate to
    their hearts desire, and your behinds chagrin.
    	If the sore is oozing, I use a drawing salve like Boil-Ease.
    This will tend to dry up the sore which aids healing. It also has
    Lidocaine in it so it will numb the area for a while. If the sore
    really hurts I either skip a day or use a strong anesthetic like
    straight Novocaine or Lidocaine (like Anbesol) directly on it.
    	Nowadays I don't have much problem with these nasties. I use
    a Pearl Izumi saddle that has a colloid in it like the Spenco pad,
    but it's less bulky and not as squishy. It looks a little funny
    but I don't care, as long as I'm happy.
    	That's the problem with racers, they feel as though if they
    don't use a Turbo or Prestige or (insert your favorite trendy saddle
    that's currently hot in Europe here) that they'll get laughed off
    the course. That's bull. Use what makes you feel comfortable, your
    performance van only improve and then you'll be the one laughing.
    
    Good luck, I've been there
    
    CdH
    
    
    
102.5PUFFIN::WILSONSteven, NRO2-2/A3Wed Jul 23 1986 12:5921
    Sorry if I am splitting hairs, but you can't sterilize with alcohol,
    only disenfect. There are too many little buggers out there which
    thrive on a diet of alcohol. Even boiling will not kill off spore
    type pathogens. (That is why the autoclaves in hospitals
    use chemicals + heat + pressure)
    
    I must also vote for Bacatracin/Neomycin ointment. It is one of the
    best topical antibiotics on the market. Get the cheaper generic as
    there is no difference in quality (as long as it is the combination B/N
    or "triple antibiotic" Bacatracin/Neomycin/Polysporin.) 
    
    If you are out on the road on a trip and need to disenfect the chammi
    w/o alochol available, use the sun to bleach the material. Tie it
    to the outside of the panniers (careful not to get it caught in
    the wheels) so the sun directly strikes the leather. Not a perfect
    solution, but better than letting it breed bacteria in the
    warm/moist/dark bag all day.

    
    Steven Wilson
    (Medic, US Army Reserves & trying to get into bike riding again.)
102.6APOLLO::DEHAHNMon Jul 28 1986 11:2411
    
    Ok, ok, disinfect, not sterilize. Sterility is practically impossible
    in the real aerobic environment.
    
    The sun does do a nice job of disinfecting chamois, the only problem
    with your method is the road grit that will inevitably get all over
    the pad while you're riding.
    
    CdH
    
    
102.7gone for nowBANZAI::FISHERTue Jul 29 1986 07:3741
Well, here's the final word on "the infection."

Sat Jul 12 through Tues Jul the cyst is occassionally as big
as a large marble, it's just to the side of my saddle inside my leg so
it doesn't hurt unless I sit down wrong or push back on the saddle
to get more leg extension on hills (I read Eddie B's book).  Sometimes
there were shooting pains, etc., so I finally says to myself, "it's
a long season, ed, you had better do something about it."

Wednesday, July 16, Doc says, stay off the bike till the
surgeon can see you and use heat treatments.  Like Hot water bottle,
HOT face cloth, Heating Pad.  The heating pad was the easiest way
especially since I sit here a fair number of hours.  (The instructions
suggest that you not sit on it -- certainly not sleep on it.)
The heat is to help the bodies natural defences fight infection.
Then they made the surgeon's appt for Jul 25.

Wed is club race day, so I said, "What's one more race?"  Thurs
and Fri were spent like a good doobee, sitting on my pad.  Friday
I ran Pack Monadnock -- I don't run often but had to do something
for the quads -- a couple of times.

By Sunday, the "infection" is much smaller.  I rode a hilly 50 out
around Marlborough.  That did it, 20 on Mon, 43 Tues, 20 Wed, 36 Thurs
-- all the time I had been telling myself I'd lay off on Thurs so the
doc would get the best picture.  Of course, during working hours,
I was still sitting on my pad.

So, 2:30 Fri Jul 25 comes around.  I go to the Surgeon's office,
the infection is smaller than a pea -- a dried pea at that.  The
doc looked at it, I explained the circumstances.  He said, "I could
send you home, I could remove it, which do you like?"  I said, "Bye,
thanks."

If it recurs, I will have to do something about it, but it may just
go away.

I mean I wanted to ride the 4 Notches and a Pass on Saturday. (The
Kancamagus, Bear, Crawford, Franconia [the hard way, up 18], and Kinsman.) 

ed
102.8PUFFIN::WILSONSteven, NRO2-2/A3Tue Jul 29 1986 16:2412
    Sorry, there should have been a :-) after the remark. No offense
    intended.
    
    I see you point about road grit. I am not a "Rider" (note, chorus
    of Angels singing.) so that never occured to me. I can reasonably
    assume the ol' sun is pretty low in the sky (or missing) when you
    stop for the night, so off times is out.
    
    Well, you could always become a doctor and learn to I&D (incise
    and drain) it yourself.   It only takes 8 or 10 years.    ;-) ;-)