Jett 130 and Zero and sit bone LUMP

[maillotpois]

From Andy Pruitt: Pain and swelling directly on the sitbones are indicative of ischial bursitis (an inflamation of a bursal sac located in the gluteal region).

So you're saying my butt sac is inflamed??

More: And ischial bursitis can be caused by a ......riding too many miles too soon.

Hmm.


PS - See how I fixed your typo...??

[SadieKate]

Onto Arnie Baker -- pain in this area progress to either local bursitis or ulceration.

Prevention - do not suddenly and drastically increase your weekly mileage [edit by sk - yeah, right]

Use bandaids or moleskin to pad around the sore to take off pressure.
2nd pair of shorts.
Ooh-ooh! A padded saddle cover!
Different saddle - enough padding to support and wide enough to spread the support over as wide an areas as possible.

[KnottedYet]

Yup. Bursae protect the tendons/muscles from rubbing on boney bits. Your body can even toss a new bursa into an area that doesn't normally have one, if there's enough irritation there.

If you get a jolly case of bursitis, it means something is causing a soft tissue to rub harder against a bone than it normally would. Generally that's a muscle effort imbalance, but it could also be a structural problem. (did you break any bones lately? Have any back/pelvic problems?)

If your saddle fits you well, and wasn't causing you troubles last year, I would tend to believe the saddle isn't to blame this year.

Being off the bike for 6 months (weakening compensatory strategies) is more the culprit in my mind. Issues your body had found ways to handle come back without the little tricks your body developed to cope with them. So the previously "little" issues snowball a bit up and down the kinetic chain. (the idea that you are standing MORE now than previously really makes me think about your feet being the trigger rather than the saddle)

Ask your doc. If your doc doesn't know, ask if they can refer you to a sports med doc.

[maillotpois]

My medical team is fantastic! Thanks guys!!

Sounds like ultimately an imbalance/weakness issue (which never manifest on the bike before) brought up by too much too soon after my 6 month hiatus. Well, shoot. My lungs are really good this year!!

Maybe I will back off the mileage a bit. Work on the stretching. Try my orthotics. See if I can get to a sports medical PT or something. Drink good wine. (Wait - that's not one of the suggestions??)

[SadieKate]

My typo? Trying to hide your sudden and drastic increase in mileage?

[KnottedYet]

Good wine, good beer, good chocolate...

It's all good!
And so good for you!

[SadieKate]

Can we figure out how to qualify wine as an NSAID?

[maillotpois]

Prevention - do not suddenly and drastically increase your weekly mileage [edit by sk - yeah, right]

Actually, if you look at my journal, I was better than you'd expect. Zero miles July - Dec and 317 miles in Jan and 172 in Feb. Pretty darned restrained, all things considered.

It may have been the 580 miles in March and the 672 miles in April....

[maillotpois]

Good wine, good beer, good chocolate...

It's all good!
And so good for you!

I always knew you were super smart!

My typo?

Yes. "Anyd Pruitt".

[SadieKate]

Oh, I must have re-named him while you weren't looking.

A little googling has determined that you probably have Weaver Bottom.

Inflammation commonly arises as a result of trauma or prolonged sitting on a hard surface (weaver bottom).

Pain may radiate down the back of the thigh and mimic sciatic nerve inflammation; however, it can be reproduced by pressure over the ischial tuberosity.

http://www.arthritis-treatment-and-r...treatment.html

Can I order a rug for the guest bath?

[maillotpois]

(the idea that you are standing MORE now than previously really makes me think about your feet being the trigger rather than the saddle).

I have had issues with "hot foot" this year where I never had them before. I believe it was due to moving my cleats forward (after a bike fit this fall) and I have since moved them back. It's better after I moved them back. But that makes me think you are onto something with the feet.

[SadieKate]

Uh oh. Read down farther in that link about Ischial Tuberosity Syndrome.

Ischial bursitis needs to be differentiated from ischial tuberosity syndrome. The ischial tuberosity is a swollen part or broadening of the bone in the frontal portion of the ischium, the lowest of the three major bones that make up each half of the pelvis. As the point of fusion of the ischium and the pubis, it is attached to various muscles and supports the weight of the body when one is sitting. Ischial tuberosity pain may be experienced by a wide range of athletes, including soccer players, cyclists, baseball players, figure skaters, cheerleaders and any type of jumpers or runners. It is often misdiagnosed as ischial bursitis, an extremely painful condition.

The ischial tuberosity is the point of origin of the adductor and hamstring muscles of the thigh, as well as the sacrotuberus ligaments. The forceful pull of these muscles, such as can happen during a variety of sports, as a result of a trauma such as a fall or other type of injury, or through the overuse of the hamstrings, as is common among runners and soccer players, results in a separation or detachment, also called an avulsion, of an open ischial apophysis.

[KnottedYet]

OOOOH! "Weaver Bottom" sounds so much more fun than "high hamstring strain!"

But how do you tell one from the other in a cyclist? Sitting on an inflamed hammie insertion (ischial tuberosity) would give you Weaver Bottom, too.

Hey, maybe you have BOTH!

A "high Weaver bottom strain."

I think the cure is good wine: "bottoms" up!

Edit: "hot foot" is often a product of pronation. (nerves get compressed in an over pronated foot) The metatarsal arch collapses when you pronate. So now I'm thinking a met pad and a medial forefoot wedge. And some exercises. And some wine...

[maillotpois]

Now I have butt tubers???

Okay, that's one to take to the doc. She's already written me off as some sort of medical anomaly.

ETA: I forgot to mention the bruising..... In the "crease" after long rides.

[maillotpois]

Edit: "hot foot" is often a product of pronation. (nerves get compressed in an over pronated foot) The metatarsal arch collapses when you pronate. So now I'm thinking a met pad and a medial forefoot wedge. And some exercises. And some wine...

Whew! I'd better fill up. I'm running low.