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Not your average saddle sore...

 
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PostPosted: Wed May 31, 2006 10:26 am GMT +0000    Post subject: Not your average saddle sore... Reply with quote

Been racing road and mtb off and on for 15 years and riding consistently during this time. Yes, I have experienced the occasional annoying, boil-like saddle sore and have successfully avoided a trip to the doc up until recently.

My non-average saddle sore had its genesis, I think, during the Fayetteville Stage race when I failed to apply chamios cream prior to the rain soaked stage 1 60 mile race. I developed a managable topical sore after that and sort of laid low during the following week as the Miles o Discomfort Marathon approached.

The Marathon was bearable, but the sore was exacerbated and less topical...seemed to be going "underground" on me. So I took it easy the next week for the run-up to Ft. Davis.

Fort Davis seemed to go just fine where the ss was concerned until I got home when I discovered my subdermal sore had swollen (with only slight pain) to the size of a third testicle. This got my attention, but it seemed to go down fairly fast and I was able to put it out of my mind for a few weeks knowing that my big season push ended with the X-bar marathon.

No problems during the marathon, but the return home was a repeat of the post-Fort Davis surprise. The thing is, this time, it was barely painful...close to not painful at all, just uncomfortable.

So I went to the minor emergency clinic where I enjoyed multiple stabs of local anesthetic and the disturbing sensations of surgical activity in my nether regions. Between my yogic breathing intervals, I caught a glimpse of the doc's furrowed brow.

He said there was basically nothing there but a large inflamed area of tissue and that he wasn't satisfied with the outcome of his efforts. (Neither was I for the record). Anyway, he put me on a course of antibiotics and it seemed to shrink fairly rapidly for about 4 days, but the hardened nodule seems to be holding steady at about the size of a bean, a red bean.

So, what's next, should I go for a second opinion? Wait it out?

I have ridden once on it and it didn't react by swelling, but I am afraid it may come back yet again.

Any help is appreciated.
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The Bike Doc
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PostPosted: Thu Jun 01, 2006 5:05 am GMT +0000    Post subject: Reply with quote

Richmond:

You should get further medical and surgical evaluation of the saddle sore. A course of antibiotics is likely in order as well to help clear any infection but antibiotics will not clear a cyst. An ultrasound of the sore would show whether or not it is a fluid filled cyst that can be drained. If that is the case then a general surgeon should be involved to do the draining.

Thanks,
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Paul K. Nolan, MD
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