[Closed] Saddle sores

I'm a GP as well. Chamois Creme is actually an ointment, and prevents chafing which is what damages the skin in the first place. Put it on your Chamois rather than your skin.

Get a genuine leather saddle: It really helps prevent sores for me. Endura MT500 shorts are good. I think CR are doing them fairly cheaply

Any particular ones you've used?

Lycra is best,also check your shorts there may well be a high seam that is causing rubbing,use baby wipes before and after a ride.
Try sudocrem thats good,also a bath with a few handfulls of salt in it will help,and no it doesnt sting,and does you good.

I am currently using a Selle Italia C2 Gelo Flow saddle and it is the most comfortable saddle I have ever used. That and Assos Half-mille non-bib shorts - a bit pricey, but not as bad as the bibs.

Ive been experiencing similar problems recently, but maybe not as bad.
Ive been using Sudocrem, it works a treat for me 🙂

On long rides, just lycra will give you a lot less chafing than with baggies on too.

Also when it's wet, or wet ground conditions, a rear mudguard or waterproof shorts to prevent a soggy arse will cut down a lot of chafing.

Man made Sports pants/boxers instead of the normal cotton ones help a lot, was having to use talc before, but not now.

I have been plagued with boils on the arse recently.

So far I have tried many things and have just got my second one in a fortnight - not in the same place so not the same one. I am not getting any chaffing at all - never have done.

Non of this had made a difference 🙁
careful attention to hygiene - shower before and after each ride. clean clothes for each ride.
using hibiscrub - bactericidal scrub ( GPs recommendation)
Pure cotton underwear - lets more air circulate
Padded lycra cycling shorts - made it worse in some ways - retained sweat more
Expensive saddle sbg thingy
Cheap gel saddle
long course of oxytetracycline - stopped them appearing while I was on it - stopped taking them and it reappears
Flucloxacillin - clears up immediate attacks but does not prevent reoccurance

Half a dozen GP visits, full range of blood tests - now I have exhausted all options the either I or the gp can think of and all the usual courses of action prescribed by dermatologists. I don't want to take oxytetracycline continuously. I have a floating / repeat script for Flucloxacillin to take any time one appears but that is no long term solution.

GP and the literature on skins decry the use of routine creams - blocks pores and makes infection more likely but effective if you get chaffing which I do not. I ain't hairy and I ain't sweaty.

any other ideas? Its a pain in the arse

You're a cyclist, and unfortunately all cyclists get spots and sores down there, with the odd saddle sore thrown in for good measure.

Firstly, if you find prefer baggies, stick with them. But wearing lycra shorts with a decent chamois will certainly help in the long term.

Use chamois creme, Assos is possibly the best - about £9 a pot, but well worth it. After you've returned from a long ride, and you've showered and what not, you could always apply some more chamois creme directly to the skin, I do this from time to time, and again it helps.

Look at your current saddle(s), do they have stitching or detailing on the area where you sit, if so then these stitches can cause a sore arse as well.

Finally, avoid standing around in your shorts after a ride, easy mistake but get out of them as soon as you can, otherwise nappy rash can result.

Was going to mention the hygiene issue, never wear dirty shorts, I'm sure you don't though.

Ciao

[url= http://www.justgiving.com/peter-nadin ]end-your-arse-boil-voodoo-attacks-here[/url]
TJ, pay up and we stop dunking the wax manekin we made of you in chip fat every other night!

Lusso gel shorts and Assos cream got me through the Transalp with no chafing or related arse problems.

TJ I think I share a lot in common with your symptoms. It's fairly recent unusual before now and moving around

I've got flucloxicillin as an immediate cure. I agree about the lycra, on hot days I do get sweaty. I wear baggies for fashion reasons with lycra underneath (only on my mtb not on the road!). I'm going to try a chamois creme and just lycra on the longer rides.

I always wear clean shorts but I only wash them at 30 with standard powder. I think I'm going to up it to 60. I may kill my shorts but also the bacteria.

The one thing I don't do is shower the morning of a ride as there's little point if I'm covered in mud a few hours later. Might start doing that see if it help.

I'm worried about excess cleaning as the bacteria that causes the problem is staphalococcus aureus (sp?), naturally on your skin anyway and acts as a competitive inhibitor for all the more nasty bacteria that could be there.

Change in Skin fauna TJ? You are of course, aware of what heavy duty courses of anti-biotics do to your microbial skin communities?

Tried natural yoghurt poultice?

I too am afflicted with "ass acne" from time to time

The solution....Quinoderm, it works 😀

I've found that my Assos shorts, after a couple of years use, now make me "sore" every time I use them. Yes, they're clean (sometimes at 60 degrees), so they just need to be relegated to the bin.

I've currently using Giordana Tenax, which has a comfortable non-bulky pad (unlike the Assos), and don't seem to give me a sore bum.

For me, cleanlines is they key factor - both for my clothes and my self. And the abovce advice about not hanging around in shorts after a ride is really important.

Assos creme is a great help IMO. I also use Northwave 39/25 (circa £60) shorts which use pads that are designed for a slightly more upright riding position typically found on an MTB as opposed to the Assos kit intended for racing positions. And get out of those bike shorts as soon as you get off the bike and into some dry boxers.

Jon - Will you be out on Thursday? Was this just an excuse to show your backside you the doctor? Can we post this detail on the front page of midaircrisis?

In all seriousness though, I find decent lycra shorts (you pay for what you get IMHO) and PLENTY of chamois cream help on longer rides. I used to find the problem was worse on my full suss, but I have no idea why! When I kept the same saddle and used it on my hardtail it was less of a problem.

Get well soon - see you Thursday (or Saturday for Ian Bs birthday)...

Stew.

Scienceofficer - Member

Change in Skin fauna TJ?

Presumably. My GP said not tho. I have noticed a change in sweat smell sometimes.

You are of course, aware of what heavy duty courses of anti-biotics do to your microbial skin communities?

Tried natural yoghurt poultice?

Really? Do I get my girlfriend to apply it?

The thing I find odd is I don't get any noticeable skin chaffing - so I don't understand how the bugs get into the skin as there are no breaks in the skin. I understand its normal skin bugs causing this.

I'm told the bugs are identical to acne bugs so unless you get a secondary infection I don't see what antibiotics are for?

enfit - basically thats right. Its normal skin bugs that normally live on the skin surface. When you get boils tho they have got into the layers of the skin and multiplied out of control - so the antibiotics will kill the bugs in the skin that are causing the boil. Antibiotics will have no effect on bugs on the surface

My friend has come back just at the same place where it was a couple of month ago.
I thought I'd go to the doctor straight away and she gave me an antibiotic cream. didn't do anything. she said that it works only if the skin is broken which it was at the beginning but healed pretty quickly and now I'm left with a hard lump which won't go down. it gets inflamed after a long ride but otherwise it's just there.
she also gave me a referal to a surgeon and said if it doesn't go away i'll have to get it carved out. ouch!
it looks like that's what's going to happen.

🙁

That sounds like a sebaceous cyst.

TJ have you tried acne cream? Antibiotics seem a bit overkill, why flood your body with antibiotics when acne cream does the same job of killing the bugs causing the boils?

I had a boil the size of a small pea forming, 1 week of Quinoderm twice daily got rid of it completely. Skin was never broken, red or inflamed but the Quinoderm did the job.

Isn't that what happens if you don't treat it soon enough.

The flucloxicillin is a beta lactam based molecule (simillar to penicillin) which stops the bacteria producing cell walls (they are gram negative so I think they technically have walls as well as membranes?). The reason you need it is because the bacteria are somewhere they are not supposed to be. These are the same bacteria (ish) that are resonsible for MRSA. It's a narrow spectrum antibiotic so the wider implications are less than more general antibiotics.

I had no issues with abrasion. I felt perfectly comfortable in the sadle it was only later on in the night I could feel a throbbing pain.

Stewart, I won't be out on Thursday, I may think about Sunday but I'll still be on antibiotics so I'll see if things have "cleared up". If the infection get's worse it can be very unpleasant. There was a post on here a year or so back where some guy had a huge amount of infected skin removed and was off the bike for months. I'll miss one ride to avoid that!

enfit - acne cream will have virtually no effect on bugs that are underneath unbroken skin. I guess yours healed spontaneously. A boil is a rather more serious infection than yours by the sound of it. There are several similar and related but different types of these infections.

frequent recurring boils can be a sign of 'PVL' ,have you been swabbed for this? worth a try, its very prevalent and here in plymski we even have our own strain!!!

it very commonly presents with boils in otherwise healthy young/middle-aged people particularly gym goers.

Very unlikely from a quick google FMH but I'll check with the GP when I next go.

Sugoi short liners are very good (with gustov shorts). No seams on the pad, which also always gets superb reviews for comfort, and the liner is of a perforated lycra material which is very good at keeping you cool.

I think I have a recurring sebaceous cyst on my right Larse. A 1 hour ride can make it come up, but sometimes an all dayer wont bring it out. Once its up it takes weeks to go down, I generally use Assos before & Sudocream after. I’ve bought new shorts and keep as clean as possible, even shower before a ride, seems to be working. To get rid last time I used Hydrocortisone and it got rid of it in about a week, it thins the skin so don’t spread it all over your bo11ocks. Seems to be keeping it at bay but its still there when I touch myself.

but its still there when I touch myself.

😕

I've been through all this. I rode La Marmotte this year in basic shorts on a basic saddle. It was v.hot and sweaty (especially on the Telegraphe!) and I stepped off after 9 & 1/2 hrs ride time with no trouser trouble. My recipe for success...

1) [b]Cleanliness[/b] - keep yourself [i]scrupulously[/i] clean in [b]all[/b] areas. Don't make me spell it out!
2) Arse acclimatisation - I'd done lots of 'darkside' hours in the saddle
3) Take your shorts off straight after riding
4) Wash your shorts after every ride
5) If you do get the onset of problems wash yourself then clean any sore bits with [b]salt water[/b]. This can be quite uncomfortable but works. I use an old flannel to gently exfoliate the skin.
9) Wear cotton undies. Or none.
10)Chamois cream on the pad works well. I only bother for 4hrs + rides
11)Sudocreme is waterproof so it will reduce chafing but will hold any dirt due to it's tackiness and be difficult to wash off thoroughly. Avoid, IME.
11) Ana avoid riding fixed gear bikes, all that sitting down in one position is asking for trouble! Chafemungous.

I love my fixie BTW...

kona ona,, old flannel on sores probably isnt the best thing!!

It is 'cos it will abrade the affected area and get the slat water in. You shouldn't be crying for more than a few minutes...

An old flannel is likely to be a reservoir of infection, abrading the skin is bad as it gives more entry points for infection, salt water is ineffective in preventing infection.

Still - if it works for you.

TJ not sure I agree entirely. Acne doesn't need to have broken the surface in order to treat it with Acne cream, the same should therefore apply to "Ass Acne" and I doubt my boil spontaneously cleared up by itself

Enfht - these are far deeper than a surface pimple and larger than you describe. Its not quite the same thing as acne - similar but not the same. I asked two different GPs about using acne cream and they both said waste of time. However I might give it a try - I've tried everything else I and my GP have thought of.

It is quite possible but not certain that these things can clear spontaneously - like pimples / teenage spots do.

There are a variety of very similar things being discussed here which does not help any confusion

A pimple is smaller and more superficial than a boil and a carbuncle is deeper and more serious again. Then you can also get sebaceous cysts and get them infected

anyway - seeing as no-one has said it yet

"this thread is useless without pics"

For those advertising Quinoderm to clear up a boil beware :

[i]Quinoderm cream contains two active ingredients, benzoyl peroxide and potassium hydroxyquinoline sulphate.[/i]

I used this once and had an allergic reaction to the benzoyl peroxide. Not a pleasant experience at all. The boil remained where it was. Total waste of time an effort for me.

I have been through everything suggested on this thread time and time again but still suffer one of these at least once a year - usually in the summer. They are caused by heat and sweat. Same as you TJ... no chaffing, comfy saddles, no broken skin. I'm lead to believe it is certain skin types which are more affected than others. I've had three courses of anti biotics this since the end of June and my little buddy is only just deciding to take a break. Believe me, I do everything one can possibly do to prevent the onset of the odd boil but one ****er always shows up at some point. Spending seven days a week on a bike saddle probably doesn't help though... but hey, walking takes too long.

Kev

There are two things going on here; one is the mechanical act of chafing/abrasion from the act of riding. Chamois creme stops the worst of the abrasion by allowing the chamois to slide on your skin. You get the worst chafing in two different circumstances; in the rain, where micro bits of grit get onto your shorts and skin, and in the dry, where the sweat you produce dries and the salt crystals rub your skin.

So, my recommendation is to use chamois creme.

The type matters much less than the consistency and the amount. Try basic moisturising cream or Assos, or any of the other types out there.

Never, never, never ride with a dirty bum; wash yourself properly after having a poo; you should be able to eat your dinner off your anus.

Put lots of cream on; start at the back, squidge some in the crack, then apply a decent splodge to your perineum, rub a bit around your nads, and finish off with a little smear over the top of your willy.

The second part is the infection. Gotta break the chain of infection, so cleanliness is key, although I would hesitate to recommend using Hibiscrub; I've used it after getting MRSA through work, and it is not a pleasant thing to be putting on any sensitive areas.

I would suggest to TJ that you start again, dump all the creams and potions, ride short distances, use chamois cream as above, and for gods sake, take your underpants off...

TJ, man of many words and opinions. And always right 🙄

I only use a clean flannel, as the dirty ones I keep damp and rolled up on the floor only seem to make matters worse...

Old is good because it's rougher. Abrading as far as removing dirt, and the salt water treatment comes recommended by health professionals. It's not comfortable, but it works for me. Try it.

Kona - I am a healthcare professional and a believer in evidence based practice - and the evidence says salt water is ineffective at best and harmful at worst. Its a practise that was common 30 yrs ago but not any more as the evidence base has built up.

The other two points - a matter of interpretation perhaps. Again the evidence base shows that abrasion damages the skin. Perhaps you are more gentle than I thought from your post.

I did say if it works for you then fine.

Crikey - I don't get chaffing or abrasion at all and again the evidence shows that creams do more harm than good on unabraded skin. Its different if chaffing is an issue but it simply isn't for me. If you get chaffed then creams are the best thing no doubt - but if chaffing is not an issue then its very dubious at best.

I tend to agree with you about hibiscrub - but this is the recommendation from a consultant dermatologist. Don't seem to have made any difference. Do remember that this infection is not gut bacteria but skin bacteria.
I do shower before and after every ride but these bacteria - Staph Aureaous are always on your skin as part of the normal flora

I have tried padded lycra with no pants - I find it sweatier than cotton but am persevering with it. Remember for me at least chaffing is not the issue at all.

Ta all for your imput tho.

The only other thing I can suggest is a kind of adaptation process...

But I really don't know how you go about toughening up a perineum without just riding a bike; I do tend to suffer from the odd saddle sore (more like folliculitis in one or two spots) when I've been off the bike for a while. But it seems to go away the more riding I do, which suggests it's my bits getting used the work demanded of them.

Saddles can also set me off, but that's definitely a mechanical issue, and is always associated with some chafing.

Dunno....

I know that current Tissue Viability stuff suggests that along with all the moist wound healing malarkey, an important preventative measure is keeping skin well moisturised; we get through gallons of bog standard moisturiser now on ITU, and that, coupled with my own experience, tends to make me suggest that chamois creams are a good thing, but maybe not in your case.

Hmmmmm. stumped..

crikey - Member

I know that current Tissue Viability stuff suggests ............... keeping skin well moisturised;

Does that mean the advice is changed [b][i]again[/i][/b] Am I out of date here? Not too long ago the advice was to put nothing on healthy skin 😕 which was a change from the previous position of "use barrier creams". I go back to the days of rubbing bottoms with soap on water

Thing is its only recently this has been an issue and I have ridden for many years. I have no idea of what has changed. Never used creams and previously never lycra with no ill effects The boils are not perineal - they are actually just below the skin fold between bottom and leg so on the leg