Hello All,
I've recently had an MRI and have been diagnosed with ostetis pubis symphysis (OPS). This is inflammation in the pubis symphis joint that connects the pubic bones. I've been having problems with adductor pain and sharp pains up my butt (for lack of a better description) while running. This has been going on since early spring. I can run up to about 4 miles but then things degrade quickly. After doing a half I couldn't walk right for a week. Biking doesn't usually cause any pain though the adductor can feel a bit sore afterwards at times.
When the pain started I had changed a number of things in my routine which is making it hard to figure out exactly what caused the issue. I was ramping my running miles, had just bought a new road bike with a more aggressive geometry, new out my shoes, switched from speedplay to look pedals, and had added in some rowing to my routine. My doctor is pretty convinced it is just the running, but I'm really starting to think it may have more to do with the bike. I've had very limited running all spring/summer because of this and have taken the last 3 week totally off.
I'm wondering if a combination of a more aggressive riding position along with a too soft/wide saddle could be part of the problem? From the reading I've done, switching to a more aggressive riding position will move the contact points with the saddle up the pubic bone. The farther you rotate your pelvis forward the narrower the gap between the contact points on the bones will become. I'm wondering if a saddle that fit great in a more upright position could be pulling on the pubic symphysis as I rotate forward.
I've been riding a Terry Fly saddle for 15 years. Its a bit softer and wider than a normal racing saddle but its always worked for me. Now that I'm trying to get more aero and have rotated forward I'm thinking a saddle with a narrower nose that isn't as soft may help. For what its worth, after the issues started I did have a professional fit done on the bike.
Thoughts? Has anyone had OPS cause by biking?
Thanks
I've recently had an MRI and have been diagnosed with ostetis pubis symphysis (OPS). This is inflammation in the pubis symphis joint that connects the pubic bones. I've been having problems with adductor pain and sharp pains up my butt (for lack of a better description) while running. This has been going on since early spring. I can run up to about 4 miles but then things degrade quickly. After doing a half I couldn't walk right for a week. Biking doesn't usually cause any pain though the adductor can feel a bit sore afterwards at times.
When the pain started I had changed a number of things in my routine which is making it hard to figure out exactly what caused the issue. I was ramping my running miles, had just bought a new road bike with a more aggressive geometry, new out my shoes, switched from speedplay to look pedals, and had added in some rowing to my routine. My doctor is pretty convinced it is just the running, but I'm really starting to think it may have more to do with the bike. I've had very limited running all spring/summer because of this and have taken the last 3 week totally off.
I'm wondering if a combination of a more aggressive riding position along with a too soft/wide saddle could be part of the problem? From the reading I've done, switching to a more aggressive riding position will move the contact points with the saddle up the pubic bone. The farther you rotate your pelvis forward the narrower the gap between the contact points on the bones will become. I'm wondering if a saddle that fit great in a more upright position could be pulling on the pubic symphysis as I rotate forward.
I've been riding a Terry Fly saddle for 15 years. Its a bit softer and wider than a normal racing saddle but its always worked for me. Now that I'm trying to get more aero and have rotated forward I'm thinking a saddle with a narrower nose that isn't as soft may help. For what its worth, after the issues started I did have a professional fit done on the bike.
Thoughts? Has anyone had OPS cause by biking?
Thanks