I have a client that I have fit a couple of times to try and get rid of a pain in his tuberosity area. We have tried working the the saddle height, saddle placement forward and aft and different saddles. None have helped much. This is a road bike and not a tri bike. Below is the way he describes the pain/problem:
*It isn’t an immediate pain, usually takes 15 minutes or so to start bothering me. Once it starts, though, I can change positioning a little or stand up and it goes away. If I stand up and then sit back down, it starts back up again pretty quickly. If I adjust my position, it temporarily helps, then starts back up in the new position. *
*The pain is always on my ischial tuberosities. Seems like its mostly on the very bottom and inside edge. If I rock forward or back on the saddle to put pressure on a different part of the tuberosity, it will stop, but again, eventually develop there too. I haven’t found a reasonable position for the tuberosities to make contact with any of the seats to where it is comfortable after 20 minutes or so. *
*I would call it mostly a burning pain, maybe sharp. It pretty much stays right there on the tuberosity, doesn’t radiate anywhere. *
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Once off my bike, it might linger for a sec, but its gone pretty quickly. It doesn't bother me at all on a run immediately following.*
Any additional thoughts or advice to help solve this problem?
Chris