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“Do I Have a Saddle Sore?” — How to Know What You’re Dealing With as a Cyclist in Pain

by | Sep 15, 2022 | Training

I’ve been writing about saddle sores since 2013, when I realized that–back then–no one was talking about them, but everyone was dealing with them. I was racing cyclocross, which means a lot of on and off the bike, a lot of sweat, a lot of mud, and a lot of potential for serious chafing in awkward fitting skinsuits. So, it was no surprise that women were asking me–a cycling reporter–if I knew what was going on when they were dealing with red bumps or oozing rashes ‘down there.’ Weirdly, saddle sores come in all shapes and sizes and styles. So, let’s talk about if you have a saddle sore or something similar because, gross as it may seem, knowledge in this case is going to be power!

How do I know if I have a saddle sore?

A saddle sore will look and feel like a pimple—a mound that hurts a bit if you press on it. “It may seem similar to an ingrown hair,” explains coach Peter Glassford.

Obviously, you’ll notice this in the “saddle contact area,” most often between your genitalia and your anus. “You’ll be more likely to get rashes or simple breakouts on your thighs or butt cheeks,” Glassford notes. “Saddle sores are from really abusing the tissue while riding and bacteria gets in there, and the best way to describe it is a big pimple.”

While a day or two off the bike might be enough to resolve it, if it persists and still hurts after a few days, it’s time to see a doctor (more on that in “Saddle, Sore: Ride Comfortable, Ride Happy“). Be especially careful if the sore ruptures and opens, as it’s much more likely to end up infected.

Good (sort of) news: not every little bump “down there” is a saddle sore. While the treatments remain largely the same, knowing what you’re dealing with can point you in the right direction.

A few of the other common issues include:

Ingrown hairs:

Between the irritation of wearing tight-fitting, sweaty spandex and shaving (or waxing), ingrown hairs are a distinct possibility and may present similarly to a saddle sore. Treatment for this one is similar though, so even if you treat it the same way, it will heal.

Acne:

You’ve likely dealt with acne on your face, but unfortunately, it can be even worse on your butt, and ultimately a saddle sore is just a really big pimple, but smaller breakouts are possible. For this, try an over-the-counter acne cream at night, and sleep either in the buff or in cotton panties to allow for a good amount of air flow.

Jock itch:

Not just for guys anymore, unfortunately. This fungal infection (think athlete’s foot for your nether regions) presents in a few ways, and usually in a larger area than a single saddle sore would be. Visually, jock itch can range from dry, red, scaly skin to a whole lot of painful small bumps. It will usually be in “fold” areas, so if you have a rash right where your butt cheek meets your thigh, it might be jock itch, not just a pesky rash. Again, there are over-the-counter anti-fungals, but if the two-week treatment doesn’t clear it up, check with your doctor.

An allergy-induced rash:

Maybe you’re allergic to your chamois cream, maybe you aren’t rinsing your shorts well enough after washing, or maybe you just need a few days off the bike. The best thing to do for a rash—before taking more extreme measures—is to take a cool shower, wash carefully, and give it some time to let it breath before assuming the worst. And double rinse your chamois next time you wash it!

Hives:

You may have an allergy to something in your chamois, or just a weird allergic reaction in general. An anti-histamine should calm this down, but work on switching detergents or your chamois/chamois cream to see if you can keep it from happening again.

Friction rash:

“A friction rash is more often on the thighs or buttocks and might remind you of a sunburn or heat rash: There won’t be much tactile difference as far as bumps, just the stinging discomfort of a rash,” says Glassford. “These are going to need different treatment than a saddle sore might need, and generally adding some medicated lotion will help.”

Read more about preventing these issues here!

And to learn more–or to pass this knowledge on to a friend–grab a copy of “Saddle, Sore: Ride Comfortable, Ride Happy” to tackle all these discomfort issues and so many more!

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