Hi Nathan,

Hmmmmm... herniated discs. As a PT, I am typically suspicious of
diagnoses of back pain diagnosed with a herniated disc. Here's why:
First, there are usually no "pre-injury" images (MRI) showing that
there was no bulging disc previously. Second, and very much related to
the first, the imaging evidence of a bulging disc does not mean that
your pain is due to the bulging disc even if the image shows the disc
pressing on a nerve. There have been several good randomised control
trials which show that if you take 100 people with no back pain, no
radicular symptoms (pain or numbness/tingling down the legs or
elsewhere) and take MRIs of their spine, in 50-60% of the cases, there
will be at least one bulging disc, often pressing on a nerve root.
Third, I don't know what your age is, but age we age past 30, the
nucleus pulposis (the liquid center of the disc) begins to desiccate.
As we age, there is, practically speaking, less disc "to bulge." This
disc desiccation is also why grandma and grandpa keep getting smaller--
loss of fluid in the disc equals loss of disc height, leading to loss
of overall height. Fourth, and this is at least as important as the
other three points, that you sometimes experience reduced pain while
riding points away from the disc as the culprit.

So what...

Without knowing a few more specifics, I can't really offer more than
to say that there are several causes of back pain and radicular
symptoms which are easily overlooked during the medical diagnosis
process. If you can tell me, as near as possible (don't worry about
correct terminology) where you feel your pain (other than "my low
back"), what the quality of the pain is (sharp, dull, burning,
throbbing, etc...) how often it occurs, how long it lasts, what you do
to alleviate the pain, what your age is... just some more details,
generally. Oh, and what you were doing when you first experienced the
pain.

Feel free, of course, to reply off-list though I'd bet many other
folks could use this info too :) Oh and I'd say don't stop riding
unless it hurts too much!

Best,

lyle f bogart dpt
tacoma, wa

On Oct 21, 5:01 pm, nathan spindel <nath...@gmail.com> wrote:
> Forgive me if this is too far off topic, although it's related to
> Rivendell's concerns of proper bike comfort, fit, etc.
>
> After cycling 100-200 miles/week for 4 months on my Romulus I managed
> to get a herniated disk. I'm not positive it was caused by cycling,
> but it seems quite likely (my doctor thinks so too).
>
> In my research I've found that some people with this condition
> continue to cycle. After not riding for the first two injured months,
> I began riding a little bit to keep sane and have found my pain
> sometimes lessens while riding. Two doctors I've consulted with said
> it might be okay to cycle if I'm okay with it, but they seem hesitant.
>
> I'd like to hear any anecdotal stories you have about this (or
> healing/treatment as it pertains to cycling). I really have grown to
> love riding bikes and would hate to stop (but of course I'll stop when
> appropriate). Feel free to reply off-list.
>
> -nathan
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