As one also with stenosis (and L2 - L4 fused), I found that bending over 
just a little bit was better than upright walking.  So…biking!  But I tried 
6 saddles on my Sam, and all of them hurt various places on my butt after a 
while.  Finally I got a Brooks B-17 carved.  After break-in and rolling 
down the edges of the carving with a light rasp, this saddle has been 
phenomenally comfortable.

On the other hand, I tried all 7 saddles on my road bike, and the Selle 
Anatomica Titanico X came out the clear winner, beating the Brooks by miles 
for long-term comfort.  Of course, that had to do with rider position.

What it taught me was that there ARE differences in seats, and you have to 
try a few to find out what is best for you on a specific bike.  If the B-17 
isn’t cutting it on that bike, I’d recommend trying the B-67.  It is wider, 
at least.

Another recommendation:  My LBS has a box full of saddles, and is willing 
to loan them out.  Want to try a Serfas RX-921V?  Here, give it back in a 
week.  So get friendly with your LBS.  

One thing that I could wish for…
There are mechanical “bikes” out there, being used for fitting, that change 
the seat height, seat setback from BB, handlebar height and “set fwd” from 
BB, etc.  Probably 8 different lengths/sizes can be dialed in, including 
the pedal arm length.  As far as I know, they are scarce and therefore 
being used currently for the Pros, to size their bikes.

I would pay someone $100/hour (the cost of only one good saddle) to set one 
of these up as my current bike and let me try various saddles in various 
positions.
It took 4 years of riding to find the right saddle for me for the Sam. 
 Maybe I could have done it in a couple of hours with one of these devices.

Perhaps your sports doc will write you a prescription to cut your costs to 
find/try one of these mechanical fitting machines.  Take a big bag of 
saddles to try.

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