Clinical syndromes associated with bicycle seats

Symptoms related to the bicycle seat are common among cyclists. Skin problems, such as chafing, ischial tuberosity pain, folliculitis, and ulceration are particularly common. Although rarely serious, these problems may cause significant discomfort and interfere with a cyclist's ability to ride. Numerous preventive measures have been recommended to prevent these problems, mostly related to seat position, seat construction, and bicycling pants. Little research is available, however, to support any of these recommendations. Research does indicate that use of skin creams is not effective for prevention of bicycle- related skin problems.