
I recently stopped into the bike shop where I put in some occasional hours of work and got to talking with a fellow rider that I hadn't seen in awhile. As with any two cyclists who haven't seen each other in awhile the question arose, "have you been riding much?". To my dismay, he told me hadn't been due to a medical condition. It turns out that he had gotten an abscess in his perineum region (I'm guessing it was a Bartholin gland abscess) and had had surgery to remove it. This surgery had left an open cavity that he had to have packed with new gauze and bandages every morning by medical personal at the medical clinic. Yet another riding friend I know through the shop has told me on multiple occasions about his buddy who almost died from a staph infection that started, oddly enough, from a saddle sore. Both scenarios are scary stuff. Besides the obvious reasons, if you are a serious/competitive cyclist, conditions like this will keep you off the bike for a good long while. Basically kiss a season of racing good bye.
So obviously my friend's abscess didn't spontaneously manifest itself. There were certain things that came into play before hand that could have caused his ailment. First of all he started seeing symptoms after he had been on a week long bike tour. During the tour he had ridden a lot of miles and had been in a pair of bibs for a significant amount of time. Its tough to say if anyone of these factors or whether all of them together contributed to what happened, the important thing to realize is that cyclists should take good care of that area of the body that comes in contact with the chamois. All to often cyclists, myself included, overlook this aspect of cycling health and problems arise. Abscesses might be one extreme, but saddle sores, ingrown hairs, staph infections and acne can all occur in the chamois area. I know because I've experienced most of them.
For the most part, from my perspective, chamois area health consists of two main factors. Avoiding chafing and hygiene. It is important to not allow for chafing and abrasion in the chamois area. Abrasion leaves the skin open to infection by bacteria. When avoiding chafing look for comfortable shorts that fit well. Unfortunately, its hard to know if you've found a pair of shorts that are winners until you've put a good long ride in them. One thing I would suggest, is avoid putting long rides in on an old chamois. Their lifespan is finite. Another anti-chafing aspect involves chamois cream, I personally never use it, but a lot of my friends swear by it. Chamois cream works by providing lubrication between the skin and the chamois. There is all different types at all price ranges, but the brand that seems to be the most in favor with the cyclists I know is Assos. It is also by far the most expensive cream that I've seen. Also, with comfort, can't forget to consider your seat. I've always heard the the softer and squishier the seat the more potential there is for chafing. Which might sound counter intuitive, but trust me, you won't ever see a Tour rider with a big fat gel seat on his bike. Along those lines, I would imagine if your seat is too wide that could cause some issues as well since it gives more area for you skin to rub against.
The second aspect of coach Boynton's chamois health is, as I already mentioned, is
hygiene. This encompasses the reduction of bacteria that could possibly cause infection. Now before you start thinking the best way to reduce infection is to take a bath in isopropanol every morning, realize there is no need to go to nearly that extreme. Especially when you consider there are actually bacteria on your skin that help you resist infection. These bacteria are actually better adapted for life on your skin than infectious bacteria and out compete them for resources. Interesting huh, make sure to tell your Mom that one. So really, what you're trying to avoid is an overwhelming amount of the wrong types of bacteria. There is a few ways to go about doing that and most of them deal with your chamois. First always wear a clean chamois. If you must wear a chamois that is unclean make sure it is dry. Always lay out shorts to dry you think you might have to wear again. Make sure to remove your shorts as soon as you can after riding. Don't drive home after a race in them and don't sit down at the computer after a training ride and start writing a long arse blog or something... err. Avoid riding in wet shorts for long periods of time. Also, take a shower and clean yourself after riding. Do it for yourself and the people around you. Lastly, if you're already using a chamois cream, try using one with an antibiotic in it.
On a final note, pay attention to your nether regions. Check yourself on a regular basis such as before you go to bed or when you get out of the shower. If you feel some pain or soreness keep an eye on it and take necessary actions if needed. Treat that area with respect, because really, an unhealthy bum is the last thing you want to keep you off the bike.
So obviously my friend's abscess didn't spontaneously manifest itself. There were certain things that came into play before hand that could have caused his ailment. First of all he started seeing symptoms after he had been on a week long bike tour. During the tour he had ridden a lot of miles and had been in a pair of bibs for a significant amount of time. Its tough to say if anyone of these factors or whether all of them together contributed to what happened, the important thing to realize is that cyclists should take good care of that area of the body that comes in contact with the chamois. All to often cyclists, myself included, overlook this aspect of cycling health and problems arise. Abscesses might be one extreme, but saddle sores, ingrown hairs, staph infections and acne can all occur in the chamois area. I know because I've experienced most of them.
For the most part, from my perspective, chamois area health consists of two main factors. Avoiding chafing and hygiene. It is important to not allow for chafing and abrasion in the chamois area. Abrasion leaves the skin open to infection by bacteria. When avoiding chafing look for comfortable shorts that fit well. Unfortunately, its hard to know if you've found a pair of shorts that are winners until you've put a good long ride in them. One thing I would suggest, is avoid putting long rides in on an old chamois. Their lifespan is finite. Another anti-chafing aspect involves chamois cream, I personally never use it, but a lot of my friends swear by it. Chamois cream works by providing lubrication between the skin and the chamois. There is all different types at all price ranges, but the brand that seems to be the most in favor with the cyclists I know is Assos. It is also by far the most expensive cream that I've seen. Also, with comfort, can't forget to consider your seat. I've always heard the the softer and squishier the seat the more potential there is for chafing. Which might sound counter intuitive, but trust me, you won't ever see a Tour rider with a big fat gel seat on his bike. Along those lines, I would imagine if your seat is too wide that could cause some issues as well since it gives more area for you skin to rub against.

The second aspect of coach Boynton's chamois health is, as I already mentioned, is
hygiene. This encompasses the reduction of bacteria that could possibly cause infection. Now before you start thinking the best way to reduce infection is to take a bath in isopropanol every morning, realize there is no need to go to nearly that extreme. Especially when you consider there are actually bacteria on your skin that help you resist infection. These bacteria are actually better adapted for life on your skin than infectious bacteria and out compete them for resources. Interesting huh, make sure to tell your Mom that one. So really, what you're trying to avoid is an overwhelming amount of the wrong types of bacteria. There is a few ways to go about doing that and most of them deal with your chamois. First always wear a clean chamois. If you must wear a chamois that is unclean make sure it is dry. Always lay out shorts to dry you think you might have to wear again. Make sure to remove your shorts as soon as you can after riding. Don't drive home after a race in them and don't sit down at the computer after a training ride and start writing a long arse blog or something... err. Avoid riding in wet shorts for long periods of time. Also, take a shower and clean yourself after riding. Do it for yourself and the people around you. Lastly, if you're already using a chamois cream, try using one with an antibiotic in it.
On a final note, pay attention to your nether regions. Check yourself on a regular basis such as before you go to bed or when you get out of the shower. If you feel some pain or soreness keep an eye on it and take necessary actions if needed. Treat that area with respect, because really, an unhealthy bum is the last thing you want to keep you off the bike.




