I know this is an old video, but I’ve been struggling with this issue for two years. I had sit bone soreness during a longer ride than I was used to, didn’t think much of it, but it just never completely healed. I’ve been riding for years so don’t think it was a sudden imbalance that caused it. More likely an irritation from that particular saddle. Definitely regret pushing through the discomfort that day!

Excellent discussion. I am referring people to your channel regularly. Keep up the good work!

TY! I have this from running, everything makes sense

I needed this video. Only been riding a year. Started on mountain bike and ended up pedaling 80 miles a week. Switched to a gravel grinder(crux). Instant left sit bone pain. Had a bike fit. Same thing. Barely ridden since. Hope to make the trip from the far side of kansas to your place someday. Thank you for the videos!!!

I really like your explanations, I'm getting into running focusing on a fast 5k. Haven't started training seriously yet but I'm a bit paranoid about injury, I started getting signs of lower leg pain so I backed off training to strengthen those muscles, plus some upper inner rear leg pain at right bottocks. I'm trying to focus on glute and core strength at a bare minimum before getting back into training. And when I start have a lot of cross training activity's ready so progress not slowed down too much by injury or signs of injury.

GREAT VIDEO!!! This is an issue that I have been having trouble with lately (after a recent broken hip). However, I had also suffered with this issue in the past. I would love to see your exercises that you alluded to in the video but I do not find the link. Could you repost that? Thanks for your help! Great stuff.

Fantastic! this explains alot . I had a stroke in 2012 and have just been getting back into cycling which I use to do daily pre-stroke. I've been getting bad left sided sit bone pain that feels like it radiates down my leg sapping any strength it has. And have been blaming seats I've tried a few recommended ones with no success. I've been getting so despondent I have just resorted to internet advice and found your video! It explains a lot. My wife said I just needed to ride more and allow my butt to toughen up to the new seats.The stroke has left me with weakness on my left side and the left leg does bugger-all when cycling . my right leg does most of the work.In addition my left leg is shorter than my right - I wear a shoe with an extra 4cm lift including on the bike. my hammies on both legs are usually tight from all the sitting I do now. I've got osteoarthritis pain in my right knee (yes I'm buggered - I'm 55 and 215 pounds ) your video will stop me buying new seats and start stretching.Thanks for posting the video ! Would rotating the seat help?

This is really good. I've been fighting either sit bone pain, bursitis, burning pain, saddle sores, etc. I crashed hard two years ago, broken collar bone, ribs and shoulder blade all of which has left me with permanent imbalance. And a bought of frozen shoulder that is 85-90% resolved added to that. I think I can get pain on one side or the other during a ride, sitting around the house, etc. It can shift during a ride or be non-existent too. Found my dropper post was just too high and worked thru that along with seat adjustments and about 5 different seats now. What initially started this was a seat I bought not paying attention to the width, which was 155mm and way beyond my 115mm sit bone width. Some seats have helped but not permanently. Still fighting this and I have not been keeping up with the various stretches I do for my injury. I know the injured shoulder is lower and narrower because they didn't operate and my opinion is that there was just too much of a dislocation for me to end up being fully functional afterwards. Now I have to adapt and make the most of it. Thanks for this video. Oh being older, 72, can't be helping but I was mtn biking 60 miles a week, riding 3 times per week. Now I've cut back to half that to try to heal, sometimes taking 5 days off after a longer/harder ride.

Great Videos! you really give good and clear information. Thanks!

Can you help I am getting thigh pain on left side only, more so when climbing hills.

Thanks for your great videos. Is there a saddle (or 2) you can recommend that would be good for a hamstring tendonosis on one side that is simply brutal at 25 miles? 54, very fit, 5'9" 150, 170mm cranks, 111mm sit bone distance (before adding 20mm I understand people add), flexibility has always been poor, especially in lower back and upper hams. off bike 15 yrs with injury. finally able to get back on a year ago. getting back up to decent mileage now (120+/wk, longest rides around 50+ mi). Had hip labrum repair surgery (which re-tore . . ugh) several years ago. Had a fitting a couple of months ago. Have a number of spacers beneath stem to create more upright position so hip doesn't get so impinged. Riding a Serotta Ottrot. Been riding a Selle San Marco ASP from 2005. Love it, but for this problem and sometimes slight numbness underneath (which is the least of my problems). I tested a Fizik Aliante R3 (regular) this weekend. Disaster. Wondering if a wider saddle might help? I was disappointed to realize that the openings on saddles are for soft tissue, not for sit bones! Need one for the sit bones. Thank you!

I've been riding for about 5 years without too much in the way of saddle pain. I took a couple months off and then did an indoor TrainerRoad ramp test, which is obviously pushing things for the first ride back. After that first ride, I had some saddle discomfort on the right hand side and the whole top of the right leg felt uncomfortable for a couple days. I can't seem to get rid of the discomfort and it hurts every time I've ridden for the last 3 weeks. It's not chaffing or a saddle sore. It feels deeper and I can feel a sinewy long(ish) lump in that area. I don't know whether to try and ride through it, change up the fit (which is identical to my outside riding), go to the doctor or if I just need to force myself to take some time off.

Hi, I recently had a retül fit after 6,7 years of riding and all because I rode at the beginning of the year with a saddle that was about 1.5 inches higher which created and issue on my right ramus (anterior part of right sit bone) and I am struggling with the pain at the beginning of any ride(and during). I notice after a couple of months of riding 2,3 times a week it is transferring to a groin ache. Trying new saddle (went from an oura to SQlab 612) it feels a bit better but still hurts. Any one with a similar issue??

I’ve been have this issue for about 5 years and I’ve changed to different saddles quite a few times and it seems to never go away...your advise be helpful

I just finished my festive500 ride, and realize that my butt is hurt, but only on the right sitbone. The left one is ok. I did broke my left thigh bone 20yrs ago, and I think my right foot is shorter as the result on that. I have 3mm shim on my right right shoe, and I'm thinking to add some more. Do you think this is a good idea?

i have this exact issue!

I had an all surgery and start riding while recovering, the non operated side is dominant and I'm having great discomfort on that hip side and also seat pressure

I have sit bone pain on my right side. I had several fits. Purchased several saddles. I do have tight hamstrings. I waa wonderimg if I stretch my hamstrings willl eliminate the pain?

Hi, I had a THR last year, I been a road cyclist , and i was riding fine for a while and recently develop hamstring tendinopathy in the same side of the new hip, I think the saddle has a lot to do with it, do you have any suggestions?

A little bit of history first: very fit, averaged 250 miles a week during summer through fall, saddles were Specialized Roman /130. Nothing about the bike was changed or altered. Nothing about my kit was different. Everything was great till it seemed, it wasn’t. About mile 16-18 avg. I would experience terrible Gluteus medius pain on the left side. I would have to stand on the pedals and stretch constantly to alleviate the discomfort and this would in turn shorten my rides for several months. I inquired with everyone I could think of as to the sudden cause to no avail. No one had a solution. One day just for the heck of it I decided to change to a new saddle (exactly the same but different color). When I placed the “old” saddle down on the flat work surface I noticed that the left titanium rail was off kilter compared to the right by about 1.5mm (guessing, maybe 2 to 3). When I rode the bike with the new saddle (exact same positioning) I had no pain! About two years later...same pain...starting the same distance into the ride. Took off the saddle - bent exactly to the same degree as the previous one. Anyone have a idea as to what would cause the rail to tweek.? The bike had never been dropped or carelessly abused in any way.

I have scoliosis. Been working on posturing and moving my pelvis to the convex side. Been trying this on the bike. Piriformis and hamstring attachment pain. Maybe some bursitis too. I’ve been getting shockwave therapy. We shall see how this all goes. Have had it for about 2 years now. Can’t stop biking tho. 🙌🏻

Hi Ive had knee surgery "patellar bursa" or over use injury "spring knee". In the past been getting issues on the same side on my saddle. Can this be caused by Q angle etc. I would like to know how to check myself position out. My saddle height is correct. But always getting saddle sores and other issues. Prostatitis gor one. I have had bike fits in the past but only the cheaper ones the set cleats saddle and check your general position. I have been really enjoying your videos. So keep up the good work.

I never feel that my hamstrings contribute to power output, feels very quad dominant. I get a severe nerve like pain on my left sit bone after about 60 mins on the turbo. After a long 1.45hr session, I could barely walk, it felt like my arse had seized up. I last for longer outdoors before it becomes a problem.

Got a new saddle from my bike fitter getting a lot of pain on my left hand sit bone and left hip any suggestions doing exercises too .

Couple days ago I got my new saddle It's decent nothing fancy But I did figured it out that I'm doing something wrong watching multiple videos I believe It's the way I set And my reach I'm definitely going to work on that anyways Thx for tips sir It really helped take care and be safe

Hi, what a great vid. I am based in Australia. I have an old car injury (severe fracture of the left patella) that results in left quad weakness. Whilst I have been cycling consistently for 5 years with no problems, after my first 300km ride I developed a lump of something over my right sit bone. Prior to this lump I had tried to increase left quad strength but I cannot do full squats due to left patella pain so any strength development is very minimal and very slow. I have been fit to my bike but how can I accommodate a lack of left leg quad, calf, and buttock strength so I can keep riding without these lump frustrating my love of cycling? I'd love your help! Thanks

Hi! Could you please give some clues on this one: my right foot (from the pedal contact point to fingers) gets numb after like a 20-30 min of pedaling. I have also noticed that I have some right to left imbalance - when I look at the front wheel, the angle of view is always more to the left from the axis. Could there be any connection between these two?

This is awesome! I have one sided pain on my left sit bone from attempting to lift my husband's legs to reposition him. I thought it was sciatic pain!

Hurts almost immediately on the left side (I notice this from a toilet seat or even sitting in a car). My guess is it is from under developed gluten and a restriction turning/bending to the left. I have been trying stretching & exercises to alleviate this issue but in the meantime I switched out the seat for a wider/softer one. I ride a commuting bike so an aggressive stance is really not the issue.

ugh, I have this on my left sit bone, probably from the slight scoliosis in my spine but maybe short hammies as well. I had a look at the chamois of my 2 bib shorts the one day and I had worn through them completely on the left side.

I've been fighting with left side saddle sores on very short rides (just commuting). Never had it before. Been changing bibs, thinking it was a bad pad (started around the same time I got new ones). Been watching your other videos about saddle height and been adjusting that (something I should have done any ways). Been adjusting cleats (again, something that needed to be done as well)... Got other things working better, but not the saddle irritation. And then suddenly, with this video, everything makes sense. I broke my left wrist in an accident 1.5 year ago. As soon as I could start ride again, I never gave that a thought. That is obviously what is causing my left side issues. I'm taking the wrist exercises more seriously now... Your videos are great.

I have had many saddles, many seat heights, and many fore-aft positions. I always have right side sit bone pain. Any suggestions?

Hi I live in the San Francisco Bay Area. Would you recommend a bike fitter? I am doing a 60 mile dirt/gravel/road race in a few weeks and am unhappy with the bike fit and have a hard time finding comfort post 30 miles.

Have a question, I get numbness in my left hand after about 30miles into my riding especially when in my drops. Any suggestions? Thank you in advance.

A lot of people don't realise they have one leg slightly longer than the other, too.

Hey. My left hand always wants to go more up on the steer then my right hand. Thats the natural position. Now I have glutual pain for a long time. Are there exersizes so fix this? Maybe some exersizes for my spine to have more a straight natural position? Thanks a lot

This video is very timely! I have been experiencing a very sore right sit bone. I have had both hips replaced, and I was thinking that possibly my pelvis is a little askew. I have found that if I move a wee bit forward on my saddle, the bone doesn't hurt so much, so I thought that a new, skinnier saddle might do the trick. Watching your video made something else click, as well. I have moderate scoliosis, and I know my spine has a slight twist. Do you think changing to a narrower saddle will help?

Leg length discrepancy. Functional, maybe anatomical. Shimmed right. Been my ticket. Had some left primarily left sided issues that i felt. But visually right side was less toned. Tried both sides. Right worked better, though initially was awkward to pedal, super weak right leg. Cramps, spasms, hip had twisted in process. Was a mess. Hard to find good fitter. Fit my self and KZfaq fitters.

I also have this problem

Any advise on how to fix saddle pain on one side? I do have leg length discrepancy but it is less than 0.5cm. I used to sit on a Astute saddle, while it doesn't hurt my sit bone, I feel my left/right leg pedaling is unbalance and I have to adjust constantly on the saddle to feel balance. Recently I change to Selle Italia SLR techno Flow and I no longer feel the left right imbalance, but the left sit bone hurts alot while the right side is just fine. Will changing another saddle work?

Hi, I am experiencing sit bone pain on my ride side after riding. I stopped for two weeks and did some hamstring straightening everyday for few minutes. At the end of that resting period I wasn’t feeling any discomfort even when I was touching my sit bone so I decided to get back on the saddle for a 45 miles ride, and already after 25 minutes of riding the pain/discomfort came back. I have been riding for years and this is new to me. Any advice? Thank you in advance

I've been riding for decades but developed pain on one sit bone about 18 months ago. It's not skin related and no perceivable swelling. It not only hurts when I ride, it also hurts when I drive my car, sit in my office chair, sit on a bar stool, etc. I stayed off all bikes and sat on a pad with holes for my sit bones over a three month period. The pain decreased after I returned to biking but hasn't gone away and still flares up. Local docs are baffled and think it's bursitis. I'm looking for a clinician with experience resolving this type of pain.

i'm been having lower back pain as well as pain between shoulder blade, is there a video on this? thank you

What about saddle sores on one side? Its my left side. Tired different saddles, shims etc. Any feedback would be great. Thanks

I have pain on left sit bone, actually front of the sit bone, after 4 hours on the bike i have big swell that goes away in 2-3 days. Also during the ride my left leg gets numb. All started to happen 6 months ago.

Hello, I’m trying to create an account on your website but the create account button brings me back to the homepage.

My inbalance generates small but quite painful lumps on my left inner thigh only. I don't know if it's due to leg power inbalance (I don't have a powermeter) or some physical assymmetry that makes me sit not aligned with the bike axis. I have changed my yellow shimano cleats to the blue ones, and put my feet more to the outside, and that apparently alleviated the issue a little. My right foot is much more flexible due to driving, Ibelieve.

Is bikers nodule in perineum common?

Really good advice thank you

I am a physician and avid cyclist and am very picky about the advice I seek re bike fit. You have very good advice. Sometimes I feel like it falls a bit short of concrete solutions but that is fine from a business standpoint:) Here's my issue. Been cycling for many years. Small rider at 5 foot 6 inches 140 pounds. Have started to have medial left sit bone pain and have experimented with many saddles, saddle heights and setbacks. I am very flexible and active in other things like running and resistance training. Questions: Specific saddles to try? Specific stretches to address the left side? Thanks for the great info!!!

Hi! Thanks so much for the great videos! they have helped a lot as I have only been riding for 4 months and loving it! 'm 6'3ft and 250 lbs at 15% bf. (just to give an idea of build to frame question) - My sit bone width is 138cm - I am told this is very wide for a guy. People have recommended at least 10cm of clearance on either side of each sit bone for saddle sizing. however, Previously the most I could find would achieve 5.5mm on each side with a 149 gm saddle. I have now found a 155 from seller royal. I'm hoping this will help solve the problems I'm having of pain and saddle sores. The saddles I have run just don't feel like I have enough area to plat my si bones, I often feel like I need to move and reposition. DO you think that 10cm each side is a reasonable clearance as a starting point for a better bike fit? thanks again!!

You need to train the fitters here in chicago how do understand the person body. Where is your shop? Please!!!!

What can be perplexing is when it is only occasional. If I feel my sit bones with my hands one side seems to be more prominent than the other.

Been through countless saddles and can't stop getting a saddle sore where my sit bone area is but only in the right hand side. Took 3 weeks off so the area completely healed. First ride back sore reappeared. Really at a loss at what to do 😢

Hi, John. Just stumbling onto your video series and find them to be very helpful. I've been riding and racing road and MTB for 30 years. I broke/dislocated my rt elbow in an MTB race in 1997 and lost about 13% extension of that arm. Only lately, however, in the last few months, I am having significant left sit bone pain when I ride longer than 4 hours. Could there be a connection and, if so, am I just a bit screwed and have to deal with? I have shortened my reach significantly - using a 50mm stem, and have tried several saddle types and seat heights. I'm prepping for a seven-day stage race in the Pyrenees in August and trying to get a handle on this. Any help would be awesome - even if it just a reality check. Thanks.

Notice this only indoors.

HI. THANK YOU FOR ALL THE INFORMATION YOU PROVIDE WITH YOUR VIDEOS. I NEVER HAD A PROFESSIONAL BIKE FITTING. AND I DO NOT HAVE ANY ISSUES ON THE BIKE IN TERMS OF PAIN OR DISCOMFORT. MY PROBLEM IS WHILE OFF THE BIKE. MY HIPS HURT SO BAD. MY DOCTOR CAN NOT BELIEF ME THAT I DO NOT HAVE PAIN WHILE ON THE BIKE. PLEASE LET ME KNOW IF YOU HAVE SOME IDEAS THAT CAN HELP ME. THANKS AGAIN.

The front part of my right seat bone pokes down further than the rear part and the left side. 200km ride nearly killed me.

I started cycling with stock flat saddle. After riding for less than one hour, the feeling was like I was sitting on the steel rails, uncomfortably painful even. After I got more experience and power it became slightly better but still other half of 2 hour ride was a constant 'repositioning' and trying to survive. The pressure was more on the right sitbone. Then I got Aliante which was instant revelation. I could ride 2 hours without problems, even 6 hours and was no hard pressing at all. Some bike fitters recomended me to try other flat saddles with cutout as they said Aliante is not the saddle they like because it may introduce soft tissue pressure. I always got back to Aliante, with it I have no feeling of sitting on hard rails, especially the right one, neither it makes numbness in soft areas, if angled properly. I do not know why this works for me, maybe saddle flex, or maybe curvature allows for sitbones to 'move'?

my pubic bone was fracture sir till now 4 months my age is 27. the bone will hill sir how much time it's take

saddle is simply to high for one side. you make it sounds like rocketscience

1 swollen labia :(

in fact you do not know. it is guessing

Boring 😴