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[Nerve injuries in bicycle riders].

I Goldberg¹, J Peylan, S Amit

¹Orthopedic Dept., Beilinson Medical Center, Petah Tikvah.

|September 1, 1991

Summary

Cycling can cause peripheral nerve damage, affecting nerves like the ulnar and pudendal nerves. Symptoms such as numbness and muscle weakness typically resolve with rest, allowing a safe return to cycling with precautions.

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Area of Science:

Neurology
Sports Medicine
Orthopedics

Background:

Bicycle riding is a popular activity associated with potential health benefits.
However, prolonged or improper cycling can lead to repetitive stress injuries.
Peripheral nerve entrapment or irritation is a recognized, albeit uncommon, complication.

Observation:

Two male cyclists, aged 13 and 35, presented with distinct peripheral nerve symptoms after bicycle riding.
Case 1: Ulnar nerve injury at the wrist, causing reduced sensation in two digits and weakness of hand muscles.
Case 2: Pudendal nerve involvement, leading to perineal numbness and erectile dysfunction.

Findings:

Symptoms included hypesthesia of the ulnar digits and intrinsic muscle paresis in one case.
The other case exhibited pudendal nerve compromise, resulting in numbness and erectile difficulties.
Both cases demonstrated spontaneous symptom resolution and full recovery after a brief cessation of cycling.

Implications:

These cases highlight bicycle riding as a potential cause of peripheral nerve injury.
Prompt recognition and temporary cessation of cycling can lead to complete recovery.
Resumption of cycling is possible with appropriate precautions to prevent recurrence.

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