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Saddle Region Pain

Saddle pain is pain that is experienced in the region between the hips that would contact a saddle when riding a horse or bicycle. You may have heard this region referred to as the perineal or pelvic floor region.

There are many potential causes for saddle pain. Explore the information under each tab below to understand more about the anatomy of the area and things that may go wrong.

If you have already visited our Hip Pain Explained page, you may have already read some of this information. On this page you will find information specific to conditions related to pain in the Saddle Region.

Common conditions associated with saddle pain:

  • Coccydynia – see Joint Related Pain
  • Pelvic Floor Dysfunction, Hypertonic Pelvic Floor, Vaginismus – see Soft Tissue Related Pain
  • Pudendal Neuralgia – see Peripheral Nerve Related Pain

Pain experienced in the saddle region may be related to:

  • joints of the hip & pelvis, where two bones meet
  • ‘soft tissues’, non-bony structures, such as muscles
  • bones, such as the coccyx (tip of the tailbone)
  • the spine
  • nerves that run into the saddle region
  • pelvic organs or blood vessels, or other health issues masquerading as saddle pain

Explore each of these further in the tabs below

sacrococcygeal joint and coccydynia tailbone pain saddle pain

What is Pain?

Pain is an experience that the brain creates for the purposes of stimulating you to change your behaviour or seek help for a perceived problem with your body. Irritating or potentially damaging stimuli in your body (like high levels of pressure, tension or extremes of temperature) activate sense receptors (danger sensors) in the area. Signals from danger sensors in the body travel through the nervous system to the brain. Here the information is processed and the brain sometimes (but not always) produces a pain experience.   

If you would like to read more about understanding what pain is, PLEASE CLICK HERE.

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