Ebiking and chronic pain

Fourteen years and 100 pounds ago I was in a similar boat. I wanted to bike to shed the pounds (I was up to 280, which is bad at 5'4"), butt my tailbone was killing me... right up until I switched to a cruiser.

My old conventional 3 speed, cheap Micagi Tahiti NX3:

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Even back then I never did anything "stock". Custom cranks, bigger chainwheel, homebrew headlight and battery box...

Far too many bikes assume you're going to use the "crotch rocket" lean forward over the bars position, thus the straight bars and butt floss seats. The combination -- as was stock on my Aventure -- is fine for young healthy riders, but as you get older or have problems that leaning forwards causes neck, shoulder, and even wrist strain no matter how much you try to dial it in.

To that end I've come to HATE straight bars.

The more forward you lean, the more those skinny seats make sense, but something I rarely see discussed is how the farther back and upright you ride, your weight shifts until the narrow seats are pounding your tailbone by spreading the glutes. Butt flossing yourself is not a comfortable ride.

Cruiser bikes are meant for an upright riding position, thus the longer swept-back bars and wider seats. Think about it, is the same part of your body touching the seat when you're leaning way the hell forward as opposed to when sitting upright? Of course not. When leaning forward your weight gets moved to the perineal. That's the "taint' for those of you who don't know anatomy. As your stance goes more and more upright that gets shifted to the sacrum. Aka tailbone.

I'm amazed how many "experts" out there seem to scream "narrow seat, narrow seat" or "get your sitz bones measured" without taking into account stance, which completely changes your weight distribution when seated! They're so obsessed with the "aerodynamic position" they thumb their nose at any other notion.

Dialing in a good comfortable ride is more than just seat, it's also bar length and distance. Getting mine adjusted right was a bit of a trick as the cruiser bars got the right angle and width, but because of the frame length I had to get a longer neck to then push it forward. A more intermediate bar would probably have made more sense, but I was working with what I had on hand and could afford.

For now this arrangement:
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Black and red with whitewalls... It's just my "thing"

Is working for me, though I feel like the crank could stand to be a bit more forward and/or the front end a bit higher. Using a longer fork / fork adjustment thanks to the double-shoulder set helped a lot too raising the front end about an inch and a half.

The really long neck / stem pushing the cruiser bars forward, whilst retaining their longer width and angle removing any trace of shoulder and wrist pain, further helped by the (cheap) paddle grips.

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It can get a little pricey dialing these things in, but the idea of "one size fits all" is always ridiculous, more-so when it comes to ergonomics.

There are so many things that can mess you up. Leaning too far forward for a wider seat, leaning too far back for a narrower seat, bar too wide or narrow for your stance, bar too far forward, back, up, or down. Bar angle at your grip, seat angle, seat height...

Hell the number of people I see where they have the seat too low so they're causing knee and buttocks pain. Though conversely I don't understand the people who have the seat higher than the bars, that cannot be comfortable. My 50-something year old back doesn't bend that way anymore. I don't want the lean the freak forward crotch rocket stance because I'm after a calm comfortable ride on roads and prepared paths.

I have no plans to "send it" down a double-black, do competitive racing, or hill climb challenges... and it often seems like a lot of cycling "experts" lose sight of that; looking down their noses at us more... casual riders. Not that cultism, elitism, and insular attitudes are unique to cycling. Starts to feel like how in retro-computing the "demo scene" and I get along like sodium and water.

I played around with dozens of seats (blessed be Amazon's no questions returns!) It's funny I tried a nose-less one and that was horrifying. Not from a comfort point of view, but safety. I was shocked how much "balance" comes from that forward protrusion in the seat. Constantly felt like the bike was going to pitch over and I was gonna go flying off it.

Just like swapping out the cranks, chainring and cogsets to best match myself and the motor.

One size fits all fits nobody!

Now, all that said, I've found riding to be very therapeutic for pain. Between diabetic neuropathy, a medication induced parkinsonism thanks to some quack giving me Neurontin off-label, much less a host of prior injuries, I was very quickly becoming unable to ride my old cruiser with any frequency. The e-bike has definitely solved most of the problems I was having in both mobility and remaining strength.

It's actually starting to be a 'problem!" A good hour or two of riding -- now that I have the bike dialed in -- gives me three to four hours of solid pain relief, which makes me keep getting up and going for rides whenever the pain comes back. Thankfully I've got two batteries and two chargers. But it's throwing off my sleep; not good when you also have non-24 sleep-wake disorder. The leading reason I'm considered disabled. I'm incapable of living a 24 hour day and have to live a 26 hour cycle of an extra hour sleep and an extra hour awake.

I also think my ear-to-ear grin is creeping people out on the paths, it's just so good to be pain-free without resorting to medications. For some reason I'm now ridiculously paranoid about taking prescriptions. It's even reducing the frequency of my crippling headaches -- caused by a hyperactive ventromedial pre-frontal cortex -- that are so severe I've got a script for Sumatriptan.

Fun medication that one...
Well it was 25 this morning, OTH cloudless sky and High pressure, some of the best weather in the lower 48 this time of year, think I will sneak a ride in later. So much of what has been said here was my case, I had such uncompassionate employers back in the day I had to do the "Borg" thing(adapt) I knew 10 hrs later I would heading home and could sit down to relieve my screaming back and thawing out my cold feet. I did have sense enough to give up the "squats" before my knees were shot and finally about the 'dickheaded employer" I walked one day and was arrogantly relieved of that misery the next day( Let em' eat!).
The economy may be doing "God knows what not" these days,I just hope this fine nation will find a balance between productivity and compassion for the poor drones that have to spend most of their waking hours trying to live the "American Dream" to quote [ those who would give up their freedom for security desire neither ] I know there are groups( semi -nations) that have it so much worse-But!( big caveat here) that is no excuse to try to put the lower classes in the common pool of misery while the "betters" eat caviar and are waved through the gate to their exclusive communities and this makes one thing perfectly clear, this life as promoted is not about happiness its about want and it seems for the time being a small group of people have escaped the deadly clutch of "want" and "dissatisfaction"( they are called "ebikers"[ don't care about the dues you say I got.,] I hope most of the People in this group can ['fall on their face in someones fresh mowed lawn"] it can be a "Daydream" that costs the 'haters" nothing, chugging along on an ebike smelling the sights and sounds. Yes Virginia you can get high without drugs, as Melanie said [don't travel fast but travel pretty far]
Oh yes about that seat thing, do use the one that fits, I use the wider one that spreads the stress over the scar tissue( seems like the Dutch knew a thing or two) and a good day and double blessing to you all.
 
Hey, Jason-- noticed your hand grips! I have something similar, same design anyway, on my Trek kit bike and I love them! I feel like I'm still learning to use them, but if I hold the grips just right, they seem to dampen the bumps quite as bit.
The trick with them is to adjust their angle -- and the brake grip angle -- so that your hand is flat with the wrist flat, so you're "holding" on via friction without curling your fingers (until you brake) more than about the amount they'd be if you were holding a 2 liter bottle. They help prevent the "death grip" on the bars so many riders use that causes stress in the tendons... and that really has no place unless you're mountain riding.
Maybe ask your doc about Magnesium and B2? Who knows, maybe a month from now, I'll be back here saying I was crazy, it doesn't work. But so far, so good, two weeks in, headaches are much better.
That was actually the first thing we tried before the sumatriptan, and it just made things worse. Story of my life. Everything people upsell or try as the "first" solution does the opposite. See oral diabetes medications that spike my sugars 200+.

Because my problem is an overactive vmPFC, medications that free up function or would restore normal function just aggravates matters. Triptans actually slow connective functions, as do some meds like seroquel. (which knocks me on my ass non-functional for 40+ hours even at low doses. Not practical.) Overactivity of any part of the brain is very rare and it seems like the doctors have no real idea how to treat it short of surgery.

The ideal treatment is actually downers, but that's the last thing I need.

They have suggested going in to remove part of it, but there's the concern that since that's the data processing and decision making part of the brain, I'd come out the other side an entirely different person.
 
The trick with them is to adjust their angle -- and the brake grip angle -- so that your hand is flat with the wrist flat, so you're "holding" on via friction without curling your fingers (until you brake) more than about the amount they'd be if you were holding a 2 liter bottle. They help prevent the "death grip" on the bars so many riders use that causes stress in the tendons... and that really has no place unless you're mountain riding.

That was actually the first thing we tried before the sumatriptan, and it just made things worse. Story of my life. Everything people upsell or try as the "first" solution does the opposite. See oral diabetes medications that spike my sugars 200+.

Because my problem is an overactive vmPFC, medications that free up function or would restore normal function just aggravates matters. Triptans actually slow connective functions, as do some meds like seroquel. (which knocks me on my ass non-functional for 40+ hours even at low doses. Not practical.) Overactivity of any part of the brain is very rare and it seems like the doctors have no real idea how to treat it short of surgery.

The ideal treatment is actually downers, but that's the last thing I need.

They have suggested going in to remove part of it, but there's the concern that since that's the data processing and decision making part of the brain, I'd come out the other side an entirely different person.
You described the thing with the handgrips PERFECTLY. You let those flaps of rubber absorb the bumps, avoid the death grip.

So bummed about your headaches and the magnesium, sorry to be clueless! And yeah, the more you describe it, the structural explanation sounds more plausible.

Weirdly, the ONE THING my neurologist said that make sense-- that didn't sound like some necromancer out of a Tolkien novel: Some people just don't manufacture enough GABA. My back of the envelope is GABA is a pretty simple system, I bet downers do work.

Hang in there. Sending positive energy your way.
 
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