After some thought I decided I wanted to start a thread specifically for those of us who are dealing with pilos and also have horses in our lives! Also, anyone who rides a motorcycle or bike - please contribute too as I believe we can all help each other. Riding horses, bikes or motorcycles, as we know, are activities that can be particularly rough on the tailbone area! I thought a thread for sharing suggestions might be a good idea. Some ideas of things to share: What do you ride? What type of riding do you do? How long have you been riding? How long have you been dealing with PD? Do you believe your pilo may have been aggravated by riding? Have you had surgery? If so, which procedure(s)? Have you gone back to riding yet, and if so, how is it working out? If you have not had surgery - do you still ride? Any suggestions for keeping things under control, for those of us who are unable to get/do not want surgery for the time being? How do you deal with flareups and how do they affect your riding? Do you use any cushions on your seat/saddle when riding? If so, what type? Any other experiences/ideas that might help others I have two horses and love to ride...I've ridden regularly for 15 years (English and Western) and never had any problems until a few weeks ago, when my pilo reared its ugly head for the first time.:rolleyes: In my case I therefore don't believe my pilo was caused by riding alone. I have had one lancing and drainage procedure (2 weeks ago) and it is healing nicely. After doing lots of research on this site (thanks Sasha - it's amazing!!) I insisted the doc make the incision away from the midline. I think this has, in-part, contributed to my fast healing. I have one or two pits in the midline. I have been told my PD is relatively mild. My second year of graduate school starts in 6 weeks, and none of the surgeons on the hall of fame list is anywhere near me at home or at school (closest is several hundred miles). Lucky me! I really wanted to get pit picking done but I just can't see spending the $$$ to travel and get that done...I'd rather wait and see how long I have until my next flareup, and then if necessary travel and use that $$$ to get a cleft lift. I have opted against closed and open excision as I believe they are more invasive than necessary, and I have other health conditions that could impair extensive wound healing. I have not ridden since my incision and drainage procedure 14 days ago. Although it looks like I'm completely healed and I have no pain/itching/redness...I'm nervous about riding again. I won't let the pilo stop me from riding, but it makes me anxious to not know how my riding will affect the thing. Being new to all this I realize it will largely be about trial and error. I've been taking a coccyx cushion with me everywhere when I know I'll be sitting for awhile - it's great and I highly recommend one! Any riders have suggestions? I don't ride competitively...I usually ride Western but I'm thinking about going back to my English riding roots for awhile because the close-contact saddle seat sits you farther forward, so more of your weight is on your seat bones and not your tailbone. I love riding Western and have been doing mostly that for a few years, but since you sit "on your pockets" in a Western saddle that puts more pressure on the tailbone, so I think avoiding that for awhile might be better. Who knows - maybe it won't make a difference. I look forward to discussing ideas and sharing experiences with my fellow riders! Cyclists and motorcyclists, please join in as well!