The not sitting all day makes total sense for overall health, nevermind compressing that area; you inspired me to get a Foam Donut Cushion, complete with a picture of an 85 year old senior citizen enjoying his morning newspaper on the package cover. I don’t know how the fuck to sit on it, though, it doesn’t feel that comfortable. As far as bike-riding—that’s just a no-no for anyone who wants healthy genitals. Data on that has been posted on the forum before.
I don’t know man–I wouldn’t conclude that their therapy rules out pudendal nerve impingement. It’s a very logical area to suspect, and there are a number of PFSers with this diagnosis. Not all docs want to rush to operate or provide cortisone because there is a suspicion of inflammation stemming from infection. So how to treat it is quite up in the air, but it seems legit to have pinpointed that area in my mind.