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I have a condition which causes serious irritation of my pudendal nerve when sitting. Basically it just plain hurts to sit normally, but can be mitigated by keeping my feet elevated. But that is usually difficult to find. In order to sit normally I can mitigate the pain to a reasonable degree with something called BodyIce (from my physical therapist). It does a pretty decent job of freezing the pudendal nerve. BodyIce is approximately the dimensions of a sheet of paper in width and length. It contains a gel which is malleable so it can be folded and is not terribly uncomfortable to sit on. It's never pleasant, but better than the pain. This is why I have always flown. I would love to take Amtrak to many destinations in the US but I am very hesitant - how am I going to keep my BodyIce cold? Without the ability to keep several of these BodyIce at a bit below freezing, I would end up spending nearly all my time in my room lying down. Not much fun.