Hello everyone - got some new symptons - now have major pins and needles in my feet, toes and sometimes heels and sometimes in my left hand, which get worse at night - definately feels like some kind of peripheral neuropathy. Really not sure whether connected to my bottock/perineal pain as is constant and not position related. Am slightly doubtful whether connected to PN and now worried I have some new mystery problem (if you google this sympton there at least 20 different things it could be, some pretty nasty ones) that will take years to get to the bottom of. Am only 32 - am pretty sure this is not normal for somebody of my age. Any suggestions help would be much appreciated. Wondering whether this could be a side effect of six cortisone injections over the last few months.
Also - as an aside none of these injections have provided any relief - had two at ischial spine/two piriformis/one Alcocks Canal and one Caudal Epidural, so wondering whether I really have entrapment of PN in typical locations? Also been seeing a really good pelvic physio who has palpated internally (i.e. up the backside) pudendal nerve at Ischial spine and Alcock's canal and no reproduction of symptons. Only reproduction is on sitting and breaking wind. Weird or what?
new symptons - is this PN related?
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helenlegs 11
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Re: new symptons - is this PN related?
I definitely get the foot thing with my heel being the worst part, believe many do. Not so sure about the hand one however.
Fall 2008. Misdiagnosed with lumber spine problem. MRN June 2010 indicated pudendal entrapment at Alcocks canal. Diagnosed with complex variant piriformis syndrome with sciatic, pudendal and gluteal entrapment's by Dr Filler 2010.Guided piriformis botox injection 2011 Bristol. 2013, Nerve conduction test positive; new spinal MRI scan negative, so diagnosed for the 4th time with pelvic nerve entrapment, now recognised as Sciatic, pudendal, PFCN and cluneal nerves at piriformis level.
Re: new symptons - is this PN related?
Question, what drugs are you taking? There is a case report of gabapentin causing polyneuropathy so that's something to consider.
http://www.ncbi.nlm.nih.gov/pubmed/9520250
Pain. 1998 Feb;74(2-3):341-3.
Gabapentin induced polyneuropathy.
Gould HJ.
Source
Department of Neurology, LSU Medical Center, New Orleans, LA 70112, USA.
Abstract
Gabapentin is an effective option for the treatment of neuropathic pain syndromes because of its efficacy and favorable side-effect profile. A case is presented of a 58 year old man who developed a painful polyneuropathy while being treated with gabapentin.
http://www.ncbi.nlm.nih.gov/pubmed/9520250
Pain. 1998 Feb;74(2-3):341-3.
Gabapentin induced polyneuropathy.
Gould HJ.
Source
Department of Neurology, LSU Medical Center, New Orleans, LA 70112, USA.
Abstract
Gabapentin is an effective option for the treatment of neuropathic pain syndromes because of its efficacy and favorable side-effect profile. A case is presented of a 58 year old man who developed a painful polyneuropathy while being treated with gabapentin.
PNE since 2002. Started from weightlifting. PNE surgery from Dr. Bautrant, Oct 2004. Pain now is usually a 0 and I can sit for hours on certain chairs. No longer take medication for PNE. Can work full time and do "The Firm" exercise program. 99% cured from PGAD. PNE surgery was right for me but it might not be for you. Do your research.