Pudendal nerve flare
Pudendal nerve flare
I have probably brought this up before, but I don't remember the responses. I am unable to lean forward, even to a small degree without causing a flare of the pudendal nerve. Today I simply wanted to reach a Valentine card that was a little low. I even stuck my leg out behind me to avoid pressure on the nerve, but tonight I am back on the sofa. It is so discouraging, because I had increased my walking time and actually had no PN pain, only that rotten piriformis pain. Is it possible the piriformis is compressing the nerve, or is this just normal for PN?
Re: Pudendal nerve flare
Hi Paulette,
Could you please explain why you think leaning/bending is causing a PN flare? What hurts specifically?
Much love,
Karyn
Could you please explain why you think leaning/bending is causing a PN flare? What hurts specifically?
Much love,
Karyn
Ultra Sound in 03/08 showed severely retroverted, detaching uterus with mulitple fibroids and ovarian cysts.
Pressure and pain in lower abdomen and groin area was unspeakable and devastating.
Total lap hysterectomy in 06/08, but damage was already done.
EMG testing in NH in 04/10 - bilateral PN and Ilioinguals
3T MRI at HSS, NY in 09/10
Bilateral TG surgery with Dr. Conway on 03/29/11. Bilat ilioinguinal & iliohypogastric neurectomy 03/12. TCD surgery 04/14.
Pressure and pain in lower abdomen and groin area was unspeakable and devastating.
Total lap hysterectomy in 06/08, but damage was already done.
EMG testing in NH in 04/10 - bilateral PN and Ilioinguals
3T MRI at HSS, NY in 09/10
Bilateral TG surgery with Dr. Conway on 03/29/11. Bilat ilioinguinal & iliohypogastric neurectomy 03/12. TCD surgery 04/14.
Re: Pudendal nerve flare
I develop pain on the inner aspect of the ishial tuberosity, which is where I always had the most pain before surgery. Then my rt. buttock swells up, and it is painful to sit. It is also painful to sit. I also experience a tightness and a pulling that starts at the coccyx. I don't know if that is from the ST ligament or the pirifromis muscle. Gee, i guess that is about it. Does that tell you anything?
Re: Pudendal nerve flare
Sigh ... not really. But what you're describing doesn't quite sound like the PN. You really do need a good evaluation, Hon. I've come to learn there are LOTS of reasons for sitting pain that have nothing what so ever to do with PN.paulette wrote:Does that tell you anything?
Ultra Sound in 03/08 showed severely retroverted, detaching uterus with mulitple fibroids and ovarian cysts.
Pressure and pain in lower abdomen and groin area was unspeakable and devastating.
Total lap hysterectomy in 06/08, but damage was already done.
EMG testing in NH in 04/10 - bilateral PN and Ilioinguals
3T MRI at HSS, NY in 09/10
Bilateral TG surgery with Dr. Conway on 03/29/11. Bilat ilioinguinal & iliohypogastric neurectomy 03/12. TCD surgery 04/14.
Pressure and pain in lower abdomen and groin area was unspeakable and devastating.
Total lap hysterectomy in 06/08, but damage was already done.
EMG testing in NH in 04/10 - bilateral PN and Ilioinguals
3T MRI at HSS, NY in 09/10
Bilateral TG surgery with Dr. Conway on 03/29/11. Bilat ilioinguinal & iliohypogastric neurectomy 03/12. TCD surgery 04/14.
Re: Pudendal nerve flare
Yep, you are right. It all goes back to the fact that the pelvis is extremely complicated. But thanks for trying!
Re: Pudendal nerve flare
Paulette, my pn pain is worse when I bend too. I can personally confirm that a less tight piriformis means less irritation when I bend and more sitting time before I have to stand up. I work on the piriformis with TP massage, which helps me quite a bit. I have a great deal of muscular tightness in most lumbar and pelvic muscles, so that sitting doesnt just mean PN pain, it means all over buttock pain/burning and discomfort. Never had a swollen buttock though 
. I'm following up the possibility I have SIJD, pulling the lumbar muscles out of alignment. Its another facet you might want to rule out for yourself. Meanwile, if it flares when you bend, please don't!
Take care.
. I'm following up the possibility I have SIJD, pulling the lumbar muscles out of alignment. Its another facet you might want to rule out for yourself. Meanwile, if it flares when you bend, please don't! Take care.
PN, possible entrapment at ischial spine -Dr.Natasha Curran, National Hospital for Neurology, London.
2 -Xray guided double nerve blocks -Dr.Baranowski - no relief.
TP self-massage reduced piriformis pressure on p nerve.
Dr.Greenslade/Bristol:
CT guided block (left) 16.7.12- success! Could sit without a cushion! On a brick wall!
06/2/13 - Sit pain gradually returned, L3. Offered further CT-guided block, or an op. Had to decline at time.
Feb '15. Applying to be referred again to Dr G.
2 -Xray guided double nerve blocks -Dr.Baranowski - no relief.
TP self-massage reduced piriformis pressure on p nerve.
Dr.Greenslade/Bristol:
CT guided block (left) 16.7.12- success! Could sit without a cushion! On a brick wall!
06/2/13 - Sit pain gradually returned, L3. Offered further CT-guided block, or an op. Had to decline at time.
Feb '15. Applying to be referred again to Dr G.