PN Surgery Update 20 Months Later

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n4061
Posts: 12
Joined: Sat Sep 25, 2010 5:08 am

PN Surgery Update 20 Months Later

Post by n4061 »

I have not posted in some time and provide the following update to help others.

Maria's first symptom start in June 2008. One year to diagnose PN as possible cause. First surgery to Right PN failed to provide relief. Second surgery (Bi-laterial) provided short term relief. Third surgery provided relief or about 2 months then all hell broke loose. Dr. Filer assessed the nerve had moved against a ligament and agreed to perform one last surgery. The fourth surgery (Bi-laerial) found the nerves touching some ligments and was in fact inflamed. He cleaned that up and removed some of the ligament then proceeded to go higher up the PN then he done in over 250 PN surgeries. He found the PN to be entraped further up the Piriformas Muscle and removed more of the muscle. This 10 hour surgery appears to have done the trick. Maria suffers from inflammation and has been on/off Predisone for the past year along with Enbrel which appears to have settled down the PN inflammation. She is off all medications for the PN and lives at a 2/3 pain level down from 10+. Can still get flare ups but they calm down within 24 hours. We are now dealing with Sacral Pain that had gone untreated the past four years and appears to be soft tissue. This problem we believe has impacted the ability of the PN to really complete healing since nerves do speak to each other. While she has not been diagnosed with AS she has all the sysmptoms. We have no idea hw this all came about but it doesnt matter. We are thankful that Dr. Filler did not give up on her difficult case and in the end he helped her. Bottom line is if any doctor wants to give up on you either find another doctor or make him keep trying. For the spouses out there dealing with this evil condition remember the suffering he/she is going through and be kind and gentle. You may have to give up a good part of your life while you both deal with this PN issue, but if you truely love that person you are not giving up anything that matters. Feel free to contact me if can provide any assitance. I should also mention that during the past four years I had to take on the medical institutions more than once to secure the out of plan coverage required and won every battle. If you facing the same issues remember that you are dealng with people that know less than you and if you document all the facts and present them correctly there is a very good chance you will win! Don't ever give up!
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Violet M
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Joined: Mon Sep 06, 2010 6:04 am
Location: United States
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Re: PN Surgery Update 20 Months Later

Post by Violet M »

That is awesome to hear that Maria is doing so much better! Thanks for letting us know of her progress. My guess is that even though she is not cured she is very happy with the results so far.

You are an amazing supportive spouse and I agree with you that it is so important for PNE patients to have someone who is helping to advocate for them because when you are in serious pain it's difficult to think clearly and to be proactive.

All the best,

Violet M
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.
nyt
Posts: 1165
Joined: Sun Oct 31, 2010 3:24 am

Re: PN Surgery Update 20 Months Later

Post by nyt »

Yeah!!! I am so glad to hear of this wonderful news!!
2/07 LAVH and TOT 7/07 TOT right side removed 9/07 IL, IH and GN neuropathy 11/07 PN - Dr. Howard
6/08 Obturator neuralgia - Dr. Conway 11/08 Disability, piriformis syndrome - Dr. Howard
4/09 Bilateral obturator decompression surgery, BLL RSD - Dr. Howard
9/10 Removed left side TOT, botox, re-evaluate obturator nerve - Dr. Hibner
2/11 LFCN and saphenous neuralgia - Dr. Dellon 2/11 MRI with Dr. Potter - confirmed entrapment
5/11 Right side TG - Dr. Hibner 2012 Left side TG - Dr. Hibner
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helenlegs 11
Posts: 1779
Joined: Fri Sep 17, 2010 9:39 am
Location: North East England

Re: PN Surgery Update 20 Months Later

Post by helenlegs 11 »

Thanks for posting your wonderful story. It is made all the more touching because of the love and support you have given your wife through all of these difficult times.
Immensely pleased that Maria has at last found a place where she can function from. Good luck to both of you :D
Take care,
Helen
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.
HerMajesty
Posts: 1134
Joined: Sat Sep 18, 2010 12:41 am
Location: North Las Vegas, Nevada

Re: PN Surgery Update 20 Months Later

Post by HerMajesty »

I am glad to hear she is doing so much better, your earlier posts were painful to read she was suffering so much. Living with chronic pain at any level can be a struggle but I am thankful she has been able to get much of her life back..
pelvic pain started 1985 age 14 interstitial cystitis. Refused medical care from age 17, did GREAT with self care for years.
2004 PN started gradually, disabled by 2009. Underlying cause SIJD & Tarlov cysts
improved with PT & meds: neurontin, valium, nortriptyline, propanolol. (off nortriptyline & propanolol now, yay!)
Tarlov cyst surgery with Dr. Frank Feigenbaum March 20, 2012.
Results have been excellent so far; but I won't know my final functional level for a couple of years.
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