how to seat when you have PN and ishial tuberosity pain

Here we can discuss difficulties with comfort in sitting and normal living - cushions, bicycle seats, car seats, work stations etc.
Post Reply
helen1000
Posts: 184
Joined: Fri Jul 20, 2012 7:07 pm
Location: Michigan

how to seat when you have PN and ishial tuberosity pain

Post by helen1000 »

Hello
I hope that someone can help me.
I have PN pain plus ishial tuberosity pain. Bagel seats only make things worse. Please, help
8 nerve blocks rel 6 w.Met Dr. Peters,Dr. Antolack.Dr. Peters pacemaker,Dr Antolack TG operation.Maigne s.Internal PT at Dr Peters Nothing.PFCN block rel 6 w. PFCN RFA.Nothing.SI joint RFA.Nothing.Left scar tissue removal.Good.SIJD. PT of SI joint ME, and Prolo of SI and PS.Lumbar spine facets turned left. ME. T10-12 facets too wide.T10 turned left.ME and Prolo.Labral tears in left hip, spurs.Will have operation at 09/18/13,Met with Dr Conway.EMG shows left PN problem.Good impression of Dr C.
User avatar
Violet M
Posts: 6820
Joined: Mon Sep 06, 2010 6:04 am
Location: United States
Contact:

Re: how to seat when you have PN and ishial tuberosity pain

Post by Violet M »

Before PNE surgery I couldn't find a cushion that helped really. I used a roho cushion for a long time after surgery and it worked better than anything else but they are very expensive. Insurance paid for mine -- you have to get a prescription from your physician. They are rather bulky so I recommend ordering a small size so it can fit into chairs.

Violet
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.
helen1000
Posts: 184
Joined: Fri Jul 20, 2012 7:07 pm
Location: Michigan

Re: how to seat when you have PN and ishial tuberosity pain

Post by helen1000 »

Thank you VIolet. You are an angel to respond so quickly
8 nerve blocks rel 6 w.Met Dr. Peters,Dr. Antolack.Dr. Peters pacemaker,Dr Antolack TG operation.Maigne s.Internal PT at Dr Peters Nothing.PFCN block rel 6 w. PFCN RFA.Nothing.SI joint RFA.Nothing.Left scar tissue removal.Good.SIJD. PT of SI joint ME, and Prolo of SI and PS.Lumbar spine facets turned left. ME. T10-12 facets too wide.T10 turned left.ME and Prolo.Labral tears in left hip, spurs.Will have operation at 09/18/13,Met with Dr Conway.EMG shows left PN problem.Good impression of Dr C.
westwing03
Posts: 1
Joined: Thu Aug 09, 2012 12:07 pm

Re: how to seat when you have PN and ishial tuberosity pain

Post by westwing03 »

Violet M wrote:Before PNE surgery I couldn't find a cushion that helped really. I used a roho cushion for a long time after surgery and it worked better than anything else but they are very expensive. Insurance paid for mine -- you have to get a prescription from your physician. They are rather bulky so I recommend ordering a small size so it can fit into chairs.

Violet
Violet,

Thanks for the info. Would you mind sharing the dealer/representative from whom you ordered the Roho cushion? I have Aetna PPO and am trying to get this approved. I don't believe they normally approve it for PN, but will try anyway. What insurance do you have? Any info would be REALLY helpful! Thanks!
janetm2
Posts: 987
Joined: Sun Jun 12, 2011 10:54 pm
Location: Maryland

Re: how to seat when you have PN and ishial tuberosity pain

Post by janetm2 »

I also have a roho which I got with a new wheelchair that blue cross blue shield paid 85%. I went through a PT at a rehab place and they worked with american medical equipment as the supplier. I then bought another out of pocket for my old wheelchair that I use at work to help complete my last 3.75 years to retirement. They also worked with my PN PT to ensure all would work for me. The wheelchair is because I havechronic foot pain as well. My roho is big to get the right number of air pockets across so I can lower the center section for the pudendal nerve and fit the chair.
Janet
2007-08 pelvic muscles spasms treated by EGS. 6/27/10 sat too long on hard chair- spasms, EGS not work Botox help, cortisone shots in coccyx help, still pain, PT found PNE & sent me to Dr Marvel nerve blocks & MRN, TG left surgery 5/9/11. I have chronic bunion pain surgery at age 21. TG gave me back enough sitting to keep my job & join in some social activities. I wish the best to everyone! 2019 luck with orthotics from pedorthist & great PT allowing me to get off oxycodone.
Faith
Posts: 697
Joined: Fri Oct 15, 2010 5:15 pm

Re: how to seat when you have PN and ishial tuberosity pain

Post by Faith »

I have a lot of ischial tuberosity pain. I've tried probably 15 cushions and the best thing for me has been a donut cushion ( it's an 18 inch) but using it in the long position (like a toilet seat). I actually have the cushion strapped with duck tape to a plastic toilet seat that I got at a home improvement store. I also cut away at the sides using a large kitchen knife so to take a little more pressure off my sit bones. My worst areas of pain are just medial (to the middle) of the ischial tuberosities in posterior alcock's canal. I am a slimmer person and this cushion keeps me mostly off my most tender areas allowing me to sit for very short periods of time (i.e. 20 mins max usually on a good day but that is with a pain level of 5-6, I try not to push it past 6) and I usually only sit a maximum of twice a day. Most days though I don't sit at all since I am now unable to work. If you are a visual person here is a link that may help you better understand what I'm talking about http://tinyurl.com/9obo2x3
-11/08 vulvodynia began around conception of first & only pregnancy
-3/10 sacral/sitting pain began after SIJD manipulation
-Progressive widespread pain- central sensitization
-PT, meds, injections, botox, ESWT = debilitated.
-5/12 Potter MRI - scarring of left ST, coccygeous & posterior alcock
-12/12 - left FAI/labral hip tear surgery
2014-2019 managed w/ gabapentin, massage, and lifestyle mod
2020 - big flare up
www.thepurposeofpain.blogspot.com
User avatar
Violet M
Posts: 6820
Joined: Mon Sep 06, 2010 6:04 am
Location: United States
Contact:

Re: how to seat when you have PN and ishial tuberosity pain

Post by Violet M »

westwing03 wrote: Would you mind sharing the dealer/representative from whom you ordered the Roho cushion? I have Aetna PPO and am trying to get this approved. I don't believe they normally approve it for PN, but will try anyway. What insurance do you have? Any info would be REALLY helpful! Thanks!
I had United Health Care for the first cushion and Blue Cross Blue Shield for the 2nd. I had my doctor write a prescription and then found a local medical supply store (HME Specialists) who measures people for wheelchair cushions. They were contracted with my insurance and they ordered the cushion for me. The first one was 16 x 16 but it's too large to fit in most chairs so I got a smaller one the 2nd time - can't remember but I think it was 16 wide and 14 deep. The size would depend on your size and weight -- I'm fairly thin.

Violet
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.
blightcp
Posts: 215
Joined: Wed Sep 05, 2012 6:23 pm

Re: how to seat when you have PN and ishial tuberosity pain

Post by blightcp »

I made a modular cusion out of diffrnet density foam, get it fom any craft store, usinn diffrent sizes and shapes untill i got one that was firm around the outside edge and soft around the hot spots.

Try getting some memory foam to support the load bearing places.

I used a medium desity 1" square base and then spray glued it all together and covered it.
PN by sedentary job and commute
Treated for IlioInguinal pain 2008-10
PT by Dr. Conway's team | 3 PN blocks @ Elliott in Manchester USA
TIR 2010 and TG by Dr. Conway in May of 2012 uncovered nerve damage, declared surgical failure in May of 2014
PT and bed rest continues
Employer refused accommodations in 8/13, now in the disability war.
Sacrial Stimulator 9/14 by Dr. Ross Boston MA
Anesthetic pain pump trial 3/16/15 by Dr. Ross
Post Reply

Return to “SEATING & PHYSICAL LIFESTYLE ADAPTATIONS”