Penis injury!

[Bobby]

It takes some pretty serious trauma to cause a pudendal entrapment, however I don't doubt that there are some out there who have PNE. Mostly everything I've read on these forums all link back to chronic symptoms due to pelvic floor dysfunction, I mean it all makes perfect sense. I'm only here to try to help people, otherwise I have no reason to check on these forums or any other forum. I've just seen people get worse from surgery and I wouldn't want that for anyone. The pain is hell and life altering but while recovering from it I've learned alot about myself and I noticed alot of things needed to change to get better. In detail, anxiety, stress, muscle guarding mechanisms, catastrophic thinking, pessimism, nervousness, jealousy, anger... so many things that only feed the cycle of pain. People can recover from this, it just irritates me when there are so many who disagree with the sheer logic of this condition. Anyway, never give up.

[anon123]

Thanks guys, you both have been very helpful and i wish both of you full recovery.

Bobby, what relaxation technique you use? What exercises you do etc. Can you please give me you full day to day routine? How often do you have PT? thanks
Flyer, i hope that Dr. Aszmann will be able to help you. I am in Canada so I can't get much help from him at the moment.

Dr. Kirk Andrew has this PNSBDS protocol which i am considering. I just need to do some more research on it. Here is the website :https://sites.google.com/site/drkirkand ... s-protocol

[Bobby]

Alright so for the stretches you'll want to do them throughout the day, I'd say take 20 min 3 times a day to do them. Morning, Afternoon, and before Bed. As for the trigger point therapy, once a day is fine.

Stretches:
http://www.youtube.com/watch?v=XjwTE2on6oE
http://www.youtube.com/watch?v=2CA23eYwxmk
http://www.youtube.com/watch?v=wHrWmeQV1qA
http://www.youtube.com/watch?v=txIgVw3gwsw
http://www.youtube.com/watch?v=WWJAlAM_ ... e=youtu.be
http://www.youtube.com/watch?v=AXutOxFXwck
http://www.youtube.com/watch?v=DO4CwvVkkrM
http://www.youtube.com/watch?v=st19BLyIC_M

No don't expect to be as crazy flexible as these people, but you want to stretch so you'll be sore the next day. Obviously the more you stretch the less and less sore you'll get but its still very necessary to keep stretching. Also keep in mind you must relax your pelvic floor while doing these stretches, after doing the stretches you should notice it is much easier to relax it, maybe not at first but you will notice it.

Exterior Trigger Point Release:

So you'll want to roll a tennis ball through your glutes and hips, there will be noticeable sore spots and they will likely be lumpy and may even feel kinda like a washboard, you must roll all round. Also when doing the cobra stretch you can roll the tennis ball on your abdomen, there will likely be sore spots there you need to roll out.

Rolling the hamstrings is a bit tricky but i've found I can do it with a heavy rolling pin while I'm stretching my legs.
I know this is alot of information and seems like a lot to do but it will just become routine eventually.

As for internal trigger point therapy, it's quite an important step... You'll have to see your PT... but eventually you'll want to learn to do it yourself. When I started I was seeing my PT once every 2 weeks, which wasn't enough for me, I wanted to get better ASAP but well my insurance didn't cover specialty therapy and I was paying $80 a session, so my PT was nice enough to show me how to do it myself. I suppose some can say it's demeaning but you'll see noticeable results. Also keep in mind that this is a two steps forward one sec backwards treatment and it can and will likely cause flare ups. I had very little flareup as before I started any PT I mastered relaxing my pelvic floor so less and less were my nerves getting smothered by hard, tense muscles.

These sore spots you'll find contribute to your pelvic floors flexed state and they must be worked until soft and flexible. In the hard, tense state they're locked in only make it more difficult to relax. This is all logic, once you find these sore spots and realize how under stretched you are you'll see that this is exactly why your pelvic region is in so much pain.

[anon123]

Thank yo so much Bobby!

Few questions:
Did your PT gave you these stretches?
I am just wondering if it ok to do the sitting ones, because they put pressure on the lower back and tail bone.
What does your typical PT session include beside the internal manipulation.
What do you use for internal manipulation. My pt gave me something called a magic wand, i mostly use it for external pressure points.

I do have some lumpy spots where the bottox meets the thigh. I use foam roller and also have tried tennis ball. It just doesn't seem to soften.

Lastly, for me i don't have pain the in pelvic area, rather some tightness and soreness and burning. My major issue is the burning, hypersensitivity, redness and swelling just under the tip of the penis.

[Bobby]

I got these stretches from the book, A Headache in the Pelvis and also added some myself. I did refer to my PT about the stretches and she said that they would all help my situation.

My session would start with laying on heat pads as well as resting some on my abdomen for about 10 min. Next the PT assistant would come in and use a mag roller on my hamstrings and glutes.
Mag Roller


After that my PT would come in and rub the inner thighs as they are a tough spot to get to with a roller. Than she would work my abdomen a bit. Lastly she would do the internal trigger point therapy. Yes it hurt at first but I could feel the effectiveness of it.

For internal manipulation I just used a gloved hand, I rarely even do internal anymore, I've found it's not the really a huge factor for me.

The thighs and where they meet the glutes is indeed a tough spot. It's not easy to apply enough pressure to really work them. The PT can however use a mag roller on them, which is most effective.... but doesn't really solve the problem of how to do them at home. Once I figure out an effective way to treat that I will let you know.

When I say pain, I mean that burning feeling. The burning feeling is the worst pain imaginable... it's comparable to shingles, but obviously we have it in a very delicate spot. The redness are irritated nerves. I to have this redness and really is varies on how visible they are depending on my current level of tightness.

Now keep in mind, all this stretching and trigger point therapy is moot unless you can get that flexing under control. The pelvic floor MUST remain relaxed. That is the cause of our conditions and the only way our pelvis can heal is if we give the muscles and nerves a hospitable environment to do so.

[anon123]

Once again thanks Bobby,

I'll try to incorporate these stretches. I have not seen my PT for about 2 months now since i didn't feel it was helping much. Don't know, it might give it another try. I was paying $75 per session and going twice a week! My pt wasn't consistent, it varied from day to day and i don't think i got as much variety of therapies as you did. She did work on inner thighs but never on the outer, and never used a mag roller. Looking at your program i don't think i was getting my $75 worth. Unfortunately the next Pt is about $45 drive for me.

My PT told me to not use heat. Where did you use heat? Lower back?
I find it very hard to relax my pelvic muscles, specially while standing or walking. How do you manage to relax them?

[flyer28]

Hallo anon123
I think going to PT once in a week is enough, if you are following his instruction and doing all the necessary stretches home every other day.
I am visiting my PT every 14 days and with the addition of the home stretches I think it is enough. My PT is doing also some internal work, I feel the improvement.
My main pain area is at the base of penis and in shaft.
However, there are days when I feel only some minor dyscomfort, and there are days with some heavy flare-up with burning pain, when I cancel off the meetings and trying to rest as much as possible.
Sometimes I dont know whats the reason for worsening or improvement, this condition might be influenced also by weather, lack of sleep etc.
Pelvic pain is still big mystery and is very individual.

[helenlegs 11]

Here are some more exercises for a tight pelvic floor.
Sorry if they are repeats but this site seemed to explain things very well for people with this particular problem. Of course everyone should try physiotherapy as part of a diagnostic workup for chronic pelvic pain.
http://www.pelvichealthsolutions.ca/for ... e-kegels1/

[anon123]

Thanks for the link Helen, I do the stretches everyday. I find it hard to keep the pelvic floor relaxed all the time. Anyways, soon i'll be starting again with the pt to do internal work,

Besides multi vitimins i just started taking B6- 150mg, B12-600mg, and Lipoic acid-600mg.
I also take St. John's wort, and and teaspoon of Turmeric.

I gave my dad who is diabetic Lipoic acid and only after 2 days he told me has less pain in his leg and arm.

[helenlegs 11]

Hi anon,

I hope the stretches help. I'm sure they will over time, especially when you get extra help with the internal work.
At least you are aware of where the problem lies I suppose.
What about doing some meditation or other cognitive therapies like mindfulness? If you can get into a more mellow mindset, that may help the situation??
Good news about your Dad
Take care,
Helen