Blocks are recommended or not. Anyway? I read horrible stories and other very good. Unable to rely on scientific papers (conflict of interest), which is recommended? From what I read, the problem are the steroids that irritate the nerve, causing flare up. Thanks!
My dilemma is I can not find in Brazil, the country where I live, doctors experienced in this nerve blockade. But there are good doctors, pain specialists, and they make blocks on other nerves. And optionally the pudendal nerve.
Blocks: Yes or no? That's the question.
Blocks: Yes or no? That's the question.
- Blocking done by Dr. Luciano Braun, Brazil
- bLock in piriformis - no response
- Physiotherapy, good response, 50%
- Therapy with low lidocaine infusion, good response .30%
- Surgery? Perhaps. But I'm incredulous.
- bLock in piriformis - no response
- Physiotherapy, good response, 50%
- Therapy with low lidocaine infusion, good response .30%
- Surgery? Perhaps. But I'm incredulous.
Re: Blocks: Yes or no? That's the question.
BMA, we do occasionally hear from people on the forum who got worse from nerve blocks but the majority of people don't have any permanent worsening and a few get better. Nerve blocks are partly diagnostic to see if PN is what's causing your pain.
If you have significant improvement from conservative treatments like medication and pelvic floor PT maybe nerve blocks aren't worth the risk. But if those don't help and you are in a lot of pain it might be worth the risk.
Violet
If you have significant improvement from conservative treatments like medication and pelvic floor PT maybe nerve blocks aren't worth the risk. But if those don't help and you are in a lot of pain it might be worth the risk.
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.
Re: Blocks: Yes or no? That's the question.
agree with Violet.
always wondered why doctors consider them curative, when there is so little proof from patients.
But maybe there are some cases when the blocks helped in long-term.
Risks are associated with unguided blocks. Safest option is in my opinion ultrasound guided block, because high resolution ultrasound offers the best option to control the situation in real time.
I would consider upper blocks (in between sacrotuberous ligamnets) slightly more risky than Alcock blocks. According to my urologist, Alcock block are pretty convenient and with ultrasound control pretty safe.
always wondered why doctors consider them curative, when there is so little proof from patients.
But maybe there are some cases when the blocks helped in long-term.
Risks are associated with unguided blocks. Safest option is in my opinion ultrasound guided block, because high resolution ultrasound offers the best option to control the situation in real time.
I would consider upper blocks (in between sacrotuberous ligamnets) slightly more risky than Alcock blocks. According to my urologist, Alcock block are pretty convenient and with ultrasound control pretty safe.
summer 2009 - episodic post ejaculatory pain,
early 2010- major flare-up, chronification
february 2011 - ESCW wave. major flare-up, lasting 5 months
february 2012 - diagnosed CPPS with irritation of pudendal nerve, hypog. plexus block
june 2012 - dorsal nerve block, no relief
2013 - starting PT with moderate results
2014-2017 better periods interchanging with heavy flare ups
2018 first long remission (several months)
2019-2023 most of the time almost assymptomatic with cca 2 flare ups yearly
early 2010- major flare-up, chronification
february 2011 - ESCW wave. major flare-up, lasting 5 months
february 2012 - diagnosed CPPS with irritation of pudendal nerve, hypog. plexus block
june 2012 - dorsal nerve block, no relief
2013 - starting PT with moderate results
2014-2017 better periods interchanging with heavy flare ups
2018 first long remission (several months)
2019-2023 most of the time almost assymptomatic with cca 2 flare ups yearly