In June 2017 , following several shocks during horse riding , I developed severe and debilitating pain in pelvis area , tail bone and clitoris region , thigh , including going down to the interior part of my left leg . I would be unable to walk long distance and sometimes I was stopped by the pain and could not move forward at all . I got also frequent pain similar to electric shocks and various kinds of shooting pain , tingling pain , burning pain . Electric pain was quite frightening specially spreading to the genitals .
I rushed to have all possible exams such as MRI and Echography of back bone , pelvis , clitoris region etc…and I saw several neurologists and many various specialists over 12 months , traveling to try to find a doctor who would help me . I could not get any improvement over 12 months . I did visit several pudendal specialists in all fields of medicine .
I was offered various kinds of pain killers , injections , etc…but I preferred to avoid them as much as I could as I felt that there must be a way to treat naturally without side effects . I was looking for something to be cured not to mask pain for short times . I visited several countries including France . In France which is very famous for its medical expertise , I found it very difficult and somehow challenging to find specialists who would do internal manual therapy which is , according to my experience , one of the most important treatment to release tensions , release cramping , calm down the pelvis pain . The combination of chiropractic and internal manual therapy seemed to me the best solution and I searched for the proper specialist and team which lead me to London .
Beginning of September 2018 , I found on the net the Sayer Clinics , http://www.sayerclinics.com and Michael Durtnall .
First appointment was dedicated to assessment . I instantly understood that he knew what he was doing and how to treat it . He paid serious attention to what happened to me , asked me multiple very precise questions , took several X rays , examined me and tested several areas and nerves etc…He told me that I had pudendal nerve kind of irritation and showed me too , on the X rays the position of my tail bone which was not in right position too and which was also adding to the pain .
He started working on me during the last minutes of the remaining time of the appointment and when I left the clinic , I was for the first time convinced that I had met the specialist I was looking for . It was already a kind of relief with somebody immediately designing a precise treatment strategy .
The treatment plan he prepared for me was quite comprehensive :
External and internal pelvic manual therapy !
In some countries it is almost impossible to find specialists who do internal manual therapy
and when you find them , they may not have the proper experience . I had cessions before in
other countries which resulted in aggravated pain . So should you see one and if it doesn’t
work for you , don’t lose hope , just try another one . I found at Sayer Clinics several extremely
experienced and skilful massage therapists knowing perfectly what they do , resulting in
immediate improvement . They did work internally in the vagina to release trigger points and
adhesions and I could feel the improvement day by day .
Dr Durtnall does the key and critical treatments and between the cessions with him , he addresses you to his team of highly experienced massage therapists . I have never met such a specialist with such organization and team .
Coccyx treatment:
My coccyx curve was not correct and was triggering pain too . Therefore Dr Durtnall worked internally ( anal ) and externally . I could feel the precision of his work. No hesitation at all and for a patient badly suffering it is more than a relief .
A special equipment designed by Dr Durtnall : which allows the whole muscles around the coccyx and in pelvis to vibrate to release tensions and trigger faster relaxation .
Special note :
I met several patients who were shy to accept anal and vaginal manual therapies . My sincere message to all people suffering from such condition is that internal manual therapy allows the specialist to work directly on the areas which are triggering the pain or cramping the muscles etc…With Michale Durtnall , you immediately feel the release of tensions and along the process , his experience allows for a pain free experience . Had I known him before I would have lost 1 year in pain .
Pelvis joints and deep tissue massage and manipulation : Done by Dr Durtnall and complemented by his massage therapists team .
Postural corrections and exercises :
Dr Durtnall approach is global . He addresses the pathology by all useful angles including postural modification , physiotherapy , healthy life and diet recommendations . And as a patient , I was more than eager to follow his advices as I already felt almost instant improvement with his manual work etc…
Dr Durtnall worked manually internally both in rectum and vagina. On the left side of my vagina , the muscles had been cramped for 12 months and I could not find any way to release them . Within 2 cessions , for the fist time over a year , the muscles started relaxing a bit and in the next few cessions , they relaxed completely . Usually after the cessions , some discomfort occurred from time to time in the next day or 2 but the process worked perfectly and soon Dr Durnall was able to remove all muscles cramping . What a relief to see that this was possible without pain killers and surgeries or injections . For me it has been an amazing relief to see that it was possible to get improvement. Before seing Dr Durtnall I had lost hope .
In addition to Dr Durnall work , between the cession with him , he addressed me to his team
of massage therapists , all trained in physiotherapy as well as internal manual therapies . Dr
Durtnall physiotherapists and massage therapists have also their own additional specialities
depending on their studies and countries of origin and this variety enriches greatly the
treatment possibilities . I discovered that Dr Durtnall had carefully selected in purpose . And
depending on the specifics of the pathology he addresses the patient to the most relevant
physio and massage therapist of his team , the ones who have the exact experience and skills
to participate the most efficaciously to the treatment of the patient.
A very critical lesson I learned too , was that as a patient with this kind of condition , it is
Much better to act fast . Had I known Dr Durtnall before I would have rushed to him much
earlier as I know that the sooner you start treatment the faster you get rid of the pain .
I see him as a maestro directing an orchestra.
An amazing feeling to have found the specialist and team who will finally save you from the
Pain .They all worked harmoniously and in synergy within the strategy designed by Dr Durtnall.
Within about 8 cessions with Dr Durtnall and his team , I got rid of most of the pain and I am currently continuing the treatment now . I’ll let you know once I am 100% cured which I am absolutely sure about.
PS : I am a native French speaker therefore kindly pardon my spelling or other grammar mistakes but I did want to help others who are suffering by putting this text online .
Michael Durtnall : the way forward to solve my pudendal pain
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Re: Michael Durtnall : the way forward to solve my pudendal
Hi Kimberley,
Are you still there?
How have you been, I am planning to travel to see Dr. Durnall
soon and would love to have some news from you!
J‘espère wue tu vas tj bien
Are you still there?
How have you been, I am planning to travel to see Dr. Durnall
soon and would love to have some news from you!
J‘espère wue tu vas tj bien
Re: Michael Durtnall : the way forward to solve my pudendal pain
5 years on, I'd also love to know how you're doing and if you ever got back to riding a horse?
I ride - well I used to, but haven't really for about 5 months now and am desperate to get better and back on my horse.
I ride - well I used to, but haven't really for about 5 months now and am desperate to get better and back on my horse.
Re: Michael Durtnall : the way forward to solve my pudendal pain
Dr Michael has retired, has he passed down his teaching to someone
Re: Michael Durtnall : the way forward to solve my pudendal pain
Not sure....the website still works and it shows some other providers. https://sayerclinics.com/
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.