Pudendal nerve block scheduled for the first time

[Violet M]

Hi Matthew,

Abnormal temperature sensations can be one of the symptoms of pudendal neuralgia.
https://www.pudendalhope.info/category/symptoms/
Can't remember off-hand if I've known people with that abnormal temperature symptom you are describing, but I know it can happen.

Irritation after urinating is a common symptom of PN that I see frequently on this forum.

Violet

[matthewroots77]

Hi Matthew,

Abnormal temperature sensations can be one of the symptoms of pudendal neuralgia.
https://www.pudendalhope.info/category/symptoms/
Can't remember off-hand if I've known people with that abnormal temperature symptom you are describing, but I know it can happen.

Irritation after urinating is a common symptom of PN that I see frequently on this forum.

Violet

Thanks voilet I'm having a bilateral nerve block at the end of September just to see if my symptoms go,regarding urination symptoms going alot will the nerve block reduce that if it is that nerve

[Violet M]

regarding urination symptoms going alot will the nerve block reduce that if it is that nerve

It could but not necessarily 100%. My symptoms were partially relieved temporarily by nerve blocks, but never 100%. But it was enough to determine that the pudendal nerve was the culprit.

Violet

[matthewroots77]

Hi violet
Have you ever come across the llioinguinal nerve causing genital pain or no much about it

Hope you're well
Matt

[Balenul]

Abdomen trigger points and ilionghinal and iliohipogastric can give horrible urinary symptoms.

[Balenul]

regarding urination symptoms going alot will the nerve block reduce that if it is that nerve

It could but not necessarily 100%. My symptoms were partially relieved temporarily by nerve blocks, but never 100%. But it was enough to determine that the pudendal nerve was the culprit.

Violet

Is complicated for some bilateral pudendal nerve block did not relieve urinary symptoms but surgery helped them or other treatments.I think i read on this forum also some similar things.For some the block reduced the urinary symptoms .I remember a guy that had urinary symptoms very big in uretra and after a period also sitting pain.He did the block and sitting pain got better but he had a better day urinary wise and he could not tell if block helped his urinary symptoms.So as you see is very complicated.We are all different.Hibner proposed surgery to me but i am not convinced is pudendal i never ever had any sitting pain in 3 years and half for me walking make me worse.Also i think my urinary symptoms are to extreme to be pudendal related only but who knows......is so complicated ( i already talked with Hibner , Lemos , Itza , Bollens etc ( bollens i don t like he said to all surgery and the laparoscopic tehnique can t free the perineal branch good ).Tbh even HIbner told me i know more than most doctors atm but i am still stucked.But i had a rectal prolapse surgery with a absorbable mesh maybe that mesh messed my pudendal or hypogastric plexuses.....or maybe mesh did nothing.No one knows anything for sure is a trial end error sadly

[Balenul]

Hi
This is my story,I had a fall while doing a tough mudder course,I didn't remember falling at the time as I didn't have any injury. A few days later I developed a stinging pain in the very tip of my penis which made me want to go to the toilet alot. I had this for 3 weeks and then all of a sudden it completely went away for a week, and all my toilet habits went back to normal,I was away fishing at the time.
I came back home and and a few days later everything came back but this time I had pain in the perineum and found it hard to sit,it seemed to be triggered by sex.
The pain in the perineum also went away while I was on a alpha blocker given to me by a urologist,its been a roller coaster for about 7 months now and I'm currently having constant burning/stinging sensation in the penis tip also a weird cold sensation all of this is increasing my bathroom trips.
I've seen several urologists and been treated for prostatitis I'm currently seeing a pain management specialist who believes I've oversensitised a nerve,I've had mri scans which all came back clear and have had several nerve tablets and have only found it settles down at night now that I'm starting to sleep again. Going to the toilet and sex really upset it especially after I pee which makes me want to go again.
I'm really struggling with life and am considering a nerve block to atleast maybe give me a diagnosis.

If that guy can tell me what nerve is oversensitised he deserve a prize.....it seems a nerve tbh ( also sitting pain ).But alpha blockers also worked etc.....worse after urination i don t think is pudendal is more pelvic muscle and urinary sphincters related.If your sensations are constant and extreme we are similar.First year the sensation did not wake me up but it started after and in bad days is ruining me waking me all the time ( won t say will be your case also , the fact you don t get up right now may show mainly a muscle problem atm or the fact the nerve is not so injured and is recovering abit ).You pmed me in messaged i respond there and also in some of your posts ( maybe others will read also ).

[Violet M]

Hi violet
Have you ever come across the llioinguinal nerve causing genital pain or no much about it

Hope you're well
Matt

Yes.

Here is a description of the possible symptoms. https://atlantaspineinstitute.com/under ... neuralgia/

[Camelote28]

Hi guys, I am new to this forum. I had trigger point injections with a pudendal nerve block (intravaginally) last year (2023). I started to feel more pain after 3 days, and after a year, I have been experiencing severe pain in my piriformis muscles, both legs, and sitting area. The pain has gotten worse since that injection with corticosteroids and local anesthetic.

I saw a good urologist who has worked with PN for almost 30 years, and he still wants me to try the PN block again. I am scared to death. My pain is a constant 5-6 every day. My muscles are mostly in spasm, and physical therapy has irritated my nerves even more.

I saw a doctor who will perform a nerve block for me, but not intravaginally; it will be through my glutes. I am just looking for any advice. Do you think I have to do that, or should I wait another year for it to heal by itself? MRI, CT, EMG, etc., came back negative. But all my nerves are flared up, and since the last injection, I haven’t felt good. One good thing is that I can control my bladder, and I do not wake up 4-7 times during the night. I am taking Lyrica 75 mg x 2, but it doesn’t help with pain; however, I sleep very well on it. Thank you for any help!

[April]

Hi Camelote,

Welcome to Forum. So you had a nerve block in 2023 and had an increase in pain after three days and no long-term benefit? And your current doctor wants you to do another one and you are scared to do it? I would not do another one. A recent study showed that the steroid does not reduce pain. (Violet posted a link to the study a while back.) And that study result matches my experience and those of others who've posted on here. I got a flare and no pain benefit from my blocks. They can be useful as a diagnostic tool, but even then, you don't need to include the steroid (just the numbing agent).

I think doing it through the glutes is good (as long as the doctor is using imaging), so I wouldn't worry about that part of it.

Also, if pt is not helping, I would consider discontinuing it or asking the pt to do something else that isn't painful (e.g., only external work). I did it for a long time but I could only tolerate the external work. I stayed with it to relax my muscles and get rid of trigger points, but it didn't give me any lasting pain reduction benefits.

April