If you think your pudendal nerve is entrapped between your sacrospinous and sacrotuberous ligaments (*), as mine was, find yourself a competent physician who will:
1) give you a diagnostic injection using radiographic guidance (do not bother with steroids; they won’t help at all)
2) put you under mild (twilight) sedation during the procedure
If your pain goes away for several hours, then this very powerful evidence which you should present to Dr. Hibner (who, as of 2022, was one of only four surgeons in the world who performed his unentrapment procedure).
(*) My symptoms were relentless agony, 24/7/365, at the *exact* point where you might imagine this may be. Unilateral (in my case), and as deep as you can possibly imagine, no matter the entry point. If you have this pain, and it won’t go away no matter what you do, get the injection.
Get a Pudendal Nerve Block!
Re: Get a Pudendal Nerve Block!
Just would like to add that if your pain goes away for several hours, and you can confirm that the injection medication reached it's target (the pudendal nerve) as evidenced by loss of sensation in the distribution area of the pudendal nerve -- then you have a positive confirmation that the pudendal nerve is likely involved.FinalCountdown wrote: ↑Fri Dec 06, 2024 3:33 pm If your pain goes away for several hours, then this very powerful evidence which you should present to Dr. Hibner (who, as of 2022, was one of only four surgeons in the world who performed his unentrapment procedure).
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.