Sciatica pain after PN block

[Voorheesl]

After the nerve block, I went to see my urologist with many concerns about my pain and new symptoms, but she denied seeing me in the future. She said that she is
Off of her limits. It was very shocking for me.

I found a very good urologist, K. Peters, through this site, who has worked with PN patients for more than 20 years. His office referred me to the anesthesiologist who performs the nerve block for his patients, and I saw her for the consultation. But I am not ready to do that again.

Now I am doing soft wave therapy (4 of 6) to reduce inflammation, and I have seen small improvements. I did physical therapy for almost 3 months and still do some exercises at home.

Additionally, I do stretching therapy once every 2 weeks. It’s very helpful for perineum pain.

I found a place that offers dry needle treatment, but they recommended finishing the soft wave therapy before I start a new treatment.

I did research on PEA supplements. They help reduce inflammation and pain. I will let people know if it provides me with any relief.

I hope we will all be well soon and start to enjoy our beautiful lives again!

I there! With us having such similar symptoms, I can say dry needling helps. Pelvic floor trigger points help, and I am getting botox to relax pelvic floor and piriformis muscle in a month or so with Dr Hibner. Maybe some of those things could help. It's hard to think that doing the same thing you have already done with bad results, will help a second time. I am not a doctor, but I would never do one into that muscle again.

Good luck and hugs to you on your decision! Keep me updated.

Lori

[Camelote28]

Hello Lori,

I just scheduled dry needling with PT to see if it will provide me with some relief. I also spoke with my doctor from the pain clinic to get the full picture of what is going on with me. She said that steroids have inflamed my muscles badly, making them stiff and painful. After 18 months, I have been confirmed that my pelvic floor is fully relaxed, with no more tight areas. However, I am still in pain, which could be due to my pudendal nerve irritating my muscles and the tissues around it.

To diagnose the problem, she still recommends (also my new urologist) doing a nerve block without steroids to determine whether the issue is with my nerve or my muscles. If the pain goes away, even for a day, then they will proceed with the nerve stimulator trial. I am not ready for it. I will wait for the urology appointment to make a plan. If it causes me this insane pain again, I want to be sure that I will have everything at home to manage that pain!

I asked about Botox for the pelvic floor and piriformis muscle, but she said in my case it would be more of an increased risk of pain than helpful. My doctor said that usually, they do a shot with steroids again to relax the muscle. Just be aware! I had a trigger point injection with the previous urologist at 3, 5, 7, and 9 o’clock to reduce muscle spasms, which I didn’t have, and now I have all those problems.

Please ask a doctor to check all your muscles internally before any injection. Maybe the doctor needs to find the muscle that needs to be released and do Botox specifically there.

Stay in touch, please.
Hanna.

[Violet M]

Please ask a doctor to check all your muscles internally before any injection. Maybe the doctor needs to find the muscle that needs to be released and do Botox specifically there.

Good advice Hanna.

I considered Botox at one point but my gynecologist discouraged it because the pain relief would be only temporary. And there are some risks involved.

Violet