Health Organization for Pudendal Education

AliPasha1 wrote:Hi Jen9952,
This is a great concern because now it is coming in light that severing or cutting the Sacrospinous ligament is also causing SIJD,Piriformis muscle syndrome etc.This is quite alarming and you aren't the first one who has developed SIJD or Piriformis muscle syndrome after their Sacrospinous ligament was severed.

I believe Spirit42 has the same problem and her Sacrotubeorus ligament was repaired by Cadavers by Dr. Hibner,but she still developed SIJD or Piriformis muscle syndrome because her Sacrospinous ligament was severed and her PN transposed at the ischial spine.The piriformis muscle syndrome can be well attributed either to the transposing of the Pudendal Nerve at the ischial spine and the SIJD due to the severing of the Sacrospinous ligament.

I believe that the Sacrospinous ligament ligament needs to be repaired or sewed back just like the Sacrotuberous ligament as being done by Dr. Hibner,Dr. Antalok/Dr. Conway.
You can talk to Dr. Hibner for using a cadaver for your Sacrospinous ligament if he agrees to it or talk to an orthopedic surgeon if that can be done.
It would be a great idea to have a 3 Tesla done with Dr. Potter at HSS in NYC and see if your nerve became re-entrapped in scar tissue again or the rotated hip is the source of the pain.I belive that Carlank from Texas/Arkansas had her redo surgery from Dr. Hibner and her hip was found rotated and when her ST ligament was re-constructed and the hip rotation rectified ,she was Pain fee at the age of 69 and is living a happy life now.The 3 Tesla MRI by Dr. Potter would be the first step to take in the right direction.

I would also like to elaborate again the PNE surgery isn't only confined to decompressing the nerve but also maintaing Pelvic stabilty by not severing the ligaments because nobody wants trade one pain for another.It is a balancing act between decompressing the nerve and maintaing Pelvic stability.

Kind Regards,
Ali