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Re: New Pain Location in Upper Back Thighs and Inner Thighs

Posted: Thu Oct 06, 2011 2:57 am
by Faith
I read Dellon's lastest chapter on pelvic pain again and he gives the example of a pt who had PFCN and PN entrapement and it required two surgeries. Personally I don't agree with severing the ST ligament (especially in my cause because I have some SIJD) so IF I have PN decompression surgery I prefer Hibner's approach although it is concerning to read LottaNerve's experience (see Ali's post of her words on TIPNA) on this thread http://www.pudendalhope.info/forum/view ... =44&t=1906 She thinks that Hibner's surgery entraped her inferior cluneal nerves. I don't know what I think of that...have to research more. I guess anything is possible especially with nerves lying so close to one another.

Re: New Pain Location in Upper Back Thighs and Inner Thighs

Posted: Thu Oct 06, 2011 12:55 pm
by shawnmellis
Hi, I don't know if her surgery for sure caused the entrapment or if it was already there, I would have to know her full history and even then it might be hard for me to know for sure, but it is possible I guess that this happened. As far as cluneal nerves go though Dellon is one of the best for decompressing or helping them and it would be a separate surgery.
Shawn

Re: New Pain Location in Upper Back Thighs and Inner Thighs

Posted: Tue Oct 11, 2011 4:52 pm
by pdn
hi, I've always had burning pain in upper and inner posterior thighs, buttocls, and perineum pain more dull-like. Agree with you that compression of nerves probably happening proximal to alcocks canal towards sacral plexus where posterior cutaneous and cluneal nerves are involved, pdn

Re: New Pain Location in Upper Back Thighs and Inner Thighs

Posted: Tue Oct 11, 2011 8:18 pm
by Faith
What are you saying pdn...you think they are all compressed (PN, PFC, inferior cluneal)? Or just we get that reaction from PN compression and it's close proximity to the other nerves like the PFC?