Health Organization for Pudendal Education

Ellie,
Guess I can say so far so good but I still think I am not done recovering even though it has been a year. I was getting worse before the surgery working less hours down to 5 hours and only 4 days a week. I just started working 8 hours a day a few days and 6 or 7 the other days ( due to all my treatments -PT and acupuncture). I do hope to be a success. I am however so very sorry they did not figure out what you needed sooner and that you had to go through multiple surgeries we all know one is already too many. It is great of you to share you story in hopes of preventing others from the longer journey. Thanks,
Janet

Karyn,
I don't know where you got the impression Dr. Chambi does not address pudendal nerve entrapment where the sacrospinous and sacrotuberous ligaments cross. Actually, he believes this is the most common site of entrapment. According to what I have read, he is correct. Paulette

paulette wrote:I don't know where you got the impression Dr. Chambi does not address pudendal nerve entrapment where the sacrospinous and sacrotuberous ligaments cross

As I mentioned in my previous post, I got that impression from our mutal friend, who sent Dr. Chambi his records and discussed this particular issue with him. Maybe our friend misunderstood?

Wow, I didn't understand the TG approach doesn't allow visualization of the PN under the piriformis! Perhaps that is why we have so many failed surgeries. So where exactly is Dr. Chambi's incision and is this a laproscopic surgery? can he just view from piriformis to posterior alcock's?

We have a 2 inch incision back by the hip and one small one on the side of the knee. The one on the side of the knee is so he can visualize the sciatic. Dr. Chambi checked the stregnth by my lifting my toes upward before and after surgery. He said there was a remarkable difference after surgery. The sciatic was also trapped against the bone of my pelvis. He mentioned 5 nerves .
He said :I believeyou will get better Ellie. Dr A just said this is not always the answer. I too believe that is the reason not many get well with tg approach. They just-can notnsee the whole picture. Nuersugeons can.

Ellie, I'm so glad you are feeling better. This is great news!

I just wanted to mention that both Dr. Ansell and Dr. Robert are neurosurgeons who believe in the TG approach which doesn't access the area under the piriformis so I don't think it's a matter of whether you are a neurosurgeon as to which approach you use. Dr. Antolak learned his approach from Robert who is a neurosurgeon. But it's good to hear there is another doctor besides Dr. Filler and Dr. Possover who can deal with the area under the piriformis for those who need that area decompressed.

Paulette, do you have a link to Dr. Bautrant's website? I don't remember seeing those drawings you described. Thanks,

Violet

Ellie-

I am glad you are apparently being helped by Dr. Chambi. I personally think it makes a lot more sense to have surgery performed by a neurosurgeon who uses a microcope to see the nerves. I am shocked that the other PN surgeons don't use a micrsocope.

Please keep us posted on your recovery.

Bathsheba

Violet,
The diagrams I was referring to and used by Beautrant, are on this website. He labels the piriformis muscle, and it is very high, next to where the sacral nerve roots merge to form the pudendal nerve. The ST ligament has been removed, so maybe if the surgeon actually cuts where the ligament attaches to the sacrum, he would see the piriformis muscle. But I can't imagine he would cut that high, especially when I consider where my incision starts.