Drs. Hibner and Conway
Drs. Hibner and Conway
Has anyone seen both Dr. Hibner and Dr. Conway to see if they gave different advice or had different approaches?
Re: Drs. Hibner and Conway
Hi Rimrock,
I talked with both before proceeding with surgery 6 years ago. They had (and I assume still have) a different surgical procedure. Hibner's is a little more invasive because he cuts open the ST ligament, but that approach gives the surgeon greater access to the nerve. I felt the greater access was much more important than avoiding a slightly more invasive procedure (I figured if I was going to do this, I wanted to do everything I could to ensure it was successful), so I went with him largely for that reason. Hibner also detaches the SS ligament from one side---the ischial spine side, I think---so it no longer crisscrosses the ST ligament, a place where the pudendal nerve is often entrapped. I'm not sure if Conway does that or not, but it makes a lot of sense. My recovery was not bad at all, so I had no regrets.
April
I talked with both before proceeding with surgery 6 years ago. They had (and I assume still have) a different surgical procedure. Hibner's is a little more invasive because he cuts open the ST ligament, but that approach gives the surgeon greater access to the nerve. I felt the greater access was much more important than avoiding a slightly more invasive procedure (I figured if I was going to do this, I wanted to do everything I could to ensure it was successful), so I went with him largely for that reason. Hibner also detaches the SS ligament from one side---the ischial spine side, I think---so it no longer crisscrosses the ST ligament, a place where the pudendal nerve is often entrapped. I'm not sure if Conway does that or not, but it makes a lot of sense. My recovery was not bad at all, so I had no regrets.
April
Re: Drs. Hibner and Conway
Thanks April.
Did Dr. Hibner make you go through a round of PT? I've been through several rounds and I don't see the point of doing a round through a PT that he is in contact with.
Did Dr. Hibner make you go through a round of PT? I've been through several rounds and I don't see the point of doing a round through a PT that he is in contact with.
Re: Drs. Hibner and Conway
Hi Rimrock,
No, he didn't. But, I had been doing pt for a few years before the surgery, and I explained to him that it didn't help. So you've done it already with your own pt, and now he is recommending you do it with his pt? PTs definitely vary in their understanding of pn, so he may have thought it was sensible to first do pt with a pt who definitely understands pn just in case that would work (before doing surgery). That might have been the rationale.
April
No, he didn't. But, I had been doing pt for a few years before the surgery, and I explained to him that it didn't help. So you've done it already with your own pt, and now he is recommending you do it with his pt? PTs definitely vary in their understanding of pn, so he may have thought it was sensible to first do pt with a pt who definitely understands pn just in case that would work (before doing surgery). That might have been the rationale.
April
Re: Drs. Hibner and Conway
I haven't seen him yet but I was concerned because of something I heard him say.