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Post-Op Surgical Protocols

Posted: Mon Feb 11, 2013 4:23 pm
by pudendalpt
Hello there!

I am teaching a Pudendal Neuralgia continuing education course to pelvic physical therapists in the US and possibly worldwide. We need more education on this topic!
As some of you know, the surgeons doing pudendal decompression surgeries and related surgeries all have different protocols for what to do after surgery.

I am trying to gain information on the post-op protocols for each surgeon so that we can share what standards are around the US and the world. I'd love to receive that information via email, if possible (or if you can attach a PDF here).
My email is pelvicguru1@gmail.com . pelvicguru1@gmail.com

Thank you very much!

Link to the course I'm teaching: http://hermanwallace.com/continuing-edu ... ourses/dpn
Here's a link to my pelvic blog (and it has associated FB/Twitter) to keep track of the latest research and info on pelvic health: http://pelvicguru.com

Regards,
Tracy Sher, MPT, CSCS
Owner/Clinical Director - Sher Pelvic Health and Healing
http://www.sherpelvic.com

Re: Post-Op Surgical Protocols

Posted: Tue Feb 12, 2013 4:41 am
by Violet M
Thanks for what you're doing, Tracy! Hope you get some answers here.

Violet

Re: Post-Op Surgical Protocols

Posted: Tue Feb 12, 2013 5:27 am
by pudendalpt
Thank you, Violet! I hope so too! I may just end up calling each office, but thought I'd start here.
Our first course in March 9-10 in Oakland, California.
Regards,
Tracy

Re: Post-Op Surgical Protocols

Posted: Tue Feb 12, 2013 2:09 pm
by nyt
Unfortunately, I didn't save my stuff from Dr. Hibner. They give you a handout that Loretta, the PT he works with, developed demonstrating how to put on shoes, how to bend over, etc. You also get a 2-3 page handout with restrictions and recommendations based on the number of weeks post-op.

Re: Post-Op Surgical Protocols

Posted: Tue Feb 12, 2013 7:15 pm
by pudendalpt
Thank you, nyt.
I'm actually teaching the course WITH Loretta. So, the good news is we have Hibner's protocols. But, I really appreciate your thoughtfulness and reply.
Regards,
Tracy

Re: Post-Op Surgical Protocols

Posted: Wed Feb 13, 2013 3:11 pm
by helenlegs 11
I know that Dr Dellon suggests water walking as post op therapy but that would be after a short recovery period, to allow the op site to heal somewhat?.

Dr Hal Martin offered patients a continuous motion machine straight after piriformis surgery, but this was more for sciatic/piriformis problems rather than pudendal surgery alone. I remember he also recommended static cycling to a patient but this didn't suit them at all, I must admit that this would be something I would rather steer clear of too.
Obviously the nerve needs to slide and glide after surgery to stop scar tissue causing problems but I'm guessing the movements that is required wouldn't necessarily involve anything too strenuous.
This is SO important Tracy so I hope that you get plenty of feedback on this I haven't had surgery so only know about what I have read. Good luck with this.
Helen

Re: Post-Op Surgical Protocols

Posted: Wed Feb 13, 2013 3:22 pm
by pudendalpt
Helen,
I really appreciate your reply.
We are on a mission to get really good information out there so that patients and healthcare professionals can help people deal with pudendal neuralgia or entrapment and the many diagnoses that are similar to it.
Thanks,
Tracy Sher