Health Organization for Pudendal Education

Has anyone had some numbness into there foot after a pudendal block ? I have had several blocks done but never had the foot be partially numb like this last one and also had numbness at the back of the upper thigh .

Have you all had numbness of the perineum with a pudendal block?

gettngwell

You should get numbness of the perineum with a pudendal block because that is one of the areas it controls.

I have never had another area get numb with a pudendal block. Did they did it CT-guided? It is possible that they got close to the sciatic nerve and that is what is causing the other numbness.

Sometimes the anesthetic can get over to the sciatic nerve and cause numbness in the leg or foot temporarily. Some of the PN docs suggest you should not come alone for a pudendal nerve block because you may not be able to drive or walk temporarily afterward due to possible sciatic nerve involvement. I never experienced it myself but I know other people have.

I would say I had partial perineum numbness after some of my nerve blocks.

Violet

I had the nerve block two weeks ago and my right foot went numb, but the normal feeling came back within two days.
On the other hand, my left side of the vaginal area has become worse and is throbbing, sore, more sensitive and more swollen. It worked well for one whole day and then all went into a downward spiral. No pain medication alleviates the horrible throbbing/soreness. I was Rx'd Lidocaine for the sensitivity, but then it started burning, so I had to stop that. Ice packs have helped a bit for the pain, but then it aches. Going to see Dr. Echenberg, located in Bethlehem, Pennsylvannia, in the end of April this year. Hopefully, I will get better results and can share what helps (at least for me).

For me and my DR that is normal, my leg goes numb with every of the 7 blocks i have had, the legs and PN are next to each other. The same reason you face goes numb but the novacane was only put in a small area at the tooth. It does take 24-48 hours to go away for me.

Lke_lsu wrote:I had the nerve block two weeks ago and my right foot went numb, but the normal feeling came back within two days.
On the other hand, my left side of the vaginal area has become worse and is throbbing, sore, more sensitive and more swollen. It worked well for one whole day and then all went into a downward spiral. No pain medication alleviates the horrible throbbing/soreness. I was Rx'd Lidocaine for the sensitivity, but then it started burning, so I had to stop that. Ice packs have helped a bit for the pain, but then it aches. Going to see Dr. Echenberg, located in Bethlehem, Pennsylvannia, in the end of April this year. Hopefully, I will get better results and can share what helps (at least for me).

Hi- Dr. Echenberg was very helpful for me. Has me on a cocktail of different meds; he also does nerve blocks and trigger point injections. I have been doing nerve block closer to home under CT guidance that have not been as helpful. Dr. E just uses "phsyical landmarks" and seems to reach the nerve well. First impression of his office is that it is a bit rundown-but he is very kind and knowledgeable. Good luck.

Lke_lsu wrote:
...
I was Rx'd Lidocaine for the sensitivity, but then it started burning, so I had to stop that.
...

I used lidocane Gell 2% and it was worthless and lasted 20min.

I use lidocane 5% patches that I can cut to shape any they stick gently they help with the hypersensitivity in the groin and scrotum. The can be used for 12 hours and deliver continuous medicine to the applied area. It helped get me through the day while working.

It may be worth trying, if clothing touching the outer areas is an issue.

Thank you so much, Asreicher and Blightcp, for the advice you have given as well as the encouragement with seeing Dr. Echenberg soon. I am glad to be forewarned ahead of time about the physical state of his office before I get there, just so I am prepared. I am praying he will be as helpful to me as he was with you, Asreicher. It really makes me feel good to hear how much he has helped you.
Also, thank you, Blightcp, for your recommendation on the lidocaine patches. I will be traveling soon to go see Dr. Echenberg, so I am going to ask my doctors over here to Rx me the patches before I go. That way I can be more "comfortable" throughout the travels (flights & driving).

To Aschreicher: Did you have those succesful unguided block into Alcock?
because on of my urologists, (who is the Head of CPPS Center) is doing them also blindly, stating that he has better record with finger guided Alcock block than with CT guided.

I think this comes down to the doctors experience and preferences. I have had multiple injections from 3 different pain clinics for diffrent issues over the last 10 years.

I has CRPS or RSD from too many knee operations, and they treated the illo-inguinal nerve instead of PN for 18 months.

If they hit the right spot your pain should flare before they administer the medicine. And hurt like hell when they add the medicine.

For the PN my pain physician always starts over the area and goes "20 degrees oblique" and then make a few minor adjustment.

If you don't feel it when they ask you, make sure they know, IMO I would rather have them get the right spot than waste a pain injection into muscle.