Hi,
I'm curious if anyone who's had surgery got PN blocks at anytime afterwards and what were the results?
Were the blocks helpful with desensitizing the nerve? Were you able to achieve more benefits from PT?
Thanks for any experience you can share!
Kind regards,
Karyn
Benefits of Post-Op Blocks?
Benefits of Post-Op Blocks?
Ultra Sound in 03/08 showed severely retroverted, detaching uterus with mulitple fibroids and ovarian cysts.
Pressure and pain in lower abdomen and groin area was unspeakable and devastating.
Total lap hysterectomy in 06/08, but damage was already done.
EMG testing in NH in 04/10 - bilateral PN and Ilioinguals
3T MRI at HSS, NY in 09/10
Bilateral TG surgery with Dr. Conway on 03/29/11. Bilat ilioinguinal & iliohypogastric neurectomy 03/12. TCD surgery 04/14.
Pressure and pain in lower abdomen and groin area was unspeakable and devastating.
Total lap hysterectomy in 06/08, but damage was already done.
EMG testing in NH in 04/10 - bilateral PN and Ilioinguals
3T MRI at HSS, NY in 09/10
Bilateral TG surgery with Dr. Conway on 03/29/11. Bilat ilioinguinal & iliohypogastric neurectomy 03/12. TCD surgery 04/14.
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Positivepoppy
- Posts: 174
- Joined: Mon Feb 24, 2014 2:49 am
- Location: uk
Re: Benefits of Post-Op Blocks?
Hi I had bilateral TH surgery 9 weeks ago in Bristol and surgeon has not suggested anything other than gentle hip flexing exercises and gentle hydrotherapy· My nerve blocks prior to surgery really abbreviated the nerves and caused possible internal blessing so I definitely would not fancy having them at the mo· How is your recovery going how are you finding things?
Re: Benefits of Post-Op Blocks?
I had one unguided nerve block post-op. Can't really say it did much either pro or con and actually it probably wasn't worth the risk, TBH.
Violet
Violet
PNE since 2002. Started from weightlifting. PNE surgery from Dr. Bautrant, Oct 2004. Pain now is usually a 0 and I can sit for hours on certain chairs. No longer take medication for PNE. Can work full time and do "The Firm" exercise program. 99% cured from PGAD. PNE surgery was right for me but it might not be for you. Do your research.
Re: Benefits of Post-Op Blocks?
The only time I had them post-op was with botox.
2/07 LAVH and TOT 7/07 TOT right side removed 9/07 IL, IH and GN neuropathy 11/07 PN - Dr. Howard
6/08 Obturator neuralgia - Dr. Conway 11/08 Disability, piriformis syndrome - Dr. Howard
4/09 Bilateral obturator decompression surgery, BLL RSD - Dr. Howard
9/10 Removed left side TOT, botox, re-evaluate obturator nerve - Dr. Hibner
2/11 LFCN and saphenous neuralgia - Dr. Dellon 2/11 MRI with Dr. Potter - confirmed entrapment
5/11 Right side TG - Dr. Hibner 2012 Left side TG - Dr. Hibner
6/08 Obturator neuralgia - Dr. Conway 11/08 Disability, piriformis syndrome - Dr. Howard
4/09 Bilateral obturator decompression surgery, BLL RSD - Dr. Howard
9/10 Removed left side TOT, botox, re-evaluate obturator nerve - Dr. Hibner
2/11 LFCN and saphenous neuralgia - Dr. Dellon 2/11 MRI with Dr. Potter - confirmed entrapment
5/11 Right side TG - Dr. Hibner 2012 Left side TG - Dr. Hibner
Re: Benefits of Post-Op Blocks?
Thanks for your replies. 
This isn't something I was considering. But I've heard from many post-op patients that their surgeons had recommended the blocks post-op; citing they may be more beneficial than the blocks they got prior to surgery. Just wondering if anyone had experienced a calming effect of the nerve, enabling them to gain more benefit from PT?
Kind regards,
Karyn
This isn't something I was considering. But I've heard from many post-op patients that their surgeons had recommended the blocks post-op; citing they may be more beneficial than the blocks they got prior to surgery. Just wondering if anyone had experienced a calming effect of the nerve, enabling them to gain more benefit from PT?
Kind regards,
Karyn
Ultra Sound in 03/08 showed severely retroverted, detaching uterus with mulitple fibroids and ovarian cysts.
Pressure and pain in lower abdomen and groin area was unspeakable and devastating.
Total lap hysterectomy in 06/08, but damage was already done.
EMG testing in NH in 04/10 - bilateral PN and Ilioinguals
3T MRI at HSS, NY in 09/10
Bilateral TG surgery with Dr. Conway on 03/29/11. Bilat ilioinguinal & iliohypogastric neurectomy 03/12. TCD surgery 04/14.
Pressure and pain in lower abdomen and groin area was unspeakable and devastating.
Total lap hysterectomy in 06/08, but damage was already done.
EMG testing in NH in 04/10 - bilateral PN and Ilioinguals
3T MRI at HSS, NY in 09/10
Bilateral TG surgery with Dr. Conway on 03/29/11. Bilat ilioinguinal & iliohypogastric neurectomy 03/12. TCD surgery 04/14.
Re: Benefits of Post-Op Blocks?
I have had 3 now, all of them guided by Dr Dainesi the first this past October, November and in early Febuary. I have found that they have helped the hypersensitivity, greatly it is still there but instead of it always feeling like a day after a 2nd degree burn ot like a fresh bruise. It still does not tolerate heat and my wife cant touch it without pain, so it is not where i would like it to be.
Durring the guided block Dr. Dainesi placed the needle and asked me to tell him when he got the the nerve. When he got there it was BAM right in the testicles. I hurt like hell when he injected the medicine. It has been similar with all of the injections from him, They have told me that you are supposed to feel intense pain at the target location, this tells them that they have the correct location. Here are the operative notes from November 2013.
It takes him less than five min for the whole procedure once they get started. The office before and waiting after the injecton are about 45 min total. The staff knows what pudendal nueropathy is but not in detail. On one occasion there was a student nurse observing and asked me questions, after a few min the nurse stopped and told the student, he knows more than me and he has it right so ask all the questions you have. So I would not expect them to be a heavy advocate to help you you need to really guide them as politley as possible.
Durring the guided block Dr. Dainesi placed the needle and asked me to tell him when he got the the nerve. When he got there it was BAM right in the testicles. I hurt like hell when he injected the medicine. It has been similar with all of the injections from him, They have told me that you are supposed to feel intense pain at the target location, this tells them that they have the correct location. Here are the operative notes from November 2013.
It takes him less than five min for the whole procedure once they get started. The office before and waiting after the injecton are about 45 min total. The staff knows what pudendal nueropathy is but not in detail. On one occasion there was a student nurse observing and asked me questions, after a few min the nurse stopped and told the student, he knows more than me and he has it right so ask all the questions you have. So I would not expect them to be a heavy advocate to help you you need to really guide them as politley as possible.
PN by sedentary job and commute
Treated for IlioInguinal pain 2008-10
PT by Dr. Conway's team | 3 PN blocks @ Elliott in Manchester USA
TIR 2010 and TG by Dr. Conway in May of 2012 uncovered nerve damage, declared surgical failure in May of 2014
PT and bed rest continues
Employer refused accommodations in 8/13, now in the disability war.
Sacrial Stimulator 9/14 by Dr. Ross Boston MA
Anesthetic pain pump trial 3/16/15 by Dr. Ross
Treated for IlioInguinal pain 2008-10
PT by Dr. Conway's team | 3 PN blocks @ Elliott in Manchester USA
TIR 2010 and TG by Dr. Conway in May of 2012 uncovered nerve damage, declared surgical failure in May of 2014
PT and bed rest continues
Employer refused accommodations in 8/13, now in the disability war.
Sacrial Stimulator 9/14 by Dr. Ross Boston MA
Anesthetic pain pump trial 3/16/15 by Dr. Ross
Re: Benefits of Post-Op Blocks?
Thank you for your response, Blight!
How long do you experience less pain from these blocks?
About triamcinolone (Kenalog):
http://www.prescriptiondrugs.com/drugs/ ... -injection
Karyn
How long do you experience less pain from these blocks?
About triamcinolone (Kenalog):
http://www.prescriptiondrugs.com/drugs/ ... -injection
Karyn
Ultra Sound in 03/08 showed severely retroverted, detaching uterus with mulitple fibroids and ovarian cysts.
Pressure and pain in lower abdomen and groin area was unspeakable and devastating.
Total lap hysterectomy in 06/08, but damage was already done.
EMG testing in NH in 04/10 - bilateral PN and Ilioinguals
3T MRI at HSS, NY in 09/10
Bilateral TG surgery with Dr. Conway on 03/29/11. Bilat ilioinguinal & iliohypogastric neurectomy 03/12. TCD surgery 04/14.
Pressure and pain in lower abdomen and groin area was unspeakable and devastating.
Total lap hysterectomy in 06/08, but damage was already done.
EMG testing in NH in 04/10 - bilateral PN and Ilioinguals
3T MRI at HSS, NY in 09/10
Bilateral TG surgery with Dr. Conway on 03/29/11. Bilat ilioinguinal & iliohypogastric neurectomy 03/12. TCD surgery 04/14.
Re: Benefits of Post-Op Blocks?
While the injections hit the target consistently, I really don't get any relief from them, they have helped the hypersesitivity. But not the "DEEP" pain or the "kick in the nuts pain".
This is where the actual damage done to the nerve comes into question as the SS ligament scarred onto the PN. The nerve may not ever heal completely due to the scarring and not just compression.
This is where the actual damage done to the nerve comes into question as the SS ligament scarred onto the PN. The nerve may not ever heal completely due to the scarring and not just compression.
PN by sedentary job and commute
Treated for IlioInguinal pain 2008-10
PT by Dr. Conway's team | 3 PN blocks @ Elliott in Manchester USA
TIR 2010 and TG by Dr. Conway in May of 2012 uncovered nerve damage, declared surgical failure in May of 2014
PT and bed rest continues
Employer refused accommodations in 8/13, now in the disability war.
Sacrial Stimulator 9/14 by Dr. Ross Boston MA
Anesthetic pain pump trial 3/16/15 by Dr. Ross
Treated for IlioInguinal pain 2008-10
PT by Dr. Conway's team | 3 PN blocks @ Elliott in Manchester USA
TIR 2010 and TG by Dr. Conway in May of 2012 uncovered nerve damage, declared surgical failure in May of 2014
PT and bed rest continues
Employer refused accommodations in 8/13, now in the disability war.
Sacrial Stimulator 9/14 by Dr. Ross Boston MA
Anesthetic pain pump trial 3/16/15 by Dr. Ross
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Laramarie
Re: Benefits of Post-Op Blocks?
I am now 6 months post op and just returned from having
nerve blocks with Dr Hibner due to severe "broken glass" type pain. Dr Hibner said the change in pain, now "broken glass" is nerve regeneration. I had an ultrasound guided perineal nerve block by Dr Hibner under general anesthetic. I got 24 hours of complete numbness!
I also received a CT guided pudendal nerve block by the Radiologist and also was numb for about 36 hours. Loretta felt this was more muscular due to a very aggressive physio therapist post operative at 8 weeks. I no longer go to physio but will be trying again (new physio) in 3 weeks).
My perineum is pain free but my rectal area is hurting again! Guess it is muscular?...the recommendation is to use the suppositories twice a day and have physio work very gently on the injured tight muscles.
Take care.....
Lara
nerve blocks with Dr Hibner due to severe "broken glass" type pain. Dr Hibner said the change in pain, now "broken glass" is nerve regeneration. I had an ultrasound guided perineal nerve block by Dr Hibner under general anesthetic. I got 24 hours of complete numbness!
I also received a CT guided pudendal nerve block by the Radiologist and also was numb for about 36 hours. Loretta felt this was more muscular due to a very aggressive physio therapist post operative at 8 weeks. I no longer go to physio but will be trying again (new physio) in 3 weeks).
My perineum is pain free but my rectal area is hurting again! Guess it is muscular?...the recommendation is to use the suppositories twice a day and have physio work very gently on the injured tight muscles.
Take care.....
Lara