redo
redo
I had TG surgery for left side six months ago, which decompress the clam of SSL and STL and also piriformis and sciatic nerve. My PN is getting better. However, my physician did not expose the falciform process of STL. MRI, which is done recently, show thicken falciform process of STL. I am wondering such thicken falciform process still compress Alcock canal. In addition, when I sit, I still feel painful for my right side(my surgery is just for the left side).According to my condition now, should I consider to redo now. Meanwhile, I have foot pain when I walk and stand still.
Re: redo
Hi Hopeman,
It may be too early to consider re-do surgery at six months. Especially in light of this statement:
Kind regards,
Karyn
It may be too early to consider re-do surgery at six months. Especially in light of this statement:
Also, it appears you've got other neuropathies contributing to your medical condition. Who was your surgeon and have you discussed your recovery/prognosis with him?hopeman wrote:My PN is getting better.
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: redo
I am awaiting my European physician response for my condition.
I live in Asia.
I would like to redo because MRI, which I do recently, shows that I have thicken falciform process of STL, which may compress my Alcock canal. Howeversitting rgery did not expose falciform process. . In addition, I have right side sitting pain, but my last surgery did not perform right PNE. That is, last surgery seems not to release my PNE in the right side as well as falciform process of left side. Is it too early to perform secondary sergery from the view of surgery?
I live in Asia.
I would like to redo because MRI, which I do recently, shows that I have thicken falciform process of STL, which may compress my Alcock canal. Howeversitting rgery did not expose falciform process. . In addition, I have right side sitting pain, but my last surgery did not perform right PNE. That is, last surgery seems not to release my PNE in the right side as well as falciform process of left side. Is it too early to perform secondary sergery from the view of surgery?
Re: redo
Hi Karyn
Thank you for your response. Dr. Conway did your surgery. Did Conway cut your SSL or STL. Did you have pelvis instability after your surgery. Did you completely cure after the surgery of Conway. Though I am not Dr. Conway patient. Is it possible that Dr. Conway answer my questions associated my condition now. Does Conway perform redo.
How can I contact with Dr. Conway.
Sincerely,
Hopeman
Thank you for your response. Dr. Conway did your surgery. Did Conway cut your SSL or STL. Did you have pelvis instability after your surgery. Did you completely cure after the surgery of Conway. Though I am not Dr. Conway patient. Is it possible that Dr. Conway answer my questions associated my condition now. Does Conway perform redo.
How can I contact with Dr. Conway.
Sincerely,
Hopeman
Re: redo
Hi Hopeman,
I had the modified TG approach to decompressing the PN, bilaterally. My SSL's were severed, but the STL's remain in tact. I don't know how to answer your question about pelvic instability after the surgery. It is my belief that biomechanical issues contributed to the PN entrapment. I also have other pelvic neuropathies besides PN and Tarlov Cyst Disease.
So, I was able to achieve improvements with the PN surgery, but I honestly don't know of anyone who has been "completely cured". I just recently has spinal neurosurgery for the TCD and it's much too early to recognize improvements.
Such as with myself and many others, it appears you also have other neuropathies besides PN:
The pudendal nerve is a BRANCH of S2, S3, S4. There is an S3 branch of the sciatic nerve. This indicates to me the possibility of some type of pathology with the sacral nerve roots. The PN does not innervate the lower extremities. But the sciatic nerve does. You've previously stated that your PN is getting better, but not your foot pain.
Based on that information, I'm not quite sure why you are considering a PN redo.
I'm very sorry, but I can't possibly speak on behalf of Dr. Conway in regards to what he can or can't do for you. However, you can find his contact information on our Home Page
under LIST OF DOCTORS.
Kind regards,
Karyn
I had the modified TG approach to decompressing the PN, bilaterally. My SSL's were severed, but the STL's remain in tact. I don't know how to answer your question about pelvic instability after the surgery. It is my belief that biomechanical issues contributed to the PN entrapment. I also have other pelvic neuropathies besides PN and Tarlov Cyst Disease.
So, I was able to achieve improvements with the PN surgery, but I honestly don't know of anyone who has been "completely cured". I just recently has spinal neurosurgery for the TCD and it's much too early to recognize improvements.
Such as with myself and many others, it appears you also have other neuropathies besides PN:
hopeman wrote:I had TG surgery for left side six months ago, which decompress the clam of SSL and STL and also piriformis and sciatic nerve.
Not knowing the details of your medical history, it's difficult to comment. Was your sciatic nerve entrapped in your piriformis muscle (Piriformis Syndrome)?hopeman wrote: Meanwhile, I have foot pain when I walk and stand still.
The pudendal nerve is a BRANCH of S2, S3, S4. There is an S3 branch of the sciatic nerve. This indicates to me the possibility of some type of pathology with the sacral nerve roots. The PN does not innervate the lower extremities. But the sciatic nerve does. You've previously stated that your PN is getting better, but not your foot pain.
Based on that information, I'm not quite sure why you are considering a PN redo.
I'm very sorry, but I can't possibly speak on behalf of Dr. Conway in regards to what he can or can't do for you. However, you can find his contact information on our Home Page
under LIST OF DOCTORS.
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: redo
Hi Karyn,
Thank you for your detailed reply.
During my surgery process, my PN is compressed in the clam of SSL and STL. I did not have piriformis syndrome before surgery.
Because I have left bottock pain before surgery. My physician also expose the piriformis and sciatic nerve in addition to pudendal nerve during the surgery. Unfortunately, scar tissue tends to compress my sciatic after surgery and lead to my foot pain. Before surgery, I did not have foot pain. Surgery leads to my foot pain.
I do not know whether such foot attributes to scar tissue compressing sciatic nerve or attribute to pelvis instability because of spatial incision of my STL.
My PN pain really is getting better. I can sit about 20 minutes without pain. But surgery leads to my foot pain when I stand still or walking.
Sincerely
Thank you for your detailed reply.
During my surgery process, my PN is compressed in the clam of SSL and STL. I did not have piriformis syndrome before surgery.
Because I have left bottock pain before surgery. My physician also expose the piriformis and sciatic nerve in addition to pudendal nerve during the surgery. Unfortunately, scar tissue tends to compress my sciatic after surgery and lead to my foot pain. Before surgery, I did not have foot pain. Surgery leads to my foot pain.
I do not know whether such foot attributes to scar tissue compressing sciatic nerve or attribute to pelvis instability because of spatial incision of my STL.
My PN pain really is getting better. I can sit about 20 minutes without pain. But surgery leads to my foot pain when I stand still or walking.
Sincerely
Re: redo
I'm sorry. I don't have an email address for Dr. Conway.hopeman wrote:Can you give me Dr. Conway e mail address if you have. The doctor list do not show Conway E mail address.
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: redo
Hi Violet
I had left side surgery six months ago. Totally my PN is getting better. However, I still have right PN pain, the last surgery did not expose the right side. Thus, I considering redo in the future. Thus, I would like to go to US to redo if necessary.
Meanwhile,I would like to have blocks in my country now, however,he did not know the blocks locate. Can you introduce an PNE physisian for me, who is knowledgableb and would like to answer his patient questions through.
You cut your SSL. It tends that cutting SSL and did not have pelvis instsbility, cutting SSL seems not lead to pelvis instability.
Sincerely
Hopeman
I had left side surgery six months ago. Totally my PN is getting better. However, I still have right PN pain, the last surgery did not expose the right side. Thus, I considering redo in the future. Thus, I would like to go to US to redo if necessary.
Meanwhile,I would like to have blocks in my country now, however,he did not know the blocks locate. Can you introduce an PNE physisian for me, who is knowledgableb and would like to answer his patient questions through.
You cut your SSL. It tends that cutting SSL and did not have pelvis instsbility, cutting SSL seems not lead to pelvis instability.
Sincerely
Hopeman