My MRN results: what do they mean?
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Pudendalite
- Posts: 5
- Joined: Thu Aug 07, 2014 12:19 am
My MRN results: what do they mean?
Hello I just got the results of my 3T MR Neurography of Lumbosacral Plexus. The test shows there is edema/inflammation of the pudendal nerves. The radiologist wrote "The bilateral pudendal nerves appear inflamed left greater than right as they course through the perineum, distal to alcock's canal". Can anyone explain what my test results mean? I would like to know the location of the nerve inflammation and have no idea where this is. Thanks!
Car accident 2008. Bedridden since. Physical therapy didn't help. 2014 MRN shows pudendal nerves are inflamed. Need nerve blocks then possibly surgery.
Re: My MRN results: what do they mean?
Pudendalite, "distal" means in the direction away from the spine. If you go to the anatomy page of pudendalhope.org, you can find out where alcock's canal is. http://www.pudendalhope.info/node/13
Distal to alcock's canal would be the nerves farther away from the spine than the main trunk of the nerve that goes through alcock's canal.
So it sounds like the nerves the radiologist is describing are the perineal branches of the pudendal nerve, not the main trunk of the nerve. Really I am surprised they can see that small of nerves on an MRI though. Based on what the PNE surgeons have said, you can't really rely on the 3T MRI for an accurate diagnosis of pudendal nerve entrapment.
Violet
Distal to alcock's canal would be the nerves farther away from the spine than the main trunk of the nerve that goes through alcock's canal.
So it sounds like the nerves the radiologist is describing are the perineal branches of the pudendal nerve, not the main trunk of the nerve. Really I am surprised they can see that small of nerves on an MRI though. Based on what the PNE surgeons have said, you can't really rely on the 3T MRI for an accurate diagnosis of pudendal nerve entrapment.
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.