Nerve blocks + immediate PT to "work in" injection
Nerve blocks + immediate PT to "work in" injection
What's the current thinking on having PT shortly after a nerve block to work the medication deeper into the tissues? Several years ago that was a requirement by Dr. Weiss and another pelvic pain specialist I saw. Dr. Hibner and more recent physicians haven't mentioned it. Can it really help the efficacy of the injection, or does it just allow PT to be done more vigorously because of pain relief from the local anesthetic?
Acute left vag/rectal pain 1999 lowering into chair. Dx 2006 with PNE/VV by PTs, Dr. Garcia, Weiss, Hibner. Many shots. PNMLT: left PN barely fuctional. Left TIG by Dr. Hibner 2007 (ST lig). 75% improved 1 year postop, slow decline. Pelvic floor Botox 2010. Left sacral SCS 2011 after good trial; removed 2012 due to NEW left S2 & rectal pain, bowel freq. Re-do left TIG by Dr. H & 5-day ketamine 2013; 1-1/2 years postop 70% improved. New post-SCS Sx are worse than PN Sx.