new & questions about nerve blocks
Posted: Mon Dec 01, 2014 7:08 am
Hi--
I was diagnosed a couple of days ago with pudential neuralgia. I also have interstitial cystitis. The pelvic pain specialist I saw said to do monthly CT guided pudential nerve blocks under sedation with a interventional radiologist. The urogyn that I have been seeing before this most recent visit said she can do in-office pudential blocks going through the vagina. I did one Friday and also had another bladder instillation. It didn't help the itching in my buttock and numbness/pain in my buttock I was having but after the block wore off I had a lot of bladder symptoms. The specialist had said that my IC isn't typical in that I get relief from the instillations a couple of days later and not right away. And that the instillations could be irritating the PN. I have been having less bladder pain lately overall and I think that's why I was able to notice the worsening now with the instillation. And I think the pudential block did block the bladder symptoms. But I don't know what to make of how the itching and numbness sensations didn't go away. I think she did correctly block the pudential nerve. Any thoughts? My sensations have some variability from day to day (other sensations include itching above the vagina up to the clit, burning in the pelvis, pain in the whole pelvic area, pain on the left side of the vulva). Also, why is the CT guided one superior? Do I have to do it under sedation? Lastly, I have to find out from my eye doctor if I can have steroids injected. The specialist said it was fine but my urogyn that I have been seeing said she was concerned about it and only used lidocaine in the block.
Thanks so much for your help.
I was diagnosed a couple of days ago with pudential neuralgia. I also have interstitial cystitis. The pelvic pain specialist I saw said to do monthly CT guided pudential nerve blocks under sedation with a interventional radiologist. The urogyn that I have been seeing before this most recent visit said she can do in-office pudential blocks going through the vagina. I did one Friday and also had another bladder instillation. It didn't help the itching in my buttock and numbness/pain in my buttock I was having but after the block wore off I had a lot of bladder symptoms. The specialist had said that my IC isn't typical in that I get relief from the instillations a couple of days later and not right away. And that the instillations could be irritating the PN. I have been having less bladder pain lately overall and I think that's why I was able to notice the worsening now with the instillation. And I think the pudential block did block the bladder symptoms. But I don't know what to make of how the itching and numbness sensations didn't go away. I think she did correctly block the pudential nerve. Any thoughts? My sensations have some variability from day to day (other sensations include itching above the vagina up to the clit, burning in the pelvis, pain in the whole pelvic area, pain on the left side of the vulva). Also, why is the CT guided one superior? Do I have to do it under sedation? Lastly, I have to find out from my eye doctor if I can have steroids injected. The specialist said it was fine but my urogyn that I have been seeing said she was concerned about it and only used lidocaine in the block.
Thanks so much for your help.