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what the best test i can do to diagnose a pudendal nerve ent
Posted: Wed Apr 03, 2019 6:52 am
by Pleasehelpmegod
what the best test i can do to diagnose a pudendal nerve entrapment next to the obturator internus or al'cock's canal?
Re: what the best test i can do to diagnose a pudendal nerve
Posted: Mon Apr 08, 2019 4:40 am
by Violet M
History, symptoms, and clinical exam are all very important. Do you have tenderness along the course of the pudendal nerve at the ischial spine or alcock's canal?
You can read the Nantes criteria for an entrapment at the following link:
http://www.pudendalhope.info/sites/defa ... iteria.pdf
MRI may or may not show signs of an entrapment.
Does pelvic floor PT help or aggravate the symptoms? For me it caused a flare-up in symptoms due to the nerve being compressed by ligaments.
Violet
Re: what the best test i can do to diagnose a pudendal nerve
Posted: Sun Aug 04, 2019 4:16 pm
by Pleasehelpmegod
Violet M wrote:History, symptoms, and clinical exam are all very important. Do you have tenderness along the course of the pudendal nerve at the ischial spine or alcock's canal?
You can read the Nantes criteria for an entrapment at the following link:
http://www.pudendalhope.info/sites/defa ... iteria.pdf
MRI may or may not show signs of an entrapment.
Does pelvic floor PT help or aggravate the symptoms? For me it caused a flare-up in symptoms due to the nerve being compressed by ligaments.
Violet
would an MRN show muscle compression of the pudendal nerve? Me and my PT think i can some kind of compression of the alcock's canal from the obterator internus being too tight.
how does the pudendal nerve get compressed inside of the pudendal canal? I plan on getting botox injections to the obterator internus. Which would be better, doing hydro dissection inside the pudendal canal or getting a cortisone injection inside of the pudendal canal? I want to release any kind of surrounding compression in the canal.
I have my appointment with Dr. Prologo on the 2nd and i have really bad genital numbness and pain at my sit bones.
Re: what the best test i can do to diagnose a pudendal nerve
Posted: Tue Sep 24, 2019 12:32 am
by Violet M
Some people have an enlarged OI muscle. For some people the nerve is encased in the OI muscle fascia. These things might not be included in an MRI report, even if they could be seen -- depending on who is reading the report.
I would try whichever procedure has the least risk first. What does you doctor think?
Violet