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Should I order a mrn if it is accepted by my insurance?
Posted: Mon Aug 05, 2019 6:04 pm
by Pleasehelpmegod
I'm suspecting alcocks entrapment but my pt dosent think to believe so. Iv reached my deductible and out of pocket cost, should I do a mr neurography to look for muscle compressions on the pudendal nerve or pudendal entrapment in the alcocks canal? My plan is to get botox injections to the obterator internus and hydrodissection or cortisone injections inside of the pudendal canal. Should I get the mrn since it will cost me nothing if it is accepted by my insurance?
Re: Should I order a mrn if it is accepted by my insurance?
Posted: Tue Aug 06, 2019 5:17 am
by April
I'm not sure. My last mri (August of 2018) was a 3t mri. I asked the clinic to follow Potter's protocol. I think mrns are similar to 3t mris, and I know they are designed to see nerves, but I have heard that it is still very difficult to see pn-related problems with an mrn (just as it is with an mri). So I think they are similar, so I think makes sense to go with the one that is covered by your insurance.
April
Re: Should I order a mrn if it is accepted by my insurance?
Posted: Sun Aug 11, 2019 9:47 pm
by Pleasehelpmegod
April wrote:I'm not sure. My last mri (August of 2018) was a 3t mri. I asked the clinic to follow Potter's protocol. I think mrns are similar to 3t mris, and I know they are designed to see nerves, but I have heard that it is still very difficult to see pn-related problems with an mrn (just as it is with an mri). So I think they are similar, so I think makes sense to go with the one that is covered by your insurance.
April
was the 3t useful? did it show the entrapment? does a 3t mri show muscle relation compression's on the pudendal nerve? Maybe i should just try to get the botox treatments first.
Re: Should I order a mrn if it is accepted by my insurance?
Posted: Mon Aug 12, 2019 8:28 pm
by stephanies
If you can get a 3T MRI or MRN to look at your pelvis and sacrum, that might give you some information. Despite the MRN highlighting the nerves a little more, the PN is extremely tiny and it is not well visualized in any imaging, including the MRN. Imaging is not typically used to diagnose PN issues, especially from entrapment, but it can be a piece of the puzzle when combined with results of symptoms, exams, PT, etc. If a PT thinks your muscles are very tense, you could try the Botox first. Why does your practitioner think you are entrapped in Alcock’s Canal?
Stephanies