Tom/Pudendal Nerve Entrapment....

[Guest guest]

HI Tom.

Thank you for your #1 comment, but I am no better (yet) from the

surgery. My doctor says it will be 2-3 years for the nerve to heal. Also, even

though you have been in this group for eight years and I have only been here

less than two, I am not familiar with your teachings of “non-manipulative manual therapy”. Can

you give me a quick run-down of your teachings?

nne

From:

VulvarDisorders [mailto:VulvarDisorders ] On

Behalf Of K. Ockler

Sent: Thursday, April 03, 2008 2:08 AM

To: VulvarDisorders

Subject: Re: Tom/Pudendal Nerve Entrapment....

Hi nne and all.

YOu may have missunderstood my comments and so to clear this up.

#1. I am absolutly thrilled that you are much better after your surgery.

#2, I know perfectly well that they do not " cut the nerve out " , I was

making a sacrcastic remark about the author's vague " surgery "

comment.

The article was so matter-of-fact and left out so many other options..

" drugs and surgery " just makes the hair on the back of my necks stand

up.

#3. I could not agree with you more that PT (a somewhat generic term) as it is

currently being employed on this group of disorders does not always work.

That is why I specifically mentioned the use of non-manipulative

manual therapy techniques and did not say PT.

These techniques are rare and not .. I repeat... not part of the standard study or practice of Physical

Therapists.

Muscle Energy and Counterstrain, when used appropriately can free up the

structures that are entraping the pudendal nerve.

All without surgery and especially without the risks that go along with

surgery.. like infection and the proliferation of scar tissue which will just

entrap the nerve again.

The nerve does not become entrapped unless something happens to change the

structure of the pelvis and pelvic floor.

So to surgically alter the anatomy and change it for ever when you have not

adressed the reason for the entrapement to me is just plane wrong! (To me

anyway.)

I realize all to well that my philosophy is somewhat eclectic and not

traditional but I am so enthusiastic about reaching as many as i can to tell

them... there are other means.

Hopefully I didn't ruffle anyones feathers more than a little and of course,

after being on this site for almost 8 years.. i'm used to getting the

rasberries every now and then. It is worth it even if I can keep some of

you from the knife and help you toward a safe and effective cure.

By the way, I'm not all talk / smoke and mirrors....My new course, M3: No

Man's Land ... The all external evaluation and treatment of disorders of the pelvis

and plevic floor, is scheduled for September 27-28th of this year at my

clinic in Willoughby (Cleveland Ohio.) This course is for female and male therapists. The more

therapists of either gender who are willing to learn how to do this.... the

better.

If you have the names and addresses of clinics that you are familiar with and

would like to give me their addresses, I will get the full brochures out to

them pronto!

Night all...

Tom Ockler PT

www.tomocklerpt.com

With these

millburytimes wrote:

Tom

– PT does not work in all cases. I am going to very nice and composed and not

“vent” back at you, but I had the pudendal nerve decompression surgery seven

months ago, and I am very glad I did – in my case it was the only thing left to

do. And they do not “cut out the nerve”, they manipulate it internally until it

is free. Maybe you should read up on the procedure even though you don’t agree

with it, at least you will be informed. And yes, I had months of good pelvic PT

before I made the decision to have the surgery.

nne

From:

VulvarDisorders [mailto:VulvarDisorders ]

On Behalf Of K. Ockler

Sent: Wednesday, April 02, 2008 12:35 AM

To: VulvarDisorders

Subject: Re: Pudendal Nerve Entrapment....

Good evening all, please excuse me while I vent!!!

ARRRRRRGGG!!

In section 6 where they say " what are the treatment options? "

Stop the offending activity .....ah 'cuse me but

DUH!!! ( Doctor it hurts when I do this... Well, don't do that!)

Nerve blocks ...DRUGS

Neurontin and Elavil...DRUGS

Surgery!!! ( on what?? cut out the nerve?)

Never

a mention of fixing the cause and using the nonmanipulative techniques to

relieve the pressure on the pudendal nerve right where it is entraped.

UNBELIEVABLE!!!!!

K. Ockler P.T.

Dee Troll wrote:

Here's

another I found in my 'mess'.

Dee

========================================

[Guest guest]

Marrianne,

OUCH!! Sorry.. I thought you were on the mend.. my bad...

The non-manipulative manual techniques actually de-program the muscles

that got programed to be too tight.. too short.. and too sensitive to

stretch.

The muscles (while in this abnormal status) will not only pull the

bones of the pelvis and sacrum out of normal alignment and position

(which in and of itself will casue pain OUCH) but the increased tone

and tension in the muscles will be painful and begin to harbor trigger

points which are painful on there own..OUCH!

As this situation persists, the increased tone of the muscles can and

does entrap the pudendal nerve. And, even if the pudendal never gets

entrapped, the pain from the asymmetry and the trigger points is quite

wicked.

The third consequense of the tight muscles is burning from the lactic

acid and further encourages the muscles to clamp down and tighten even

more as the blood flow to the muscles and tissues is significantly

reduced...OUCH!!!!

Stetching internally is usually painful at first and does not always

address the cause... the increased tone in the muscles. It may stretch

them but unless you turn off the cause of the tone ( muscle spindle

overdrive) the muscle just fights back against the stretching.

Depending on how long "things" have been amuck, the elastic as well as

the contractile portions of the muscle are likely involved. The

stretching may lengthen the elastic component (like the wast-band in

your undies) but the contractile portion just pulls the muscle right

back to tight status.

Now, the use of Muscle Energy and Counterstrain treats the muscle

spindle... the actual cause of the tight triggered muscles.

The results are faster (becasue they target the cause), the treatments

are virtually painless and the body really likes getting blood back

into the tissues.

IN addition to teaching the Muscle Energy and Counterstrain in the

course, I am inlcuding ischemic trigger point releases, diaphragm

releases, EFT and tisssue mobilization. 6 methods to attack the causes.

Eliminate the increased tone... restore blood flow in and out of the

pelvis and pelvic floor, take pressure off the pudendal nerve, correct

all asymmetries and eliminate the emotional and energetic perpetuating

factors.... and you have covered all the bases.....All without surgery

or drugs...

HOw did that sound? I tried not to get too technical.

Let me know if you have any other questions.

To all on the VV list.. I am serious about getting your lists of

therapists to send the brocures to.

A while ago, someone posted a good list of pelvic floor therpists in

the Massachusetts area.

If you have them from your area, please send them to me..

Tom

www.tomocklerpt.com

millburytimes wrote:

HI

Tom.

Thank

you for your #1 comment, but I am no better (yet) from the

surgery. My doctor says it will be 2-3 years for the nerve to heal.

Also, even

though you have been in this group for eight years and I have only been

here

less than two, I am not familiar with your teachings of “non-manipulative manual therapy”. Can

you give me a quick run-down of your teachings?

nne

From:

VulvarDisorders [mailto:VulvarDisorders ]

On

Behalf Of K. Ockler

Sent: Thursday, April 03, 2008 2:08 AM

To: VulvarDisorders

Subject: Re: Tom/Pudendal Nerve Entrapment....

Hi nne and all.

YOu may have missunderstood my comments and so to clear this up.

#1. I am absolutly thrilled that you are much better after your surgery.

#2, I know perfectly well that they do not "cut the nerve out", I was

making a sacrcastic remark about the author's vague "surgery"

comment.

The article was so matter-of-fact and left out so many other options..

"drugs and surgery" just makes the hair on the back of my necks stand

up.

#3. I could not agree with you more that PT (a somewhat generic term)

as it is

currently being employed on this group of disorders does not always

work.

That is why I specifically mentioned the use of non-manipulative

manual therapy techniques and did not say PT.

These techniques are rare and not .. I repeat... not part of the standard study

or practice of Physical

Therapists.

Muscle Energy and Counterstrain, when used appropriately can free up

the

structures that are entraping the pudendal nerve.

All without surgery and especially without the risks that go along with

surgery.. like infection and the proliferation of scar tissue which

will just

entrap the nerve again.

The nerve does not become entrapped unless something happens to change

the

structure of the pelvis and pelvic floor.

So to surgically alter the anatomy and change it for ever when you have

not

adressed the reason for the entrapement to me is just plane wrong! (To

me

anyway.)

I realize all to well that my philosophy is somewhat eclectic and not

traditional but I am so enthusiastic about reaching as many as i can to

tell

them... there are other means.

Hopefully I didn't ruffle anyones feathers more than a little and of

course,

after being on this site for almost 8 years.. i'm used to getting the

rasberries every now and then. It is worth it even if I can keep some

of

you from the knife and help you toward a safe and effective cure.

By the way, I'm not all talk / smoke and mirrors....My new course, M3:

No

Man's Land ... The all external evaluation and treatment of disorders

of the pelvis

and plevic floor, is scheduled for September 27-28th of this

year at my

clinic in Willoughby (Cleveland Ohio.) This course is for female and male therapists. The more

therapists of either gender who are willing to learn how to do this....

the

better.

If you have the names and addresses of clinics that you are familiar

with and

would like to give me their addresses, I will get the full brochures

out to

them pronto!

Night all...

Tom Ockler PT

www.tomocklerpt.com

With these

millburytimes wrote:

Tom

– PT does not work in all cases. I am going to very nice and composed

and not

“vent” back at you, but I had the pudendal nerve decompression surgery

seven

months ago, and I am very glad I did – in my case it was the only thing

left to

do. And they do not “cut out the nerve”, they manipulate it internally

until it

is free. Maybe you should read up on the procedure even though you

don’t agree

with it, at least you will be informed. And yes, I had months of good

pelvic PT

before I made the decision to have the surgery.

nne

From:

VulvarDisorders [mailto:VulvarDisorders ]

On Behalf Of K. Ockler

Sent: Wednesday, April 02, 2008 12:35 AM

To: VulvarDisorders

Subject: Re: Pudendal Nerve Entrapment....

Good evening all, please excuse me while I vent!!!

ARRRRRRGGG!!

In section 6 where they say "what are the treatment options?"

Stop the offending activity .....ah 'cuse

me but DUH!!! ( Doctor it hurts when I do this... Well, don't do that!)

Nerve blocks ...DRUGS

Neurontin and Elavil...DRUGS

Surgery!!! ( on what?? cut out the nerve?)

Never

a mention of fixing the cause and using the nonmanipulative techniques

to

relieve the pressure on the pudendal nerve right where it is entraped.

UNBELIEVABLE!!!!!

K. Ockler P.T.

Dee Troll wrote:

Here's

another I found in my 'mess'.

Dee

========================================