Re: Nerve vs. muscles.....

[Guest guest]

If a nerve is irritated that can cause muscle spasms

but I guess I am wondering how and who diagnosed you

with nerve damage. Just some doc declaring you to have

" nerve damage " somehow doesn't sound very accurate.

This term seems to be thrown around a lot and it

always makes me wonder? This is a much more complex

thing and I suspect a more complex way of diagnosing

is needed.

If you haven't read the following cite you might find

it helpful:

http://www.tipna.org/faq/IntroductoryFAQ.htm

Arline

--- rebeccacoons wrote:

> I am wondering if anyone can shed some light on how

> one can possibly

> know whether the pain is pudendal nerve damage or

> muscle spasm? I have

> been doing PT for 5 months, and have seen some

> benefit, but I seemed

> to have plateaued in the past 2 months. I have been

> doing nightly

> lidocaine for almost 10 months now. But the weird

> thing is, the

> lidocaine does nothing for the constant burning. I

> am praying so hard

> this is nothing more than a stubborn, but treatable

> muscle spasm that

> will go away if I am dilligent with my stretches,

> dialator, and self-

> massage. It seems like pudendal nerve damage is a

> little understood

> problem with a poor prognosis.

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[Guest guest]

Here is some information that you might find

helpful that I copied from my doctors’ website. As most of you know I do

have PNE. I have gone through all the testing as they suggested below, which

has proven that my nerve is entrapped. I will be having surgery on 8/22,

followed up by more physical therapy.

nne

2. What is Pudendal Neuralgia?

Simply

stated, it is a chronic pain syndrome involving the genital region in both men

and women. The pudendal nerve provides both motor and sensory fibers to the

genital area from the anal and perirectal area up to

the clitoris or penis. Symptoms include pain (esp. burning) in the genital

area. This is increased by sitting and lessened by standing or sitting on a

toilet seat. Patients note a change in skin sensitivity both increased and

decreased. Pain with arousal, orgasm/ejaculation and erectile dysfunction is

common. Urinary incontinence, urgency or frequency, as well as pain with bowel

movement and constipation can occur. Women experience pain (often severe) with

attempted intercourse. The condition is often disabling and prevents many

normal activities.

3. What Causes Pudendal Neuralgia?

This is a

chronic pain syndrome, which may involve a variety of factors. Two major

mechanisms probably account for most cases. One is nerve entrapment or

compression along the course of the nerve, which causes never dysfunction and

pain. The second mechanism is pelvic floor muscle dysfunction and/or connective

tissue abnormalities, which causes sensitization of the nerve with the

resultant pain and other symptoms.

4. What Triggers These Problems?

Again, a

large variety of triggers have been noted. For nerve entrapment, most patients

have an anatomical predisposition for nerve entrapment, which is exacerbated by

trauma, surgery, exercise (esp. cycling), etc. Nerve sensitization can be

triggered by trauma, chronic skin irritation, etc.

5. What is Involved in

Diagnosis?

First, a

detailed history of the patient’s condition is obtained and then a

physical exam targeted for the affected areas is performed. Depending on the

findings, an EMG evaluation of the pudendal nerve may be performed. Also, referral

for a diagnostic pudendal block and evaluation for medical treatment may be

indicated.

6. What Treatments are Available?

Treatment

proceeds from a multidisciplinary approach. A combination of medical therapy,

physical therapy, nerve blocks, subcutaneous infiltrations, trigger point

treatment and other supportive care is employed. In some cases, surgical nerve

decompression is required to relieve nerve entrapment and maximize recovery. It is crucial to remember that surgery alone is usually

not enough. Patients will greatly benefit from continued physical therapy after

surgery.

[Guest guest]

nne,

I am glad you have found out what is causing your

problem as that is the crucial thing and I hope your

surgery will help you to the point of being perfect. I

know how much pain you must be in everyday.

Arline

--- timeflies wrote:

> Here is some information that you might find helpful

> that I copied from my

> doctors' website. As most of you know I do have PNE.

> I have gone through all

> the testing as they suggested below, which has

> proven that my nerve is

> entrapped. I will be having surgery on 8/22,

> followed up by more physical

> therapy.

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