question

[Guest guest]

Its been 2 weeks since physical therapy (my physical therapist was on vacation last week) after the second pt appointment with her, I was in complete agony, I had to schedule an appointment with my gynecologist and he put me on a low dose of elavil now. I have intermittent burning when I urinate but today is fairly a good day so far. Yesterday I had a fist feeling in my rectum and a burning sensation. I emailed Dr Conway and he wrote back to me and said that it sounds like I have a lot of PNe symptoms and I am going to do a phone consult with him. I am so confused, I am due to go to PT again Thursday this week, and am not sure what to do? I am not sure why this burning pain is coming and going like it is. Since the start of the elavil, I have had burning sensations only in my rectal area- but the pain when I touch the muscles at the top of my legs are still there. If a nerve is entrapped would the pain come and go? My gyne originally said I had vestibulits/levator ani syndrome, just recently when I went to him, he said neuralgia (pudendal) - is pt different for both cases? Or are they still just working on the levator muscles ??

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[Guest guest]

Nerve pain can come and go regardless of whether the Pudenal

nerve is involved or not. Also, because there are other nerves

to the vulvar area they can cause the pain to radiate or refer

(meaning that some of the pain moves in to an area not affected

by the initial problem) to other areas and that includes the

pudenal nerve.

One way to find out as well is to consult a neurologist. This

is what I had to do to see if I can find out how much damage I

have going on with the nerves in the upper part of the vulvar

area.

Kristy

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[Guest guest]

Carolyn,

I have severe rectal burning and pain. It is worse than the vaginal pain. Back in 1999, I had a PT do biofeedback therapy ...nothing internal(thank goodness...I'd be in the hospital in pelvic traction FOREVER)..and the therapy got rid of the rectal pain for 6 yrs. I was elated. Then , when it came back in '05...I tried PT again and it didn't help.

My dr. says that there is a muscle down there that is shaped like the figure 8 that goes around

the vagina and the rectum. When you have vulvodynia...not vestibulitis..that muscle becomes affected. Therefore..burning and soreness and redness in both areas. The ultimate cure...I don't know....still searching.

question

Its been 2 weeks since physical therapy (my physical therapist was on vacation last week) after the second pt appointment with her, I was in complete agony, I had to schedule an appointment with my gynecologist and he put me on a low dose of elavil now. I have intermittent burning when I urinate but today is fairly a good day so far. Yesterday I had a fist feeling in my rectum and a burning sensation. I emailed Dr Conway and he wrote back to me and said that it sounds like I have a lot of PNe symptoms and I am going to do a phone consult with him. I am so confused, I am due to go to PT again Thursday this week, and am not sure what to do? I am not sure why this burning pain is coming and going like it is. Since the start of the elavil, I have had burning sensations only in my rectal area- but the pain when I touch the muscles at the top of my legs are still there. If a nerve is entrapped would the pain come and go? My gyne originally said I had vestibulits/levator ani syndrome, just recently when I went to him, he said neuralgia (pudendal) - is pt different for both cases? Or are they still just working on the levator muscles ??

C

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