Re: Testing for Pudendal Neuropathy

[Guest guest]

thanks for the info, that is very interesting. I wonder which neurologists perform that testing, if you find out,please share. thanks again

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[Guest guest]

nne,

I think I messed up thank you for the info on this testing, do you know who performs the test?

thanks! where did you find this info

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[Guest guest]

i don't really understand the difference between this

and the emg. does dr. conway do this? i had the emg

done by him but it sounds the same....

erin

--- millburytimes wrote:

> Below is a description of testing done for a

> possible compression of the pudendal nerve.

>

>

>

> A PNMLT is an electrophysiological procedure,

> similar to an EMG (electromyogram), which measures

> the speed of nerve conduction. This exam is done by

> a neurologist. Not all neurologists have the

> necessary equipment to do this type of examination.

> During this exam, the pudendal nerve is stimulated

> electrically inside the rectum (or vagina) at the

> ischial spine with electrodes on the tip of a

> special glove. The speed of the nerve conduction is

> recorded by a small needle inserted in the perineum.

> If the nerve responds slower than normal, this gives

> an indication that the nerve may be entrapped or

> damaged.

>

>

>

> The PNMLT examines only the motor function of the

> nerve. There is no way to test for the sensory

> fibers of the nerve which transmit pain. The reason

> for the test is based on the assertion that an

> abnormal motor function will most likely conceal a

> sensory affection as well. So, an abnormal PNMLT

> indicates that the pudendal nerve is affected but a

> normal reading does not rule out PNE. In this case

> an entrapment could exist even if the motor fiber of

> the nerve has not been affected yet. This is more

> common with people who have had PNE only for a short

> period of time. Nevertheless, the PNMLT is the most

> accurate neurological examination for the pudendal

> nerve.

>

>

>

> The neurological examination can be completed by the

> measurement of the anal reflex latency, measurements

> of the bulbocavernosus reflex latencies (BCRLs),

> somatosensory evoked potentials of the pudendal

> nerve (SEPPNs) and the sensory conduction velocity

> of the dorsal nerve of the penis (SCVDNP). Those

> exams can give further information about the

> condition of the nerve or the origin of the pain.

>

>

>

> The EMG tests the entire length of the pudendal

> nerve. I had electrodes in my forehead and they

> shocked other areas of my body to look for nerve

> conductuity in the spine, to make sure there are no

> issues with spinal conductivity.

>

>

>

> My understanding, (reports I have heard from other

> doctors), is that the PNMLT is more reliable than

> the EMG. Every doctor though has their own opinion

> and the PNMLT is sometimes not a great indicator of

> entrapment or not.

>

>

>

> nne

>

>

>

>

>

>

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