Re: Visit with the Pain Management doc today....

[Guest guest]

Chelle,

I had a nerve block done to my pudenal nerve twice but in the

form of a trigger point injection not like the one you had with

Dr. Quesada. The thing that's interesting is that when I had

the block done twice to see if it would help any of my pain it

did nothing. Whenever I got the block in the genitofemoral (not

from the spinal area but on the actual vulvar area) I did great.

What that told me is that my problem is the genitofemoral,

ilioinguinal (figured this one out recently), and now with my

most recent visit we are looking at that it may be possible that

another nerve called the iliohypogastric nerve which is around

another part of the spine could be playing in to this.

When I saw my Pain Management doctor in Dec she pressed on the

area around where the pudenal nerve branch is yes, I hurt such

as around my bladder and such too but I have felt that the

lumbar nerves are the issue, and that whatever is going on there

is damaged (Dr. Conway explained to me that sometimes not

feeling pain in areas can also mean damage to the nerves such as

the pudenal nerve) but causing the pain to radiate and refer to

the pudenal nerve.

So when I saw my Pain Management doctor this month we talked

about the issue again and I mentioned to her about what happened

with when she tried to block the pudenal nerve twice (and I've

had pain sensations come from that nerve branch before but it

didn't stay as long as when I felt things going on that tells me

the lumbar nerves are acting up) and that it did nothing for me

we have now changed focus.

So I had the upright MRI done last week. And yep, the tech told

me that with this MRI it also took pictures of my sacral area

(because I was wondering why it was not listed on the order to

include sacral).

Also, something else of interest was that when I was filling out

the paperwork before my MRI I had to fill out a questionnaire

about that area as part of my paperwork. It asked about if you

have back pain, and also hip pain (which I've been having over

the past month which tells me something is probably going on

with the SI-sacroilliac-joint in relation to my arthritis, a

story for another time). This questionnaire I had to fil out

had a section for a different area which didn't apply to me and

then the one for the lumbar area.

The upright MRI was great, and they had it so that you could

watch tv while the test was being done. It was great. I will

let you know when I get the results.

Please keep me posted on how things turn out with this doctor

that you are seeing now goes. As for the Neurontin, yes, 600 mg

is too much to start out with. When I did Neurontin almost 10

years ago the doctor I had started me at 300 mg and slowly

worked me up to 600 mg and then later on up to 2400 mg (which is

where I was at as far as dosage when first I ran out of the

prescription, a story for another time) and stopped.

Unfortunately I found that Neurontin did not work well for me

whenever I took it by itself as I said before. With the

anti-inflammatory drug I did great with that Neurontin.

I will let you know if I decide to consider trying Lyrica any

way in spite of my concerns because my Pain Management doctor

said she had a starter kit I could try to see what I thought.

We'll see.

Kristy

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