Anyone permanently cured from nonsurgical treatment?

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merrie
Posts: 114
Joined: Wed Oct 27, 2010 10:32 pm

Re: Anyone permanently cured from nonsurgical treatment?

Post by merrie »

I should warn you - dr Jordan is an excellent dr (he is currently my dr) - but he does not support any type of pne surgery at this time.

I tried to pm you new mom but im not sure if it went thru. For some reason my pm does not seem to be working right.

Merrie
PNE onset 9/2008
Weekly pelvic floor PT since 9/2008
Numerous nerve blocks 2008 - current (pn, s2-s4 epidurals, pelvic/lumbar/splanchnic sympathetic)
PRF s2,3,4 May 2009
Numerous hip injections and trigger point injections
Numerous rounds of botox (first 12/08 - most recent 5/13)
Hibner consult / Kalinkin MRI 11/10
PT with PHRC in May 2013
Lernica
Posts: 960
Joined: Fri Jan 14, 2011 10:31 pm

Re: Anyone permanently cured from nonsurgical treatment?

Post by Lernica »

NewMom, I sent you PM too. Not sure if it went through.

Lernica
Athlete until pain started in 2001. Diagnosed with PN in Nov. 2010. Probable cause: 3 difficult labors, 5 pelvic surgeries for endometriosis, and undiagnosed hip injuries. 60% better after 3 rounds of shockwave therapy in Cornwall, Ontario (Dec - Feb/12). 99% better after bilateral hip scopes for FAI and labral tears (April and July/12). Pelvic pain life coach Lorraine Faendrich helped me overcome the mind/body connection to chronic pain: http://www.radiantlifedesign.com
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ezer
Posts: 689
Joined: Sun Sep 19, 2010 6:53 am

Re: Anyone permanently cured from nonsurgical treatment?

Post by ezer »

merrie wrote:I should warn you - dr Jordan is an excellent dr (he is currently my dr) - but he does not support any type of pne surgery at this time.
I agree. I saw him also and his exact words were "surgery helps 50% of the patients, do you think it is worth the risk". His Botox injections did not help me (actually, it was a severe set back that lasted for months).
2002 PN pain started following a fall on a wet marble floor
2004 Headache in the pelvis clinic. Diagnosed with PNE by Drs. Jerome Weiss, Stephen Mann, and Rodney Anderson
2004-2007 PT, Botox, diagnosed with PNE by Dr. Sheldon Jordan
2010 MRN and 3T MRI showing PNE. Diagnosed with PNE by Dr. Aaron Filler. 2 failed PNE surgeries.
2011-2012 Horrific PN pain.
2013 Experimented with various Mind-body modalities
3/2014 Significantly better
11/2014 Cured. No pain whatsoever since
NewMom
Posts: 27
Joined: Sun Mar 27, 2011 4:25 pm
Location: Los Angeles

Re: Anyone permanently cured from nonsurgical treatment?

Post by NewMom »

Thanks for the tips about Dr. Jordan. I'll keep you posted on what he says after my appt. I'm not opposed to surgery if there's even a chance it will help "cure" me. I just want to do as much as I possibly can to treat my PN, but it's all so confusing since my doctors often contradict each other!
Newly diagnosed PN sufferer (March 2011) caused from a very difficult childbirth in Jan 2011 (1st baby). On Neurontin and Nucynta. Tried PT & accupuncture. Restarting PT with Julie Sarton. Appt with Dr. Castellanos in June. Sitting very painful and also unable to stand or walk without pain.
NewMom
Posts: 27
Joined: Sun Mar 27, 2011 4:25 pm
Location: Los Angeles

Re: Anyone permanently cured from nonsurgical treatment?

Post by NewMom »

Oh and Lernica, I just sent you a pm too, but I don't know if it went through either!
Newly diagnosed PN sufferer (March 2011) caused from a very difficult childbirth in Jan 2011 (1st baby). On Neurontin and Nucynta. Tried PT & accupuncture. Restarting PT with Julie Sarton. Appt with Dr. Castellanos in June. Sitting very painful and also unable to stand or walk without pain.
catherine a
Posts: 291
Joined: Sat Sep 18, 2010 4:46 am
Location: Perth Western Australia

Re: Anyone permanently cured from nonsurgical treatment?

Post by catherine a »

Have you seen or heard about the book written by Vanessa Frank. She was cured of PN with non surgical treament. I do know of one lady who had severe Pn for two years after a vaginal probe ultrasound. She became 100% better a little over two years later. I also know of another male patient who was cured from physiotherapy here in Australia. so I would definitely say yes, people have been cured from non surgical treatment. These people have moved on with their lives and have expressed that they do not want to participate in the forums as it's a time of their life they'd rather forget. I wish them all the best but we don't know if PN will strike them again in the future. I sincerely hope it doesn't and I wish these people the very best in life.

I purchased Vanessa Frank's book and found it extremely valuable. I heard recently from Dr. Bautrant that only 1 in 10 patients will progress to surgery. it used to be 1 in 3. Many people are cured in time with physiotherapy and other conservative treatments without surgery but it can take years. Only severe cases where other treatments have failed will be considered for surgery. Best candidates for surgery are those who: are under 50 yrs of age, PN symptoms are less than 7 years, Not depressed and have a good family support network in place.

Here is the link to Vanessa Frank's book. My phyiotherapist is so impressed she has ordered her own copy.

http://www.pudendal-neuralgia-book.com/page1
2004 PNE following vag. hysterectomy and A & P repair. 2007 TIR surgery France. severe entrapment at Alcocks canal & SS ligaments . Have my life back. 90% cured.No longer have medical appts.or physio.Some pain remains but is tolerable. 2012 Flew from Australia to the UK without pain flare. Very manageable. Almost back to normal. Now hold support group meetings at KEMH Subiaco Perth WA. Every 2nd Sat. of the month. Still pace my activities. PN doesn't dominate any more.
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Charlie
Posts: 214
Joined: Fri Sep 17, 2010 11:48 pm

Re: Anyone permanently cured from nonsurgical treatment?

Post by Charlie »

catherine a wrote:. Many people are cured in time with physiotherapy and other conservative treatments without surgery but it can take years.
I cannot find a single study that can show PT is an effective long term treatment for pelvic pain. I agree that people should try it and people should definitely not rush into surgery. Personally I have had the same experience as Ezer and have never known anyone to be cured by myofascial PT. I am sure there are some successes with it but they seem to be anomalies rather than the norm. I appreciate that PT could be effective after a nerve decompression or other treatment.
Tried numerous medications as well as a long period of myofascial physical therapy combined with meditation/relaxation. My pelvic floor muscles are now normal and relaxed on exam ( confirmed by many Pelvic floor PTs) yet my pain remains the same. Also have intense leg pain. Deciding on next treatment.
Pelvis Stressly
Posts: 297
Joined: Fri Sep 17, 2010 3:56 pm
Location: Toronto

Re: Anyone permanently cured from nonsurgical treatment?

Post by Pelvis Stressly »

HerMajesty wrote:I have not heard any credible accounts of a nerve entrapped in scar tissue being freed non-surgically.
Dr. Andrew in Cornwall is having some early success with exactly that, using the protocol he's developed... http://www.pudendalhope.info/forum/view ... f=17&t=597
One could argue that his isn't a "credible account", as it's just him claiming these stats and there's not yet any published, peer-reviewed studies, but I believe that's his next step (in his defence, it does take time & money to conduct such a study).

And actually, based on the same criteria, there are still no "credible accounts" re. Potter's efficacy for that matter. I went to see her close to a year ago, then spread the word on the old board. Obviously many people have been to see her since, and although just about everyone describes a similar positive experience as the one I had, there's still no concrete (ie. published) proof that her imaging is on the money as far as diagnosing this condition (aside from a smattering of anecdotal surgical confirmations).

The sad fact remains that, for the moment at least, there isn't an overabundance of credible accounts about any aspect of this condition, so we're unfortunately forced to rely on anecdotal accounts for the most part (hence the need for this board!).
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Charlie
Posts: 214
Joined: Fri Sep 17, 2010 11:48 pm

Re: Anyone permanently cured from nonsurgical treatment?

Post by Charlie »

Pelvis Stressly wrote:
And actually, based on the same criteria, there are still no "credible accounts" re. Potter's efficacy for that matter. I went to see her close to a year ago, then spread the word on the old board. Obviously many people have been to see her since, and although just about everyone describes a similar positive experience as the one I had, there's still no concrete (ie. published) proof that her imaging is on the money as far as diagnosing this condition (aside from a smattering of anecdotal surgical confirmations).

The sad fact remains that, for the moment at least, there isn't an overabundance of credible accounts about any aspect of this condition, so we're unfortunately forced to rely on anecdotal accounts for the most part (hence the need for this board!).
I agree. I also share your skepticism about the Potter 3T MRI. I can only find one solitary randomized controlled study showing validity for any treatment for this condition - The Nantes study on TG surgery and even that was not a particularly impressive study. As patients with this condition we are almost forced to take a gamble on treatment.
Tried numerous medications as well as a long period of myofascial physical therapy combined with meditation/relaxation. My pelvic floor muscles are now normal and relaxed on exam ( confirmed by many Pelvic floor PTs) yet my pain remains the same. Also have intense leg pain. Deciding on next treatment.
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