Ok, so we've established we're talking about 'traditional' PN entrapment here. You said in that category he's unwilling to settle for anything less than 80% success rates, and is actually currently achieving better than that, at 90%. But it's also been said repeatedly in this thread that Dellon is new to traditional PN entrapment surgeries. So my question is, what are those figures based on? Just a handful of surgeries? Because I think the percentages are impressive, but if they actually translate to just 9 successes out of 10 surgeries so far, it's obviously a bit misleading. And how is he measuring these successes? Clearly it would require months of post-op follow-up w. the patients, but how is that possible if he's just started doing these procedures?AliPasha1 wrote:T o reply to your question,the answer is pertaing to PN Entrapment.80% improvement or nothing else
The pudendal nerve is actually a peripheral nerve..."The pudendal nerve is the only peripheral nerve that has both somatic and autonomic fibers." (from this site... http://www.beyondbasicsphysicaltherapy. ... erve.shtml )AliPasha1 wrote:The PSSD is for Periperial nerves and not PN because the PN is very deep in the Pelvis.
And although the pudendal nerve is relatively deep anatomically in spots along its course, that doesn't mean tests that measure sensation don't apply to it. Because these tests (including the PSSD) aren't directly testing the nerve itself, but areas the nerve innervates (which can be as shallow as the level of the epidermis). The idea being, if there's evidence of pain or loss of sensation at spots on the skin that the nerve innervates, that can indicate there's an issue w. the nerve down below. That's how Antolak uses his WDT test to diagnose PNE, and I don't see any reason why Dellon wouldn't be able to use his PSSD test for the same purpose (the former tests the patient's ability to detect warmth on the skin, and the latter tests the ability to detect pressure there, but the principle is exactly the same...they're both testing for sensation, as the pudendal nerve is partially a sensory nerve).
On another note, I think you mean to say, "I can't agree more" rather than "I can't agree less", as the latter implies you don't agree w. the person at all (I think the confusion w. donstore earlier in the thread was caused by the same mix-up).
Take care, PS.
