Karyn's MRI Results

Discussion of magnetic resonance imaging and magnetic resonance neurography
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Celeste
Posts: 574
Joined: Sat Sep 18, 2010 2:24 am
Location: central Ohio

Re: Karyn's MRI Results

Post by Celeste »

Ligament "repair" puts in two little pieces of cadaver tissue that are nowhere near the size of the 4 that were removed in a bilateral surgery. It may be that it only has a placebo effect in patients who feel that they received "more" somehow. It is not scientifically proven to offer any benefit; it has not been put through the rigors of a peer-reviewed medical journal, but does in fact serve to drive up the cost of the nerve decompression surgery.
PNE as a result of childbirth, 2002. Treatment by the Houston team, with neurosurgery by Dr. Ansell in 2004. My left side ST and SS ligaments were found to be grown together, encasing the pudendal nerve.

I am cured. I hope you will be, too.

There are no medical answers on the forum. Your only hope is to go to a doctor. I was very happy with the Houston team, which has treated the most PNE patients (well over 400), more than any other US provider.

http://www.tipna.org
AliPasha1
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Joined: Fri Sep 17, 2010 2:35 pm
Location: New Orleans,Louisiana

Re: Karyn's MRI Results

Post by AliPasha1 »

I think something is better than nothing.However,the debate can be if the ligament fails the stress and load test.However, we haven't heard of that yet.
The ligament repair is imperative because it leaves massive pelvic weakness.We aren't just talkinng about walking.We are talking about people resuming a normal life like running,going to the gym.etcThe severing or slicing of the ligaments leaves such weakness especially in females pelvic floor that they cannot even have a natural dilevery after preganancy.They are all advised to have C- section.Because the Pelvis cannot handle the load any more,just like my friend cannot even lift his grocery bags.
As karyn said,we should take the ligament debate somewhere else.This section should be reserved for MRN.

All the best,
Ali
Last edited by AliPasha1 on Fri Oct 08, 2010 11:14 pm, edited 3 times in total.
Diagnosed for PNE by Dr. Jerome Weiss in June 2007.Started PT with Amy Stein in NYC.
PT for almost 3 years now without any results.
Pudendal Nerve blocks in August,2007 by Dr. Quesda left me with sitting pain.
Unilateral TIR approach with Dr. Bautrant on 18 Febuary,2010 with no major improvements and sitting is much worse.
MRI By Dr. Potter reveals nerve entrapment in the ST,AC and DN.
Dorsal Nerve Decompression surgery on April 8,2011
Redo surgery by Dr. Hibner on July 18,2011
JeanieC
Posts: 198
Joined: Tue Sep 21, 2010 11:47 pm

Re: Karyn's MRI Results

Post by JeanieC »

Ali,
Thanks for editing your post,

Jeanie
Last edited by JeanieC on Fri Oct 08, 2010 4:56 pm, edited 1 time in total.
Diagnosed with left side PN by Dr Renney, March 2010, after over 2 years of searching for help
Left TG Surgery, Dr Ansell, August 2010, failed to relieve pain
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Karyn
Posts: 1655
Joined: Fri Sep 17, 2010 12:59 pm
Location: Lowell, MA

Re: Karyn's MRI Results

Post by Karyn »

Uhm ... Do you guys think you can post your disagreement AND your individual MRI results in another thread?
Peacefully,
Karyn
Ultra Sound in 03/08 showed severely retroverted, detaching uterus with mulitple fibroids and ovarian cysts.
Pressure and pain in lower abdomen and groin area was unspeakable and devastating.
Total lap hysterectomy in 06/08, but damage was already done.
EMG testing in NH in 04/10 - bilateral PN and Ilioinguals
3T MRI at HSS, NY in 09/10
Bilateral TG surgery with Dr. Conway on 03/29/11. Bilat ilioinguinal & iliohypogastric neurectomy 03/12. TCD surgery 04/14.
Missingmylife42
Posts: 101
Joined: Sat Oct 02, 2010 1:30 am

Re: Karyn's MRI Results

Post by Missingmylife42 »

The MRI showed that my ligaments were ok does That still mean i need surgery. My buttocks and lower back burn sobad when I sit. Like my sacrum I guess But this was since Dr a injections :(
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Charlie
Posts: 214
Joined: Fri Sep 17, 2010 11:48 pm

Re: Karyn's MRI Results

Post by Charlie »

AliPasha1 wrote: Ligament repair is imperative for Pelvic stability.
Ali, I think you have done a great job highlighting the New MRI with Dr Hollis Potter on the forums and I am grateful for that and I am sure many other people are.

However based on what I have learnt I would disagree with you on the point above. I have met people who have had the surgery in France and they have no pelvic instability.

I have also been to see Dr Filler. I asked him about cutting the ligament. Filler only cuts the ligament if he deems it neccessary. He also said though that if you do cut the ligament it does not result in pelvic instability and he has never seen a case where this has happend.

I have had a physical therapist tell me that people can barely walk a 100 yards after pudendal nerve surgery without being in terrible pain due to pelvic instability. I have conversed with a lot of people on the forums and frankly I have yet to meet a person where this is the case. There are a lot of inaccurate scaremongering stories about surgery coming from some PTs.

Celeste is offering her opinion. As far as I know she had her ligament cut and is pain free and does not suffer from pelvic stability. Its hard to argue with her story when she has shared her experience and even put her picture up on the forum and appeared on TV about it.

I wish you all the best with Dr Hibner though and am not critizisng your choice of surgeon.
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.
Missingmylife42
Posts: 101
Joined: Sat Oct 02, 2010 1:30 am

Re: Karyn's MRI Results

Post by Missingmylife42 »

Pleasev please someone reply to my post.
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Celeste
Posts: 574
Joined: Sat Sep 18, 2010 2:24 am
Location: central Ohio

Re: Karyn's MRI Results

Post by Celeste »

Missingmylife42 wrote:The MRI showed that my ligaments were ok does That still mean i need surgery. My buttocks and lower back burn sobad when I sit. Like my sacrum I guess But this was since Dr a injections :(
You got a lot of information from your Dr. Potter scan, but I don't really know what any of the PNE doctors would do about it if it was your dorsal nerve. I read a paper once on dorsal nerve decompression from some Czech doctors but I don't really know of anybody who does it in the US.

But to answer your question about your ligaments being "okay"...in PNE it's not an issue of whether your ligaments are unhealthy. It's about if they are pressing too hard on the pudendal nerve. Mine were grown together, but it sounds like yours are not. Sometimes there are little fibers growing from them that "tether" the nerve tightly; they are only found in surgery.

I'm sorry for your pain but it really sounds like you have tried a lot of non-surgical things and nothing has helped. You could always look at pain management medications if you don't want to consult a PNE specialist to try surgery. Let us know what is next for you.
PNE as a result of childbirth, 2002. Treatment by the Houston team, with neurosurgery by Dr. Ansell in 2004. My left side ST and SS ligaments were found to be grown together, encasing the pudendal nerve.

I am cured. I hope you will be, too.

There are no medical answers on the forum. Your only hope is to go to a doctor. I was very happy with the Houston team, which has treated the most PNE patients (well over 400), more than any other US provider.

http://www.tipna.org
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Karyn
Posts: 1655
Joined: Fri Sep 17, 2010 12:59 pm
Location: Lowell, MA

Re: Karyn's MRI Results

Post by Karyn »

Hi Missing ...
I tried to connect with you via the forum a few days ago but didn't receive a response. I'd love offer you whatever advice or assistance I can! :) Could you please share some background with us? I know you mentioned you had nerve blocks with Dr. Antolak and also with Dr. Quesada? Are you from New England? It seems you've been going through this process for quite some time but I can't really tell for sure. Your and my MRI's are very similar, so I'd love to hook up with you to talk about it!
Warm regards,
Karyn
Ultra Sound in 03/08 showed severely retroverted, detaching uterus with mulitple fibroids and ovarian cysts.
Pressure and pain in lower abdomen and groin area was unspeakable and devastating.
Total lap hysterectomy in 06/08, but damage was already done.
EMG testing in NH in 04/10 - bilateral PN and Ilioinguals
3T MRI at HSS, NY in 09/10
Bilateral TG surgery with Dr. Conway on 03/29/11. Bilat ilioinguinal & iliohypogastric neurectomy 03/12. TCD surgery 04/14.
User avatar
ezer
Posts: 689
Joined: Sun Sep 19, 2010 6:53 am

Re: Karyn's MRI Results

Post by ezer »

Celeste wrote: You got a lot of information from your Dr. Potter scan, but I don't really know what any of the PNE doctors would do about it if it was your dorsal nerve. I read a paper once on dorsal nerve decompression from some Czech doctors but I don't really know of anybody who does it in the US.
Dr.FIller does decompression of the dorsal nerve. He says that it is really rare though. It is a minor intervention as the nerve is quite accessible.
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
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