Violet,
I remember you saying you had the TIR approach. I have read that during the TG approach the pudendal nerve is transposed so that it is positioned in front of the ishial spine instead of behind. Do you know if the nerve is transposed in the TIR approach? Does anyone know how important this is????
Pudendal Nerve Decompression Surgery - post surgery recovery
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TinyDancer
- Posts: 46
- Joined: Wed Nov 17, 2010 9:07 am
- Location: Northern Virginia
Re: Pudendal Nerve Decompression Surgery - post surgery reco
Violet,
I am on 100 mcg. of fentanyl with percocet for break though pain. I'm not on Lyrica because my blood pressure went through the roof when I tried it.
Kate
I am on 100 mcg. of fentanyl with percocet for break though pain. I'm not on Lyrica because my blood pressure went through the roof when I tried it.
Kate
Surgery with Dr. Micheal Hibner March 14, 2011
Am 85% better in only 5 months and so grateful to Dr. Hibner
THIS FORUM ANSWERED ALL MY QUESTIONS!!!
My thanks to all of you.
Am 85% better in only 5 months and so grateful to Dr. Hibner
THIS FORUM ANSWERED ALL MY QUESTIONS!!!
My thanks to all of you.
Re: Pudendal Nerve Decompression Surgery - post surgery reco
Paulette, the nerve is not transposed in the TIR approach. I can't say how important this would be in all cases but it does not seem to have been very important in my case since I have improved so much.paulette wrote: Do you know if the nerve is transposed in the TIR approach? Does anyone know how important this is????
PNE since 2002. Started from weightlifting. PNE surgery from Dr. Bautrant, Oct 2004. Pain now is usually a 0 and I can sit for hours on certain chairs. No longer take medication for PNE. Can work full time and do "The Firm" exercise program. 99% cured from PGAD. PNE surgery was right for me but it might not be for you. Do your research.
Re: Pudendal Nerve Decompression Surgery - post surgery reco
Violet,
You said the nerve is not transposed in the TIR approach. Was your SS ligament cut? If not, I do not see much difference between your surgery and the surgery Dr. Martin in Oklahoma performs. Thanks for the answers.
You said the nerve is not transposed in the TIR approach. Was your SS ligament cut? If not, I do not see much difference between your surgery and the surgery Dr. Martin in Oklahoma performs. Thanks for the answers.
Re: Pudendal Nerve Decompression Surgery - post surgery reco
Paulette, yes the SS ligament on the right side was completely severed and on the left 2/3 severed.
PNE since 2002. Started from weightlifting. PNE surgery from Dr. Bautrant, Oct 2004. Pain now is usually a 0 and I can sit for hours on certain chairs. No longer take medication for PNE. Can work full time and do "The Firm" exercise program. 99% cured from PGAD. PNE surgery was right for me but it might not be for you. Do your research.
Re: Pudendal Nerve Decompression Surgery - post surgery reco
That is where your surgery differs from the surgery performed by Dr. Martin. At this point he does not believe it is necessary to sever any ligaments, (according to his nurse). But it seems to be important to sever at least the SS ligament. I asked Dr. Conway if he transposes the pudendal nerve after severing the SS ligament. He said all of the major pudendal nerve surgeons transpose the nerve. In fact, the nerve in most cases transposes itself to the front of the ishial spine. I found that interesting.
Re: Pudendal Nerve Decompression Surgery - post surgery reco
What does transpose mean?
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
Re: Pudendal Nerve Decompression Surgery - post surgery reco
Transpose means to move the nerve from where it is to some place else (usually into the fat tissue in the TG approach).
Mild to moderate PN for 5 plus years, pain controlled by lyrica and opiates.
Nerve block (unguided) 9/10 Dr. Jerome Weiss - sciatica for 5 months but got numb in painful perineal/scrotal area - he diagnosed entrapment - but no more cortisone for me
Potter MRI 5/11 - rt STL entrapment of PN at Alcocks
Consult with Dr. Hibner Feb. 2012
Bilateral inguinal hernias diagnosed by dynamic ultrasound - surgery on 6/20/13
Feeling a little better, a few more months will tell
Nerve block (unguided) 9/10 Dr. Jerome Weiss - sciatica for 5 months but got numb in painful perineal/scrotal area - he diagnosed entrapment - but no more cortisone for me
Potter MRI 5/11 - rt STL entrapment of PN at Alcocks
Consult with Dr. Hibner Feb. 2012
Bilateral inguinal hernias diagnosed by dynamic ultrasound - surgery on 6/20/13
Feeling a little better, a few more months will tell
Re: Pudendal Nerve Decompression Surgery - post surgery reco
Hi everyone
First post in a while, mainly due to holiday ahead of the surgery, which is happening with the Bristol team next Wednesday (12th October). Thanks for all the guidance provided so far, hopefully will try and put it into practice.
Will do my best to post again as soon as I feel able post surgery.
Andrew
First post in a while, mainly due to holiday ahead of the surgery, which is happening with the Bristol team next Wednesday (12th October). Thanks for all the guidance provided so far, hopefully will try and put it into practice.
Will do my best to post again as soon as I feel able post surgery.
Andrew
Woke up one day in February 2004 wth PN symptoms - cause not known. Numerous drugs, epidurals and nerve blocks (incl CT guided) later, PNE diagnosed in early 2010. Decompression surgery (TG) undertaken at Frenchay Hospital, Bristol in October 2011. Currently under care of Dr Gareth Greenslade, Pain Consultant, Frenchay Hospital.
Re: Pudendal Nerve Decompression Surgery - post surgery reco
Good luck, Andrew!
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