Hello there!
I am teaching a Pudendal Neuralgia continuing education course to pelvic physical therapists in the US and possibly worldwide. We need more education on this topic!
As some of you know, the surgeons doing pudendal decompression surgeries and related surgeries all have different protocols for what to do after surgery.
I am trying to gain information on the post-op protocols for each surgeon so that we can share what standards are around the US and the world. I'd love to receive that information via email, if possible (or if you can attach a PDF here).
My email is pelvicguru1@gmail.com . pelvicguru1@gmail.com
Thank you very much!
Link to the course I'm teaching: http://hermanwallace.com/continuing-edu ... ourses/dpn
Here's a link to my pelvic blog (and it has associated FB/Twitter) to keep track of the latest research and info on pelvic health: http://pelvicguru.com
Regards,
Tracy Sher, MPT, CSCS
Owner/Clinical Director - Sher Pelvic Health and Healing
http://www.sherpelvic.com
Post-Op Surgical Protocols
Re: Post-Op Surgical Protocols
Thanks for what you're doing, Tracy! Hope you get some answers here.
Violet
Violet
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.
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pudendalpt
- Posts: 5
- Joined: Mon Feb 11, 2013 4:14 pm
Re: Post-Op Surgical Protocols
Thank you, Violet! I hope so too! I may just end up calling each office, but thought I'd start here.
Our first course in March 9-10 in Oakland, California.
Regards,
Tracy
Our first course in March 9-10 in Oakland, California.
Regards,
Tracy
Re: Post-Op Surgical Protocols
Unfortunately, I didn't save my stuff from Dr. Hibner. They give you a handout that Loretta, the PT he works with, developed demonstrating how to put on shoes, how to bend over, etc. You also get a 2-3 page handout with restrictions and recommendations based on the number of weeks post-op.
2/07 LAVH and TOT 7/07 TOT right side removed 9/07 IL, IH and GN neuropathy 11/07 PN - Dr. Howard
6/08 Obturator neuralgia - Dr. Conway 11/08 Disability, piriformis syndrome - Dr. Howard
4/09 Bilateral obturator decompression surgery, BLL RSD - Dr. Howard
9/10 Removed left side TOT, botox, re-evaluate obturator nerve - Dr. Hibner
2/11 LFCN and saphenous neuralgia - Dr. Dellon 2/11 MRI with Dr. Potter - confirmed entrapment
5/11 Right side TG - Dr. Hibner 2012 Left side TG - Dr. Hibner
6/08 Obturator neuralgia - Dr. Conway 11/08 Disability, piriformis syndrome - Dr. Howard
4/09 Bilateral obturator decompression surgery, BLL RSD - Dr. Howard
9/10 Removed left side TOT, botox, re-evaluate obturator nerve - Dr. Hibner
2/11 LFCN and saphenous neuralgia - Dr. Dellon 2/11 MRI with Dr. Potter - confirmed entrapment
5/11 Right side TG - Dr. Hibner 2012 Left side TG - Dr. Hibner
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pudendalpt
- Posts: 5
- Joined: Mon Feb 11, 2013 4:14 pm
Re: Post-Op Surgical Protocols
Thank you, nyt.
I'm actually teaching the course WITH Loretta. So, the good news is we have Hibner's protocols. But, I really appreciate your thoughtfulness and reply.
Regards,
Tracy
I'm actually teaching the course WITH Loretta. So, the good news is we have Hibner's protocols. But, I really appreciate your thoughtfulness and reply.
Regards,
Tracy
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helenlegs 11
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- Joined: Fri Sep 17, 2010 9:39 am
- Location: North East England
Re: Post-Op Surgical Protocols
I know that Dr Dellon suggests water walking as post op therapy but that would be after a short recovery period, to allow the op site to heal somewhat?.
Dr Hal Martin offered patients a continuous motion machine straight after piriformis surgery, but this was more for sciatic/piriformis problems rather than pudendal surgery alone. I remember he also recommended static cycling to a patient but this didn't suit them at all, I must admit that this would be something I would rather steer clear of too.
Obviously the nerve needs to slide and glide after surgery to stop scar tissue causing problems but I'm guessing the movements that is required wouldn't necessarily involve anything too strenuous.
This is SO important Tracy so I hope that you get plenty of feedback on this I haven't had surgery so only know about what I have read. Good luck with this.
Helen
Dr Hal Martin offered patients a continuous motion machine straight after piriformis surgery, but this was more for sciatic/piriformis problems rather than pudendal surgery alone. I remember he also recommended static cycling to a patient but this didn't suit them at all, I must admit that this would be something I would rather steer clear of too.
Obviously the nerve needs to slide and glide after surgery to stop scar tissue causing problems but I'm guessing the movements that is required wouldn't necessarily involve anything too strenuous.
This is SO important Tracy so I hope that you get plenty of feedback on this I haven't had surgery so only know about what I have read. Good luck with this.
Helen
Fall 2008. Misdiagnosed with lumber spine problem. MRN June 2010 indicated pudendal entrapment at Alcocks canal. Diagnosed with complex variant piriformis syndrome with sciatic, pudendal and gluteal entrapment's by Dr Filler 2010.Guided piriformis botox injection 2011 Bristol. 2013, Nerve conduction test positive; new spinal MRI scan negative, so diagnosed for the 4th time with pelvic nerve entrapment, now recognised as Sciatic, pudendal, PFCN and cluneal nerves at piriformis level.
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pudendalpt
- Posts: 5
- Joined: Mon Feb 11, 2013 4:14 pm
Re: Post-Op Surgical Protocols
Helen,
I really appreciate your reply.
We are on a mission to get really good information out there so that patients and healthcare professionals can help people deal with pudendal neuralgia or entrapment and the many diagnoses that are similar to it.
Thanks,
Tracy Sher
I really appreciate your reply.
We are on a mission to get really good information out there so that patients and healthcare professionals can help people deal with pudendal neuralgia or entrapment and the many diagnoses that are similar to it.
Thanks,
Tracy Sher