Pudendal Nerve Decompression Surgery - post surgery recovery

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Violet M
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Re: Pudendal Nerve Decompression Surgery - post surgery reco

Post by Violet M »

Hi Kassie,

I couldn't tolerate pelvic floor PT prior to surgery either. It gave me a dreadful pain flareup.

Best wishes with whatever you decide to do. ;)

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.
kassie
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Joined: Sun Dec 22, 2013 3:42 pm

Re: Pudendal Nerve Decompression Surgery - post surgery reco

Post by kassie »

Hi friends,
I'll be doing surgery next week - thanks all for your comments and input. Wish me luck. I will write when able to !
Wish you all a pain-free 2014 :)
Kassie
Barb
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Joined: Fri Aug 31, 2012 3:14 pm

Re: Pudendal Nerve Decompression Surgery - post surgery reco

Post by Barb »

Good luck Kassie! Let us know how you do. Take it easy and slow. I am in a bit of a flare because I didn't take it easy on my trip to Florida, so it really is so much better in the long run if you do.

Hope your recovery goes well and I'll be thinking about you.

Barb
12/10- Vaginal prolapse surgery. Surgeon used mesh. Had incredible complications.
11/11- mesh removed at UCLA.
PT diagnosed hypermobile SI joint
5/13- Potter MRI.... pelvic floor scarring causing entrapment of the inferior perineal branches and the dorsal nerves to the clitoris.
9/13- Prof Aszmann discovered entrapment at ST/SS ligament causing more pain than dorsal nerve....he opted for TG surgery. Also had injection to calm down inflammation at ischial tuberosity. Still healing
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Violet M
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Re: Pudendal Nerve Decompression Surgery - post surgery reco

Post by Violet M »

Kassie, wishing you all the best with your surgery. ;)

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.
kassie
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Joined: Sun Dec 22, 2013 3:42 pm

Re: Pudendal Nerve Decompression Surgery - post surgery reco

Post by kassie »

Hello all

Im one week post op and boy, nothing could have prepared me for how hard it would be. I have been lying on my back this whole time, as I'm not comfortable on my tummy and am too scared to sleep on one side for fear the pain will come back (i tried it one day post op and got a terrible shooting pain). Do you see anything wrong in the long term with lying on the wound?
I was also wondering what people have tried during this period of intense pain? Im on pregabalin 300mg and take a couple of codeine as and when needed. Ive also been given duloxetine, but on my first night found it made me nauseous and dizzy. Just asking so i can discuss options with the GP.

Please let me know if i should be writing in another post.

Thanks :)
Kassie
janetm2
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Re: Pudendal Nerve Decompression Surgery - post surgery reco

Post by janetm2 »

Kassie,
Congrats on the surgery.I used oxycodone APAP 5-325mg during recovery, I think every 8 hours for the first week or so? Also for flares now. Since then I now use tramadol as well at 50 mg for general PN pain and/for flares. The oxy works better for my foot pain or the more extreme PN pain. I also had a pain pump they inserted during surggery that lasted a few days before it just worked its way out.
Janet
2007-08 pelvic muscles spasms treated by EGS. 6/27/10 sat too long on hard chair- spasms, EGS not work Botox help, cortisone shots in coccyx help, still pain, PT found PNE & sent me to Dr Marvel nerve blocks & MRN, TG left surgery 5/9/11. I have chronic bunion pain surgery at age 21. TG gave me back enough sitting to keep my job & join in some social activities. I wish the best to everyone! 2019 luck with orthotics from pedorthist & great PT allowing me to get off oxycodone.
Jax87
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Joined: Sun Apr 08, 2012 9:33 pm

Re: Pudendal Nerve Decompression Surgery - post surgery reco

Post by Jax87 »

Duloxetine is cymbalta, right? When I first tried Cymbalta I had to break open the smallest dose capsules and split the little pellets inside into two groups and just take half so that I wouldn't be dizzy and nauseous. Eventually I worked my way up. You can't take it with tramadol though, or it will make you very sick (been there done that). I don't think cymbalta is great for strong immediate pain relief, but it has helped me immensely in the long run. Good luck with your surgery recovery!
Started with vulva itching 2/11. Diagnosed as vulvodynia and then PN in 01/12. Progressed to sitting pain and constant burning. Received 4 nerve blocks with only temporary relief, did year of pelvic PT before being diagnosed with bilateral FAI and hip labral tears 7/12. Did orthopedic PT 1.5 years. 3/13 Arthroscopic hip surgery at HSS with Dr. Kelly. Take cymbalta and lyrica daily. About 97% better than worst point thanks to combo of surgery and meds. Yay!
kassie
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Joined: Sun Dec 22, 2013 3:42 pm

Re: Pudendal Nerve Decompression Surgery - post surgery reco

Post by kassie »

Hello all

Thank you Jax and Janet for your kind words and advice. I cannot tolerate duloxetine (cymbalta) so am now on pregabaline + amitryptiline and take codeine whenever things get bad.

I am 3 weeks post-op and must say I don't know how some of you managed to drive, walk, exercise so soon after surgery - i am amazed! i can walk around the house but as soon as I stand up for too long (usually making dinner), i get those stabbing deep pelvic pains and must lie down. My wound has still not healed as the top part has a opened slightly and there is now a gap...i sent a photo to the surgeon (Mr Wong) who said it is not infected and should heal on its own but I wonder how quickly any of you took off the dressing on top of the wound?

Thanks so much !
Kassie


PS. Can you imagine the surgeon's face when he received a photo of my bum ?! :D :D
janetm2
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Joined: Sun Jun 12, 2011 10:54 pm
Location: Maryland

Re: Pudendal Nerve Decompression Surgery - post surgery reco

Post by janetm2 »

Kassie,
Glad to hear some meds are available that you can use. As for doing things the first month was very slow going a lot of take out food. I was not able to drive in 4 weeks like the dr said and honestly probably did not drive much at all until 3 months when I started to work 2 hrs a day although my hubby may have driven me to work as he does sometimes even now. When starting to cook I think I relied on more short cuts from the store (pre chopped etc) so as quick as possible. Patience is a new friend to make and way easier said then done! Hang in there.
Janet
2007-08 pelvic muscles spasms treated by EGS. 6/27/10 sat too long on hard chair- spasms, EGS not work Botox help, cortisone shots in coccyx help, still pain, PT found PNE & sent me to Dr Marvel nerve blocks & MRN, TG left surgery 5/9/11. I have chronic bunion pain surgery at age 21. TG gave me back enough sitting to keep my job & join in some social activities. I wish the best to everyone! 2019 luck with orthotics from pedorthist & great PT allowing me to get off oxycodone.
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Violet M
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Re: Pudendal Nerve Decompression Surgery - post surgery reco

Post by Violet M »

Kassie, I didn't walk much until 5 months post-op and didn't drive much the first month. I took oxycodone for 9 months post-op. I feel for you. I know how rough it can be but it does get better slowly over time.

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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