pudendal nerve?

[mary123]

Hi everybody,
The doctor made me a pudendal nerve electromiogram and she found that I have an increase of the latency of the somestesics evoked potentials of the internal pudendal and a delay in the pudendal-sacral reflexes bilaterally. The test shows only problems with the sensitive fibres but not at the motor level.
I went to a doctor that understands in pudendal nerve and he thinks that my problem is not about the nerve but about a contracture or pelvic floor myofacial syndrome. When he touched me in some parts of the pudendal nerve I had no pain at all.
Anybody with a symilar situation? Do you think that my problem can be the nerve? Can an electromiogram show false positives?
Now my main problem is sitting, I feel no pain sitting but an unconfortable pressure in the genital area and in the line that separates the belly from the pelvis. Sometimes I have tolerable burning.

[mary123]

Hi!
Any thoughts about my problem? Does anybody have an electromiography with a result like mine? Thank you!

[janetm2]

Hi Mary,
Although I did not have the test you had from what your doctor said about pelvic floor myofacial syndrome an evaluatiion by a PN aware PT might be good. PT can help if there are muscle issues and also may be able to give hou more insight into what is going on. Check out the PT list off the homepage for someone near you.
Janet

[Violet M]

Mary, I agree with Janet that it makes sense to try a conservative treatment like pelvic floor myofascial release since you are getting conflicting information from different doctors. I know it my case the pudendal nerve was very painful to touch but I have heard of other people who said it was not. So, I can't say for sure but trying pelvic floor PT is generally considered a good place to start when you have pelvic pain.

Violet