About pelvic CT scan

[amosfuegel]

Hi, I had an electromyography and the results were normal, no sciatic nerve damage or back damage.

The doctor suspected lower cluneal or pudendal nerve damage and recommended pelvic CT scan, bone scan to check for sacroiliitis.

Is a CT scan really helpful in this case? If it is the cluneal nerve, would it be more consistent with my symptoms and easier to treat than pudendal neuralgia? Thanks.

[Violet M]

I haven't heard of CT scan being used to determine if you have pudendal nerve entrapment. Hollis Potter, a well-known radiologist in New York City has developed a protocol for a pelvic MRI that enhances the image of the pelvic nerves, including the pudendal nerve, and may show if there is an entrapment. The advantage of an MRI is there is no radiation involved so maybe you want to ask your doctor about that.

I don’t know much about the success rate of inferior cluneal nerve release surgery. There is an interesting article on the topic of having both the pudendal nerve and the inferior cluneal nerve released at the same time. https://www.sciencedirect.com/science/a ... 5024001523

What are your symptoms? There can be some overlap in the symptoms of pudendal neuralgia and inferior cluneal neuralgia, specifically in the perineal area.

Violet