Health Organization for Pudendal Education

My OS found my hernias through ultrasound. He works closely with a radiologist that actually does the ultrasound. They had me perform the valsalva maneuver during the ultrasound and that's how they could see it. Basically, they had me hold the back of my hand to my mouth and blow into the back of my hand and not release air. Kind of hard to explain. I would think a medical professional would be familiar with it. Anyway, it caused my abdomen to sort of expand and then the tissue would balloon out of the hernia holes. And your right, most OS don't do that kind of thing, but this guy went above and beyond to help me find the source of my pain.

I know I have said it before Griff but this technique sounds so weird but so very convincingly apt. I simply have no clue WHY it isn't employed across the board. Too simple? too non tech?? Sometimes, in this world it is only worthwhile if it costs. . . . .
Which is nonsense of course!
Meanwhile not employing something so simple may cost people like you years of suffering.

Helen

Pizzarios

I agree with Griff about taking prozac. If it helps why not take it? I'm currently on Lyrica but would much rather be on something like prozac. At least that has been around long enough that there have been ample studies on its side effects, long term effects etc. I know what you say about not wanting to take medications of any kind. I hate most aspects of taking medications; the side effects, the routine, the cost etc. But if it were me and it helped I would take it. Its not easy taking other peoples advice about taking medication so its pretty much up to you.

As for the hip it sure sounds like a tear. Literally. If you are hearing the popping and clicking those are hallmark signs I believe. I've had them for years but never thought much of it til recently. Keep in mind that the quicker you get it done the easier the surgery will be (in theory) as the tear can potentially get worse as time goes by.

Another vote for the prozac but agree it is up to you. I did not think I needed anything and then when I started the Gabapentin to help with the pain, a cloud came off of me. It was a significant difference. Had I known I would have taken something earlier but it all worked out. It was only a few weeks from when my GP asked if I needed anything and I said I would need more than they have if the surgery failed! Although nothing is perfect it seems every little bit helps. Good luck and take care
Janet

Does anyone know of anyone who experienced PN pain relief from labral repair/FAI surgery who did NOT have a psoas release ( other than Lernica)? It seems like everyone who has had good results had a psoas release and I know it's pretty common for Dr Coleman to do this.

Hi Faith
How are ya?
I don't fall into the category you mentioned,but I did have a psaos release with my right hip labrum tear repair. Ironically as you know, when I got to Dr Andrew he says according to him my psoas muscles was like a rock,--- one of the tighest he'd seen. (my PT agreed)
Coincidentally Dr Coleman called and wanted me to come in for a follow-up to see how i was now doing. I refused saying that if this re-evaluation would be to address my pain I would come, but otherwise it wouldn't be worth the trip.. (they even offered to pay tolls and parking)
They basically wanted to check on my status as part of completing their study.
They mentioned possibly another MRI of the left side.

Dr Coleman asked if the PSoas was now looser due to his release? .. I told him it just the opposite!
Who knows what that surgery did? I didn't think it caused damage however, at some point during the rehab PT I had following this surgery ,my ability to sit deteriorated more and more,----and by the end of the rehab, my local driving was decreasing quite a bit. So in thinking back maybe that surgery also hadsomething to do with putting im my present state of severe pain with sitting etc.. Not sure?

I've always blamed the nerve recsection surgery done in 2011 for my anal rectal pain, as within about 3mos post surgery the awful rectal pain came on but may be the labral surgery was a part of my pain picture?
Tho I had a labral tear did it really need to be repaired as unlike others I had no hip pain or clicking popping? I

Justing thinking out loud and trying forever to solve this puzzle. It is complicated..Have you gottne any closer to finding relief or answers? I hope so.
Pls let me know how you are doing..
Thinking of you .
kathy

Faith,

You might be interested in what "Katy Says" about psoas releases: http://www.alignedandwell.com/katysays/ ... den-tiger/. She strongly advises against them.

Fascinating Lernica! I love that website. Maybe someday I'll actually get down to doing the exercises... Anyway, like I posted on hipchicks, my PT told me that Dr. Kelly doesn't do psoas releases, he only shaves down the bone underneath if necessary. The PT said this was because of the long-term effects on the muscle (I guess what the website is talking about) and problems with recovery. Very interesting.

Thanks for sharing Lernica. I have learned so much from you! Heading upstairs to relax my psoas now!

Well guess what?
After chasing up university London hospital!( after nearly a year after two m.r.is at last I have the results! Spine ok but hips!!! Guess what? One side, bursitus(inflammation) probably from sitting at strange angles? And the other side? Torn labrum!! There seems to be a common denominator here? But hell I only read with humble gratitude the letters on this matter!
I have turned down the offers of cortisone injections(hell!! The pain of p .n.e by far over rides an achy hip! Or like many of you should I see this as a connection ?
Listening to your opinions on this
Anne smith