Health Organization for Pudendal Education

The gold standard for detecting labral hip hears is an MRI with contrast (dye injected into the hip joint). So you could have a labral tear in your right hip which may be contributing to your painful OI. It is common for people with a labral tear in one hip to also have a tear in the other. This is because in most cases (barring trauma such as a fall on one side), early hip degeneration is usually due to structural abnormalities in the pelvis (which are usually bilateral) e.g. mild hip dysplasia. According to my orthopaedic surgeon, most people with labral tears have mild hip dysplasia.

I do think it sounds like you would benefit from a visit to an arthroscopic hip surgeon. I'm guessing that you have trouble walking because of pain? In my experience, people who have trouble walking because of pelvic pain also have some hip pathology.

Hi Lernica,
I have had trouble walking due to my bunionectomy on my right foot I had 20 some years ago. There was no cartilage left and they had to shorten my big toe.Without realizing just how great a problem this was going to be I started to use my second toe to balance. That through my gait off. I started to use muscles to walk that were not meant for walking. My quads especially. You are supposed to use your hamstrings and gluts to walk and somewhere down the line I quit using mine and they became weak. That along with leaning on my left hip at my job ( dental assisting) my pelvis started to rotate. It took years before I knew I had a problem and just how complex it was. I along with whatever person I am working with at the time are trying to unravel all of that. I will keep in mind the labral tear issue though.I saw a different body worker last week that did some fascial work and since then my big toe is hitting the ground and I am walking straighter. This has not happened in years so I am keeping my fingers crossed that he is on to something. thanks for all of your advice.

Made the decision to go back to Canada for another session of shockwave therapy in January next year. This will be my second visit. I am at least 50% better after the first visit, but still have some pudendal impingement on the right side. Hopefully the next session will concentrate on the problem area and free it. All the gains achieved in October have stayed with no regression. I can sit again for the first time in 2 years. Still need further improvement to claim a cure.

kone

Wow, that's great Kone! Good luck in January -- I know you will keep us posted.

Violet

Kone, great news for you. I hope that your second visit takes care of the remains!!!!!!!

Good news Kone . The very best of luck.
Helen

My appointment is in the first week in February. I will post the results afterwards.

kone

I had a colonoscopy today. I have read where others with pudendal neuropathy have had trouble with this procedure and so I approached it with a bit of apprehension. Fortunately, the procedure did not aggravate the pudendal nerve whatsoever.

The 50% improvement in my condition from Shockwave therapy (last October) has remained, and perhaps even gotten a bit better. Two days ago, I sat on a hard McDonalds bench seat for 2 hours with no ill-effects. Now had the seat been cushioned, it might have been a different story. I do better on hard seats than those with cushions. Cushions seem to press more on the pudendal perineum, and over time, cause an ache. Before Shockwave, I could not sit for more than 5 minutes on any surface without severe pain. I am really enjoying being able to sit again. I am also able to run a bit, and I am doing a bit more in terms of physical exercise, such as push-ups, and light weights. It is a pleasure to exercise again.

Two weeks from today, weather permitting, I will be in Cornwall, Ontario again for more shockwave therapy, hoping and praying that even more improvement can be achieved.

To anyone considering shockwave therapy, I certainly recommend Dr. Kirk Andrews as a highly competent chiropractor and physical therapist. It is expensive, most insurance plans will not cover any of the costs, but it is a reasonable therapy to try before considering surgery. It does not work for everyone, for no two pudendal cases are the same, but it has worked for me. It gave me hope that perhaps someday I will be free of this condition.

kone

Fantastic news kone. Wow!
Hoping that the next lot works as well.
Helen

Yay! It's so great to hear a success story.