Interview with Dr Hibner and Stephanie Pregergast

[helenlegs 11]

I have just listened to Stephanie Prendergast and Dr Michael Hibner's interview on blogtalk radio http://www.blogtalkradio.com/pelvicmess ... -hibner-md
Thought it was very informative, and was especially interested in Dr Hibners technique of selected guided blocks into the branches of the pudendal nerve before a block into the main branch to try and accurately locate the area of entrapment. They talked about imaging too, mentioning Dr Potter.
The other points of interest included diagnosing true entrapment as opposed to neuropathy, the use of physio before and after surgery, surgical re-do's and his 'tweaking' of the surgical procedure studied under Prof Robert and more. Worth listening to, just over 1 hr. Apparently you can get a transcript of the programme but I'm not sure how.
He actually gave his time while on holiday for the broadcast which really shows how passionate he is about the problem.

[Lernica]

Helen,

Would love to see this show. The URL you posted doesn't seem to work though. Thanks.

[Emily B]

Link didn't work for me either. I typed in "Hibner" in the search box on the page that came up and found it. Try this link...http://www.blogtalkradio.com/pelvicmess ... -hibner-md

Emily B.

[helenlegs 11]

Thanks Emily. Have put mine right now. I have listened to a few programmes now, Stephanie was a guest a few weeks ago and was very interesting. You can go into a back catalogue and catch up with any that may be of interest. Blogtalk will e you about forthcoming programmes too. I am going to find out how to get a transcript as I was trying to two finger type while listening
What did you think girls ?

[Violet M]

Thanks ladies. Here's a link that's not supposed to expire.

http://tinyurl.com/6bxg4oc

[catherine a]

Thanks Violet, Just brilliant. I'll forward the link to my PN contacts.

[susibee]

Thanks so much for the link!

Edit:
I didn't understand something Dr. Hibner said at 52:50. He talked about a caller's pain on the inside of the sit bone as possibly being caused by RSD or muscle spasm. Why would RSD be a cause of that type of pain? Maybe because he was suspicious of RSD in this patient for other reasons (the foot pain), and so he thought RSD could also be a cause of the sit bone pain...

Later he mentions scarring around the nerve as a possible cause.

[Faith]

Thanks for posting! Can't wait to listen. Interesting question about the sit bone pain and RSD. I have been wondering the same thing about myself.

[helenlegs 11]

Thanks so much for the link!

Edit:
I didn't understand something Dr. Hibner said at 52:50. He talked about a caller's pain on the inside of the sit bone as possibly being caused by RSD or muscle spasm. Why would RSD be a cause of that type of pain? Maybe because he was suspicious of RSD in this patient for other reasons (the foot pain), and so he thought RSD could also be a cause of the sit bone pain...

Later he mentions scarring around the nerve as a possible cause.

I think he was trying to hypothesise why the caller was still in pain after so long. When he said 'Patients often develop reflex and sympathetic dystrophy symptoms (RSD)' I took it to mean PN patients in general (not just post surgery patients though)
As you say he thought that it could be from RSD, muscle spasm or formation of scar tissue as she hadn't had any physio at all post surgery. |I guess he could have said ' well obviously the operation hasn't worked and it sounds like the nerve is still compressed ' but wouldn't do that for diplomatic reasons. He did say that the inside (medial) of the sit bone is from alcocks canal, I guess meaning she could still be trapped there ? ?
I didn't know things could be so specific in a PN diagnosis. Why does the actual bone hurt ? mine does but only on contact and for sometime after contact. As if I had fallen on it just recently but it was over 3 years ago.

[chloe]

I had pain at my sit bones after I started sitting all the time again...my pain doctor actually suggested I had developed ischial bursitis. He injected the bursa with lidocaine/steroids two times within one year...it totally helped my sit bones. Just a thought...