going to have done soon, please give input. I know not to go with unguided. I think ct guided has to be done in hospital. the others i think are out patient done at drs. office. Also are steroids good idea or necessary? Please advise...Robert
ct guided block
ultrasound
fluoroscopic
types of blocks (which is best)
Re: types of blocks (which is best)
Steroids help with any inflamation. The block will or 'should' reduce pain. My first block was a caudal block but I hurt for a few days. Then I found relief for a week. Last month I had a different block called a sympathy block-it took my pain away for nearly five weeks. I am having my doctor get aggressive with this to find answers. Hang in there.
Re: types of blocks (which is best)
Alan, did you have block on Superior hypogastric plexus?
I have also read that this is viable modality, bringing relief for 2-5 months (according to dr. Urban who is performing these blocks).
and I would say that this procedure is safer than Alcock.
Matt
I have also read that this is viable modality, bringing relief for 2-5 months (according to dr. Urban who is performing these blocks).
and I would say that this procedure is safer than Alcock.
Matt
summer 2009 - episodic post ejaculatory pain,
early 2010- major flare-up, chronification
february 2011 - ESCW wave. major flare-up, lasting 5 months
february 2012 - diagnosed CPPS with irritation of pudendal nerve, hypog. plexus block
june 2012 - dorsal nerve block, no relief
2013 - starting PT with moderate results
2014-2017 better periods interchanging with heavy flare ups
2018 first long remission (several months)
2019-2023 most of the time almost assymptomatic with cca 2 flare ups yearly
early 2010- major flare-up, chronification
february 2011 - ESCW wave. major flare-up, lasting 5 months
february 2012 - diagnosed CPPS with irritation of pudendal nerve, hypog. plexus block
june 2012 - dorsal nerve block, no relief
2013 - starting PT with moderate results
2014-2017 better periods interchanging with heavy flare ups
2018 first long remission (several months)
2019-2023 most of the time almost assymptomatic with cca 2 flare ups yearly
Re: types of blocks (which is best)
If I had a choice, I would go for ultrasound because there is no radiation involved. There are some pretty high powered ultrasounds coming available that can see nerves....in Germany especially I've heard.lightmail wrote:going to have done soon, please give input. I know not to go with unguided. I think ct guided has to be done in hospital. the others i think are out patient done at drs. office. Also are steroids good idea or necessary? Please advise...Robert
ct guided block
ultrasound
fluoroscopic
Steroids can reduce inflammation although I think it's possible they can cause nerve damage in some people based on some of the reports I've heard from PNE patients. It's a very tough decision to make.
PNE since 2002. Started from weightlifting. PNE surgery from Dr. Bautrant, Oct 2004. Pain now is usually a 0 and I can sit for hours on certain chairs. No longer take medication for PNE. Can work full time and do "The Firm" exercise program. 99% cured from PGAD. PNE surgery was right for me but it might not be for you. Do your research.
Re: types of blocks (which is best)
In response to flyer28-yes my nerve block was given to the sympathetic nerves, but did not have the same name that yours has. However, I had good results for 4-5 weeks. I did take a vicodin prior to the procedure and didn't feel a thing when given the block. I am still searching about my next move. I am considering physical therapy up near San Francisco. There is a six day intensive course given monthly by the author of Pain in the Pelvis. Apparently tight pelvic muscles can cause pudendal nerve problems. I have also read on the internet that some people have nerve block procedures along with physical therapy to help alleviate muscle spasm, nerve problems, ect.