Will an MRN decisively identify PN and PNE?

[Grace]

I finally met Dr Peters in Royal Oak, MI. He's the specialist nearest to me. Dr. Peters listened to my story and agreed that it sounds very much like the source of the misery is the pudendal nerve. He suggested I have an MRI and and then a pudendal nerve block in order to clarify the diagnosis.

As I was searching online, I found out that there is an MR Neurography clinic in Royal Oak, too. What I understood from all I read on their website, the MRN will show clearly whether or not there is a problem with the pudendal nerve. I'm thinking, hey, why have two assessments (MRI and nerve block), when I can just have one? But as I'm reading through the comments on this site, I'm a bit confused.

Will an MRN decisively identify PN and PNE?

I appreciate feedback. Wish I could take one of you guys to all my doctor's appointments!

Cheers,
grace

[HerMajesty]

Decisively? No. But it might very well find something important or diagnostic. When you have debiliating pelvic pain, having a pelvic MRI makes a lot of sense.

[Karyn]

Hi Grace,

Dr. Peters listened to my story and agreed that it sounds very much like the source of the misery is the pudendal nerve. He suggested I have an MRI and and then a pudendal nerve block in order to clarify the diagnosis.

I'm thinking, hey, why have two assessments (MRI and nerve block), when I can just have one?

Well, I hate to be the bearer of bad news, but the MRI/MRN is not considered to be diagnostic when it comes to PN(E). The MRI/MRN is typically ordered to rule out other pathologies.
The nerve block is considered more diagnostic, when trying to obtain dysfunction with the pudendal nerve.

Will an MRN decisively identify PN and PNE?

Agree with HM. Not really. Personally, I do find it to be helpful information, though. For instance, when I had my MRI in NY with Dr. Potter, it was helpful to me with deciding to proceed with surgery. It was just one more piece of evidence which was consistent with: symptoms, physical exam, PT, positive nerve blocks, etc ...
Do you know of anyone who's had the MRN for PN in your area?
Kind regards,
Karyn

[Richard1969]

Hi Grace-

I found your post and noted that you are utilizing Dr. Peters. I too see him. I'm not cured, but feel that Dr. Peters is patient and supportive. Catherine is my PT and Dr. Cain Dimon is the anathesiologist that has done my injections.

[Grace]

OK thanks! This is really helpful. So I will probably do the set Dr Peters suggested (MRI + Block) and drop the MRN for now. Low on funds so I have to pick and choose just now.

So great to hear of another soul presently seeing Peters. Thanks, Richard. May I ask the type of injections you get and how often.I am thinking of staying in the area for a while.