Botox of Obturator Internus - question
Posted: Sun Sep 23, 2018 2:21 am
I have been suffering from left perineal/scrotal pain for three years. I was referred by Dr. Dellon to Johns Hopkins with Dr. Fritz for an MRI and left pudendal block that helped for a short time, which seemed to confirm some sort of issue with the pudendal nerve.
The MRI didn't turn up anything noteworthy, but in the procedure report, Dr. Fritz reported the following:
"During the perineural injection of the left pudendal nerve and Alcock's canal, there was a suggestion of perineural left pudendal scarring at the entrance level of Alcock's canal, subjacent to the left sacrotuberous ligament."
In my follow-up with Dr. Dellon, he said one option short of surgery is to try botox to the obturator internus muscle, since that muscle runs adjacent to the pudendal nerve and might be putting pressure on it.
I asked my PT to work on that muscle specifically to see if that would give a hint if it was the problem. She said it didn't seem overly "spasmy," but it did flare me for about 2-3 hours and then I had a tad bit of relief for a day or so, for what that's worth.
So, would botox of the OI be a good idea for me? If there is indeed scarring in the Alcock's Canal area, would botox help at all?
RC
The MRI didn't turn up anything noteworthy, but in the procedure report, Dr. Fritz reported the following:
"During the perineural injection of the left pudendal nerve and Alcock's canal, there was a suggestion of perineural left pudendal scarring at the entrance level of Alcock's canal, subjacent to the left sacrotuberous ligament."
In my follow-up with Dr. Dellon, he said one option short of surgery is to try botox to the obturator internus muscle, since that muscle runs adjacent to the pudendal nerve and might be putting pressure on it.
I asked my PT to work on that muscle specifically to see if that would give a hint if it was the problem. She said it didn't seem overly "spasmy," but it did flare me for about 2-3 hours and then I had a tad bit of relief for a day or so, for what that's worth.
So, would botox of the OI be a good idea for me? If there is indeed scarring in the Alcock's Canal area, would botox help at all?
RC