MRI or MR Lies? The Case of Wrong Diagnosis of Pudendal Nerve Entrapment . - Sher Pelvic Health and Healing, LLC. Pudendal Neuralgia. The prevalence of pudendal neuralgia is unknown, although some have estimated a prevalence of 1/100,000 people.
Spinosa et al.4 documented an incidence of 1% in the general population, affecting women more than men. Orphanet, www.ophra.net, a European website providing information about orphan drugs and rare diseases, states that pudendal neuralgia is diagnosed in 4% of patients undergoing treatment for chronic pelvic pain. However, from our experience, the incidence may be significantly higher, with women comprising 70% of our diagnosed patients. Pudendal neuralgia is described as a neuropathic pain in the distribution of the pudendal nerve.3 Pain may be present along the entire dermatome, or may be restricted to sites innervated by the nerve’s branches (Fig. 1).
Pain may be localized to the clitoris, labia, vagina, and vulva in women, and to the penis and scrotum in men, excluding testes. Fig. 1. Typically, symptoms are present with sitting and absent during standing or lying down. Pelvic Health and Rehabilitation Center. After Thanksgiving we will be publishing the third blog in our pudendal neuralgia series that will focus on the pudendal nerve entrapment diagnosis and the decompression surgery that’s associated with it.
For this post, we have interviewed the two top surgeons in the country that perform the aforementioned surgery, Dr. Michael Hibner and Dr. Mark Conway. Stay tuned for this groundbreaking post! In the meantime, take a look at the first blog in the series, “How do I know if I have PN or PNE?” Part I in the “Demystifying Pudendal Neuralgia” Series For so many the term “pudendal neuralgia” conveys a frightening and mysterious chronic pain diagnosis.
After establishing the existence of a plexus lesion nerve by demonstrating that symptoms cannot be explained by a lesion of a single nerve root or peripheral nerve the underlying pathology needs to be unravelled. Most frequently, the lumbosacral plexus is damaged: in diabetics, by direct or indirect pelvic trauma, by compression, or obstetric complications. Tumours, aneurysms and idiopathic or hereditary neuropathies are more infrequent causes of a lumbosacral plexopathy. Treatment, course and prognosis largely depend on the underlying disorder. Authors. Neurontin and Lyrica are a Death Sentence for New Brain Synapses.
By: Byron J.
Richards, Board Certified Clinical Nutritionist Neurontin and its newer more potent version, Lyrica, are widely used for off-label indications that are an outright flagrant danger to the public. These blockbuster drugs were approved for use even though the FDA had no idea what they actually did in the brain. A shocking new study shows that they block the formation of new brain synapses1, drastically reducing the potential for rejuvenating brain plasticity – meaning that these drugs will cause brain decline faster than any substance known to mankind. The problem of these drugs is compounded by their flagrant illegal marketing. Even though the marketing of these drugs has been heavily fined, they continue to rack up billions in sales from the off-label uses.
" PURPOSE: Since the first description, the use of polypropylene mesh in hernia repair has gained wide acceptance. The aim of this study was to assess whether polypropylene mesh implantation has any effects on femoral blood vessels. METHODS: A 0.5 × 1.0 cm polypropylene mesh was inserted into the rat femoral artery and vein on the right side.