Thread: Pudendal nerve block?
05-12-2012, 10:24 AM #1
Pudendal nerve block?
Anyone had one of these? 10 years ago when I was dx with IC I was also dx with pudendal neuropathy. I had a block at that time but have not ever had another. Never had a doc suggest and I really had not ever thought of it. My new uro sent me to a new pain doc who does blocks (mine only does meds). He wants to do a bilateral pudendal block and thinks I could get some really good results based on symptoms and where they are.
Has anyone else done this?Live life to the fullest day to day. The best way to eat an elephant is one bite at a time!
DX: IC - November 2002 after hysterectomy
Interstim implanted March 2006 - died May 2011
Interstim replacement June 2011
Meds: Pain meds, muscle relaxer, cystex, and marcaine bladder instills as needed.
Docs: Pain management doc, urologist, family practice
05-12-2012, 02:11 PM #2
- Join Date
- May 2011
I have IC and pudendal nerve problems. I had a bilateral pudendal nerve block done a few months ago. It took about 3 days for my bladder to calm down, after everything else did. The bladder effect only lasted about a week, however. Apparently, they are two separate problems for me, at least this is as far as I know. I see the specialist again in June. I was so hoping for another reason for my bladder pain, but alas, I am sure that I have internal bladder issues. You can send me a private message if you wish.
02-23-2013, 08:14 AM #3
I just started a series of three pudendal nerve blocks for my moderate to severe IC. I'm having them only on my left side since that is the worse side for me. The procedure itself was very quick. I first had a nerve block in the center of the pudendal nerve's path. This first block was pretty painful for about 20 seconds. The doctor located the painful knot, kept his finger there and then placed the needle on the skin, counted to three and punctured the skin with the needle. It was a strange sensation as the medicine activated all the branches of the nerve and felt like extreme burning moving around the pudendal area for a few seconds. The next two blocks, one in the back of my buttock, and one in my abdomen, were not nearly as painful. In the first few hours following the block, the area was very numb, but later that night and the next day it was quite sore. The block seemed to give me some bladder relief for a few days, however. I can't say how much this treatment will help yet since I have another two rounds to go. Good luck!
Last edited by Zilla; 02-23-2013 at 08:20 AM.Symptoms:
You name it, I've got it... LOL! Frequency; urgency; severe burning pain in my bladder, vulva, and urethra; cramping; muscle spasms; urine retention (that becomes severe during flares); painful urination; difficulty urinating; swollen and sensitive IC belly with radiating nerve pain; vulvodynia and vestibulitis; pelvic floor muscle disfunction, intermittent IBS-C that is often worsened by medications; and lichens sclerosis.
-Medications: Elavil 25 mg.; Elmiron 400 mg/daily; Neurontin 600 mg/daily; Atarax 20 mg/daily; Clorazapam .5 mg/daily; Uribel as needed; Vicodin and Xanax as needed for severe flare days
-bladder instillations and pudendal nerve blocks
-Prelief along with IC/low oxalate combination diet
-Pelvic Floor PT
-Relaxation and Meditation strategies
-Vesicare (helped with frequency initially, but wasn't effective during flares. Caused SEVERE retention and constipation issues)
-Flomax (helped somewhat with retention, but didn't help underlying problem)
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