Treat Pudendal Neuralgia
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- Опубликовано: 10 сен 2024
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DISCLAIMER: This video is no substitute for in-person treatment and is for demonstration purposes only. If you suffer from any physical condition and illness, please consult your doctor before receiving any form of treatment.
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Pudendal Neuralgia (PN) is a condition where there is pain or irritation along the distribution of the pudendal nerve. The pudendal nerve provides sensation and motor control to the muscles around the perineum.
Pudendal Neuralgia can be caused by:
*prolonged sitting activities (bike riding, horseback riding)
*prolonged constipation
*childbirth
*squatting exercises
*post surgical procedures (hysterectomy, pelvic reconstruction)
*chronic infections (yeast infections, bacterial prostatitis, bladder infections).
Pudendal Neuralgia Symtoms
*Burning, sharp, shooting, stabbing type pain
*Pain with sitting (which eases when sitting on a toilet)
*Pain with prolonged standing
*Vagina, labial, scrotal, penile, and/or anal itching, burning, or numbness
*Clothing intolerance
*Rectal/ vaginal Pressure (feeling of a pressure or an object in the rectum/vagina)
*Urinary frequency/urgency
*Urinary hesitation
*Pain during and after a bowel movement
*Constipation
*Decreased sexual function
What is Pudendal Nerve Entrapment?
Pudendal Nerve Entrapment (PNE) differs from PN because the pudendal nerve is constricted or distorted within a fibrous band or tunnel. The most common areas of entrapment occur in structures around the pelvis or sacroiliac joint, a certain tunnel in the pelvis (Alcock’s canal) or around the base of the penis.
With both PN and PNE, there is often a correlation with an overactive pelvic floor. The pudendal neuralgia or entrapment and pelvic floor dysfunction may co-exist. In other words, one may lead to the other; there may be an overlap of the characteristic pain. One type of pain may be more intense than the other. All of this adds to a complication with diagnosis and treatment.
Treatment of PN and PNE can be complicated because of the slow healing nature of nerves. Treatments often include medications aimed at neuropathic pain and physical therapy to address pelvic floor dysfunction which can be a cause of PN and PNE. Physical therapy treatment will be aimed at releasing tightened tissues in and around the pelvic region to improve the nerves ability to glide and heal.
#pudendalneuralgia #pelvicpain #bladderpain #sittingtolerance #testicularpain #tightpelvicfloor #cpps #pelvicfloor #pudendalnerve #chronicpain #ed #rectalpain #vaginismus #burningvulva #vaginaburns #pelvicfloorphiladelphia #physicaltheraphiladelphia
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So you know how it feels when your leg fall asleep well what if my penis feels like that. Is that a symptom im really concern about this
@@ricky578 That must be a horrible feeling, brother
@@stanzavik it doesn't hurt it just concerns me and its infrequent i set on the floor alot when playing videogame and thats when it happens but again its infrequent it hasn't effected my sex life im able to get it up i just wanna know why my dick feels like that sometimes
Kudos for the video content! Excuse me for butting in, I am interested in your thoughts. Have you considered - Taparton Sturdy Nerves Takeover (probably on Google)? It is a good one of a kind product for Getting rid of Neuropathy minus the headache. Ive heard some awesome things about it and my friend after many years got great results with it.
Does this condition usually cause constipation or severe anal dysfunction? And can it?
Structural alignment, myofascial release, craniosacral therapy and certain exercises are helping me greatly as well as exploring the mental and emotional connection to why tension and adhesion has developed to this extent in the body
Thanks for sharing this info: a very informative talk. This condition is by no means limited to women. Many men, after prostate surgery complain of pelvic floor dysfunction and pain, usually unilateral. No one locally treats this. Well done.
You're welcome! We're glad this video helped you.
I've got it as well, start pelvic floor physical therapy in a week.
Best vid on this subject I’ve ever seen. My husband just injured the Pudendal Nerve on his mtn bike. He is in agony. Pain from genitals to rectum. Worse with sitting. Relieved when recumbent or standing.
Sophia Chen Hi,how is your husband feeling now,I also have the same problem can you please guide me.
Thank you,
Great Video! Forgive me for butting in, I would love your opinion. Have you heard about - Taparton Sturdy Nerves Takeover (just google it)? It is a good exclusive product for Getting rid of Neuropathy without the headache. Ive heard some pretty good things about it and my friend got great results with it.
How did he injure from a mountain bike ?
@@infiniteg7852 Hi. Just sitting on his bike seat (saddle) was all it took. It’s called Cyclist Syndrome. Usually happens to long distance riders, but apparently it can happen to anyone. 2.5 years later, he is still having trouble.with the pain.
@@recipehacker9752 wow, sorry to hear that . That makes me want to get rid of my motorcycle
Wonderful explanation of the nerve pathway, nerve function and nerve issues when it is damaged.
I had entrapment. Physiotherapy exacerbated the pain. I couldn’t lie down and sleep anymore. Conservative treatment was a bust. I had terrible side effects to Lyrica and Cymbalta. I finally had the rear branch of my right pudendal nerve released 3.5 years after it all started.
I didn’t heal. I found out in 2016, that a metal titanium Filshie clip was on my rectum! It had been causing continued flare ups of my nerve pain for five years after my pudendal nerveless released. It was taken out in 2017. The other clip had gone up my intestines and was in ileum bowel under my bladder neck! I haven’t been able to wear pants with belts or tight body shaping panties in over 11 years!
My rectum continues to spasm and particularly after prolonged sitting. I carried a toilet seat with me everywhere I went for years and I acquired tendonitis in my right arm. I’ve never found a sit pad or seat that helps. Do you have any Suggestions? I’m desperate.
How was it released? Surgery? What doc? Thanks
deana riggs Decompression surgery via trans gluteal approach as all my neuralgia had been rectal and some perineal.
Dr. Stanley Antolak in St. Paul, Minnesota did the surgery. My inferior rectal nerve and a part of the distal end of the pudendal nerve on my right side we’re stuck onto a ligament and fascia.
The Filshie clips were removed via laparoscopy and I’m sitting on a donut ring with 70% less pain.
Did surgery help? Did your insurance cover it?
@@debba1976 Yes. The burning pain was finally gone. It was agony!
I’ll always need medications and a donut seat. I use pain patches on my right butt cheek if I’m sitting and to calm the nerves down at bedtime.
Insurance paid but only because I hired a registered nurse consultant to advocate for me. Doctors here committed fraud. They covered up the migrated clips and said I had vulvodynia! I had no pain in my vagina....it was all rectal.
The surgery saved my life.
My pain is burning and tingling and prickly. Sitting is difficult. I suspect my si joint is involved
I have had a weird discomfort in this area for almost a week and I was terrified it was testicular torsion (I learned what testicular torsion was a few months ago and I've been horrified and paranoid about having it ever since). I kept doing research and came across pudendal neuralgia, and everything clicked. It was actually a relief (since I'm not picturing my testicle being strangled anymore)! Glad to have videos like this with good information on the subject.
Lmao
How are you?
You are healed or not
Your Which testis is having this issue
Not many specifics on "treatment." If your goal was a demonstration of your knowledge concerning the condition as such, well done you.
You explained amazingly simple and clear. Thank you
This helps so much, thank you!
The physiotherapist has created nice video because pelvis model along with white bone, yellow nerve and red muscles is good to convey pathology and where is nerve and why the pain in saddle area.
Thank you for sharing this with us. I have been dealing with this and no obgyn practitioners would say or consider this for me. I had to be my own advocate took 2 years and finally your review to make sense of what I thought would be something that I had to live with for the rest of my life. I will be in touch with your practice.
How are you feeling?
thank you for explaining this. you describe my condition to a tee. I got my condition from stretching my right leg too low from doing the "happy baby pose" during yoga. Now I'm doing a lot of physical therapy exercises and every day is better.
Pelvic physical therapy?
Ethan cheng can you please tell me what kind of exercises you are doing...plz it would be a great help
Thanks so much for your wonderful detailed video. 🙏🌷💝
Thank you so much for this. It means so much to me
this was so helpful thank you so much
this is not the subject, I know but you look so young ( in your profil picture) like me, it make me feel less lonely! Have you a pudendal neuralgia? I'm from France and I give you a lot of strength from there! bye have a nice day!
Thank you so much for this ❤
Thank you for this video. 6 months ago I had davinci hysterectomy and since then my life has been worse. So much pain, numbness, tingling.. all the way down my leg. I ran into an article on pudendal nerve entrapment and pudendal neuralgia. I now know what to tell the doctor, who has been of NO help for me.
You're welcome! We're glad this video helped you.
Great video
lot of knowledge
Took me 9 yrs, three different insurers to finally find out what was wrong. Now I have the nerve burned. 1st time lasted almost a year. Having my second done next month.
how do you feel now??
How are you doing ?? Hope this worked out for you and you are doing better mate
Can u show the stretches to fix this problem
Thank you very much for the excellent presentation. I have had pain in the area for 30 years, I have traveled thousands of Kms seen 8 different Doctors and 7 different Neurosurgeons with this pain and none have mentioned the pudendal nerve.
Glad it was helpful!
What help u?
Can a cystoscopy hurt that nerve? I 've been having severe pain under my pubic bone that feels like a pinched nerve ever since I had the cystoscopy. That tingling / stubbing pain gets worse when I seat down or bend.
I think it’s possible.
Yes. I hit my nerve during sex and from now on i am in pain. Is your issue resolved?
Thank you thank you. Greta video
Thank you thank you thank you!!
Happy to help!
Plastic model of pelvis in this video, delineates pudendal nerve very nicely. Victims can see pudendal nerve and ischial tuberosity better although ischial spine is not visible. Sacro-tuberous ligament and peri anal muscles are nicely visible for professional cyclists etc. who have saddle area pain due to pressure on pelvic soft tissue ( muscles and skin ) supplied by branches of pudendal nerve formed by multiple fibers ( thread like thin elongated nervous structures ) from lower part of spinal segments S2, S3, S4 of spinal cord.
I helped my brother push his car up the driveway and now I've had pain in that area for a few days it's gotten a little better with hot baths and epsom salt is that the right thing?
Yes....and don’t lift anything heavy for a while.
Can you completely recover from pundendal neuralgia? Please help I am in so much pain I just want to to know I can recover and be good like before it happened...
Sometimes you can and sometimes it is management. All depends.
1 nortipan(nortryptiline10mg+pregabalin75mg+mecobalamin1500mcg)
2mirtazapine 15mg(mirfast15)
3Duloxitine gastroresistent-before30mg-after increased60mg(dulotine30morning+30evening 15-15)
4renopram-10 after renopram plus)
Thank god save my life.
Before your counselled your nueropsychetric
And divert your mind other thing like learning language and study exercise forming
I've recovered from it before but I have it again 7 years later. I never got help with it the first time cause I was told it was interstitial cystitis so hopefully this time I'll get the help I need and recover faster.
@@trickyhealth1993 that’s a lot of meds
Thank you for the explanation. I am suffering with pudendal neuralgia and currently trying lifestyle modifications along with medication and about to go for physiotherapy. I really do not want surgery and hope to remain fit and active for the rest of my life.
You're welcome! We're glad this video helped.
I have pain which seems to me to be related to the pudendal nerve. I also have a mild s curve scoliosis.
Emma I have the same thing going on. Just here to learn. I have scoliosis.
Thank you for this video mm, really helped me clarify some doubts. Just would like to know for sure if chronic constipation and internal hemorrhoids cause pudendal neuralgia?
Perhaps it's the other way around- maybe you carry a lot of tension in your pelvis and that causes nerve pain, constipation and hemorroids due to straining on the toilet, thus making the pelvic floor even more tight- a vicious cycle. This is just a layman's hypothesis as I am not a doctor and I don't know you, you should however see a specialist in gyno/uro to rule out illness and then go see a physioterapist who works with pelvic floor dysfunction.
Best wishes 🤟☺🤟
You're brilliant
I was a brick mason for 30 years doing a lot of heavy work on my hands and knees.
i herniated L4 5 S1 2 After that I started having bladder issues And when I kegel really hard It sends a pain from my left pelvis down to my right foot I have none toes on my right side I think those nerves are damaged also. When I'd have a bowel movement it would hurt on the left side for hours.
I'm retired now because of the pain it hurts me to drive it even hurts to plant flowers.
I had four doctors diagnose me with prostate pain diverticulitis prostatitis and they've given me at least 12 different track infection test none of which came back positive.
I was in physical therapy for 10 and 1/2 months they said it was a psoas problem, The doctor said BS gave me another track infection test and the doctor with two degrees could not tell me what it was, This is like the 8th doctor that I've had!
What does it sound like to you Please help
@@scottphillips2420 look into gonstead chriopractor they deal with nerves
What do u mean by an orthopedic? I’ve never heard of a pelvic orthopedic, do they exist or go by a different name? I’ve had tons of pelvic pt & used to have a pelvic pain speacialist
I got these symptoms after a cortisone injection in my symphysis joint, it just keeps getting worse. I was ok before, just sore in the joint in certain movements. Can you get this kind of neuralgia from an injection?
I am 28 weeks pregnant and this has been an ongoing pain since my 16th week. It has been getting worse and I’m tired of my doctor continuing to tell me it’s normal. This pain is crippling each morning I wake up and nothing seems to relieve the pain.
Stop sitting for too long try standing more often
@@howtodoit4204 Try taking turmeric pills and magnesium.
Avoid sitting on hard surfaces, use cut out pillow, take rest, don't get constipated, sleep or stand whenever you can. Please don't take turmeric pills during pregnancy as it causes uterus contraction.
What are the differences between hypertonic pelvic floor and pudendal neuralgia cause I am confused in which i might have since i have felt alot of symptoms but they have similar symptoms
they are very similar and treated the same way,pt,stretches,muscle relaxers etc....resistance excercises too help some people
Basically if you can sit without pain it's not PN but just problems with pelvic floor muscles
I hope that I can be fixed... Physical therapy hasn't done anything... Now on to pain management... :(
Leo If a nerve is being compressed or pinched, physiotherapist will aggravate the injury.
Do you have frequent urination as well?
@@chestyp0311 this is me as well. physical therapy has not helped at all.. i have frequent urination
Mackenzie Meador have you ever heard of a piece of self-myofacial equipment called the pso-rite? I have been using it for about three weeks now and have relieved a lot of the pain I have in my pelvic floor muscles. I feel as though it has reduced some of the urination due to the tightness in those muscles possibly compressing the pudendal nerve. However, because I tend to excersise those muscles a lot, its hard to tell if it would reduce it all together if I stopped working out. Its a catch 22. Here is a link, in any case, it's been worth it
pso-rite.com/?gclid=Cj0KCQiAtvPjBRDPARIsAJfZz0qgpelb0JYTpDEoxla6Fh1NEHwMR5u_sVa7QcCqeykdpS2jyh0jxnoaAs8nEALw_wcB
@@chestyp0311 how do you exercise those muscles a lot?
Pelvic floor psyio worked wonders for this, thank you
Do you have any words of wisdom?
The Argument can you give more details please.
Can i burn the pundendal nerve to get better,i’m so tired and frustrated about this pain😔😔😭😭😭
We would love to answer all the questions that come in however it becomes a liability to give medical advice without sufficient knowledge and questioning of your history and background.
The best we can help is via our video consult…the link is listed below:
calendly.com/hinashethpt/60min-non-local?back=1&month=2021-01
let me save you all 12 minutes and spark note this video for you: "see a specialist"
"spark note"??? As in light a match to the presentation or illuminate it for easy reference. I'm 70 years old, live in Alabama so now you know why I ask.
I have had two lumbar fusion surgeries and now the surgeon says I need another. After those two surgeries I was informed I needed both hips replaced.....two more mistakes. So please pardon a dumb question, but I'd rather ask than have another surgery.
😊 Thanks
Just saw a specialist and am back here:-(
I just wanna scream does this cause vaginal burning because I have this everyday along with tailbone pain 😒
Yes it does cause vaginal burning.
Are there any ways to tell if pudendal neuralgia caused by entrapment or not?
Have you had any luck in treating your symptoms??
Does this also cause numbness from the belly button down towards the vagina? I did have extreme pain in my pelvis two days ago but now it numb. also it feels like pressure every time I lay down.
I’m so sorry you are going through this and this is exactly why we are trying to educate on these subjects. We would love to answer all the questions that come in however it becomes a liability to give medical advice without sufficient knowledge and questioning of your history and background. The best we can help those who are not local to us (in Philadelphia, PA) is either via our online programs or a video consult. Both links are listed below:
We have a free 30 minute powerpoint to help you better understand what is going on on in both of these links below and if you feel the program can help then you can follow through with the program.
Online programs:
****Our Pelvic Pain Solution Program is
Male: bit.ly/3vBZBXP
Female: bit.ly/3eJf0yG
In addition, we have several other courses that can help with postpartum conditions:
C-Section Solution: bit.ly/3xG0r7z
Vaginal Delivery Solution: bit.ly/3t6BpLy
Video Consults:
60min Video Consult
calendly.com/hinashethpt/60min-non-local?back=1&month=2021-01
Emergent 60 min Consult:
calendly.com/hinashethpt/emergent-60-min-phone-consult?back=1&month=2021-01
I’ve seen a PT before and I have gotten 85% better. I am currently working on strengthening my muscles again and I feel it is making a difference.
My PT never touched on whether or not shoes/feet could have something to do with it. I have fallen arches, could this irritate my nerve ?
I’m so sorry you are going through this and this is exactly why we are trying to educate on these subjects. We would love to answer all the questions that come in however it becomes a liability to give medical advice without sufficient knowledge and questioning of your history and background. The best we can help those who are not local to us (in Philadelphia, PA) is either via our online programs or a video consult. Both links are listed below:
We have a free 30 minute powerpoint to help you better understand what is going on on in both of these links below and if you feel the program can help then you can follow through with the program.
Online programs:
****Our Pelvic Pain Solution Program is
Male: bit.ly/3vBZBXP
Female: bit.ly/3eJf0yG
In addition, we have several other courses that can help with postpartum conditions:
C-Section Solution: bit.ly/3xG0r7z
Vaginal Delivery Solution: bit.ly/3t6BpLy
Video Consults:
60min Video Consult
calendly.com/hinashethpt/60min-non-local?back=1&month=2021-01
Emergent 60 min Consult:
calendly.com/hinashethpt/emergent-60-min-phone-consult?back=1&month=2021-01
Is it possible that a Total Hip Replacement surgery cause pupendal nerve to be impinged?
I have had both hips replaced and that was not experiencing the burning eye now experience until after having both hips replaced. Beware!
I have a feeling of intense heat on the left side of the vulva and also the low buttock (sometimes spreads a bit down the leg). I also feel that the area is swollen or there's sth there.
Problem is that the symptoms matched with a bacterial vaginal infection (that was healed) and doctors keep on goin around it and repeating gynecology exams over and over again.
But the burning/heating happens only on the left side (gets worse after sitting for a long time or even lying down...just standing up straight seems to help but i Still feel the "fullness inflammation feeling".
I had to give up of my job abroad causs i couldnt stand it and i started to get depressed.
I feel like if i relay on doctors ill be in like this forever. help!
Where do you live?
That’s not prudential neuralgia. It’s classic genitofemoral pain/neuralgia. Google it. The genitofemoral nerve innervates your vulva, buttock and the inside of the top of your leg.
Omg I’m literally having the same issue. Did you ever find out the reason?
I know this is what I have I been in pain since 2014 no doctor can give me the right diagnosis I’m in pain 24/7
Have you seen a neurologist?
Elizabeth McLeod No but I will when I can make appointment. Now that I have a idea what’s it is. Last week my pain management dr gave me a shit in my nerves she went through my stomach it help for 5 days and now I’m back in pain
Good luck. I’ve not found the shots to last.
Elizabeth McLeod no the shot did not last. Know I know it’s a nerve issues. All the dr was treating me for my back and not nerves. I will be looking for a neurologist as soon the covid19 clears up. I’m so tired of this pain 24/7. Thanks so so such
Karla Joshua Goldman Good luck. Keep in touch. Ginger pills and turmeric might help you.
I started out having extreme pain in my right testicle and then a few weeks later I felt an extreme pressure feeling on the right side of my pelvic floor. doctor said the muscles on the right side of pelvic floor were extremely tight. The nerves in the pelvic floor on the right side or compressed so bad that my entire right side of the body from my right foot all the way up to my right ear tingle with numbness and electricity feeling. is this normal to have happen?
I’m so sorry you are going through this and this is exactly why we are trying to educate on these subjects. We would love to answer all the questions that come in however it becomes a liability to give medical advice without sufficient knowledge and questioning of your history and background. The best we can help those who are not local to us (in Philadelphia, PA) is either via our online programs or a video consult. Both links are listed below:
We have a free 30 minute powerpoint to help you better understand what is going on on in both of these links below and if you feel the program can help then you can follow through with the program.
Online programs:
****Our Pelvic Pain Solution Program is
Male: bit.ly/3vBZBXP
Female: bit.ly/3eJf0yG
In addition, we have several other courses that can help with postpartum conditions:
C-Section Solution: bit.ly/3xG0r7z
Vaginal Delivery Solution: bit.ly/3t6BpLy
Video Consults:
60min Video Consult
calendly.com/hinashethpt/60min-non-local?back=1&month=2021-01
Emergent 60 min Consult:
calendly.com/hinashethpt/emergent-60-min-phone-consult?back=1&month=2021-01
If the desire to have multiple bowel movements is due to pudendal nerve neuralgia , does one actually have a bowel movement each time one goes or is it just a feeling but no bowel movement ?
I’m so sorry you are going through this and this is exactly why we are trying to educate on these subjects. We would love to answer all the questions that come in however it becomes a liability to give medical advice without sufficient knowledge and questioning of your history and background. The best we can help those who are not local to us (in Philadelphia, PA) is either via our online programs or a video consult. Both links are listed below:
We have a free 30 minute powerpoint to help you better understand what is going on on in both of these links below and if you feel the program can help then you can follow through with the program.
Online programs:
****Our Pelvic Pain Solution Program is
Male: bit.ly/3vBZBXP
Female: bit.ly/3eJf0yG
In addition, we have several other courses that can help with postpartum conditions:
C-Section Solution: bit.ly/3xG0r7z
Vaginal Delivery Solution: bit.ly/3t6BpLy
Video Consults:
60min Video Consult
calendly.com/hinashethpt/60min-non-local?back=1&month=2021-01
Emergent 60 min Consult:
calendly.com/hinashethpt/emergent-60-min-phone-consult?back=1&month=2021-01
What suppository do you recommend for muscle relaxation and spasms?
I’m so sorry you are going through this and this is exactly why we are trying to educate on these subjects. We would love to answer all the questions that come in however it becomes a liability to give medical advise without sufficient knowledge and questioning of your history and background.
The best we can help those who are not local to us is either via our online programs or a video consult…both links are listed below:
We have a free 30 minute powerpoint to help you better understand what is going on on in both of these links below and if you feel the program can help then you can follow through with the program.
Online programs:
****Our Pelvic Pain Solution Program is
Male: bit.ly/3cbqPul
Female: bit.ly/3cdz1dp
Video Consults:
60min Video Consult
calendly.com/hinashethpt/60min-non-local?back=1&month=2021-01
Emergent 60 min Consult:
calendly.com/hinashethpt/emergent-60-min-phone-consult?back=1&month=2021-01
Anyone else suffer from this because of there si joint issues? 😞
I suspect that my sacrum sticking more out might cause this but all the ortho that I have seen keeps saying I was born with a sticking out sacrum. I believe it is muscle tissue related
Ha
Dr am having so much pain in my vagina area and rectal area runs down my legs and burning of my both feet
I understand that what you're going through is not easy and that cause some worry. We'd really love to help ease your worry! We can give you a specific physical therapy treatment plan catered to your body. We'd love to help you. You can get an appointment through the link below:
calendly.com/hinashethpt/60min-non-local?back=1&month=2021-01
This might help too:
****Our Vaginal Delivery Program is
www.rebalancept.com/vaginal-delivery-solution-sales-page/
Excellent video; it’s very informative!
I started having numbness around the vaginal & rectal area & thought it was sciatica at first, but after hearing about this, it makes A LOT of sense. I had exercised Friday, doing lower body strength exercises (IE side lunges, squats, etc) & that's when it started the next day. I'm hoping it's just irritation to the nerve (also treating UTI at the moment though as well with Cipro which scares me 'cause they say it can cause nerve damage, although I've taken it before & never had an issue like this). Gonna see a doctor soon or try to do some stretches/physical therapy at home & rest it to see if it gets any better. Thank you so much for the informative video!
AestheticStar
How are you now ?
I wonder if your UTI is truly a UTI! Pudendal neuralgia symptoms can mimic a UTI with frequent urges to urinate and urethral sensitivity! That’s how mine started. I got a few UTI pee tests during obvious symptoms and they both came back clear... after troubleshooting that’s what brought me to a PT specialist who suggested pudendal neuralgia and all the areas of pain checked out!! This was a huge helpful distinction for me. Just make sure you get a proper test for UTI. Best of luck!
Oh gosh, sorry, just realized your comment was from 11 months ago hahah whooops probably too late! Lol
@@laila_ewing_music Lol no worries for your response on my comment! I did have a really bad UTI at the time when I posted 'cause they did a test & said it was very significant & with what was going on (IE blood in urine) it definitely was infection. But I was dealing with weird feelings after things cleared up like you said with feeling like I had to go still & I still, on & off, deal with lower body discomfort but it's not anywhere near as bad as it was. I don't know if I aggravated a muscle in my lower back/glute region & it was putting pressure on nerves around there, but I feel 100% back to normal, just occasionally get flare ups if I overuse certain muscles or do certain exercises. I'm glad you found out what it was causing your issues & I hope it's manageable for you! Does your pain come & go, or is it just constantly there?
Im having numbness as well. Are you ok now?
I've developed areousal problem after I poop but not in a good way
I had surgery in this area over a year ago and ever since I have lost most of the sensation in my vagina. It has been numb ever since and I don't know how to fix it but it's really getting to me now. What would you recommend?
I’m so sorry you are going through this and this is exactly why we are trying to educate on these subjects. We would love to answer all the questions that come in however it becomes a liability to give medical advice without sufficient knowledge and questioning of your history and background. The best we can help those who are not local to us (in Philadelphia, PA) is either via our online programs or a video consult. Both links are listed below:
We have a free 30 minute powerpoint to help you better understand what is going on on in both of these links below and if you feel the program can help then you can follow through with the program.
Online programs:
****Our Pelvic Pain Solution Program is
Male: bit.ly/3vBZBXP
Female: bit.ly/3eJf0yG
In addition, we have several other courses that can help with postpartum conditions:
C-Section Solution: bit.ly/3xG0r7z
Vaginal Delivery Solution: bit.ly/3t6BpLy
Video Consults:
60min Video Consult
calendly.com/hinashethpt/60min-non-local?back=1&month=2021-01
Emergent 60 min Consult:
calendly.com/hinashethpt/emergent-60-min-phone-consult?back=1&month=2021-01
Are you better now?
I’m 42 I had a total abdominal hysterectomy in June of last year. The only thing left behind were my ovaries. I have no pain whatsoever until I have an orgasm. The pain is generally deep and goes up the right side of my vagina. I’m wondering if this could fall into the category of Pudendal neuralgia?
Same here,my pain is so much better than before but if i have orgasm,it flares up so bad.how are u doing now? Any changes?
great video thankyou! also you remind me a lot of the singer lea michelle from glee!
Just curious do you do initial imaging before you start someone on a program?
Imaging is not necessary as pudendal neuralgia diagnoses is more symptoms based and imaging does not confirm or not confirm…despite what others will say.
@@RebalancePhysicalTherapythank you, I’m So glad I found your channel 🙏
Hello , i have one question , i would like Know if the pudendal nerves is just compressed in alcook canal or if is the tissues that surround the nerve are swelling?
Did you know how much time are recovering from this surgery
Thank you for the answer
The surgery took me about a year to recover. Had I had it earlier, I believe I would have fully healed.
@Expensive stuff I didn’t heal well because a metal clip was left on my rectum. It was removed 2017. I needed a third surgery and it was done to remove a second metal clip that had migrated in 2018. I’ve been able to wean off three meds.
@@elizabethmcleod246 what surgery was this?
@@Djsoulful Decompression of my right pudendal nerve and right inferior rectal nerve.
@@elizabethmcleod246 what were your symptoms?
Hi, could it be possible that this condition could be caused from a herniated disc ? Thanks
It is very rare that it is the only reason but yes possible in contributing in my experience.
Hi... I have pain to the right side of my vagina since last one year....took so many medicine....Done two surgery in between...removal of chocolate cyst and hysterectomy but no relief....pain is increased with hip pain and rectum inflamation....I can not seet on my hip...(right side of my hip.)orthopedic Dr. Planing to give me Ganglion block injection is this pudendal neuralgia pain what I am having...Plz advice. .
My symptoms are worse only laying on my back, would that be pudendal or something else?
I’m so sorry you are going through this and this is exactly why we are trying to educate on these subjects. We would love to answer all the questions that come in however it becomes a liability to give medical advice without sufficient knowledge and questioning of your history and background. The best we can help those who are not local to us (in Philadelphia, PA) is either via our online programs or a video consult. Both links are listed below:
We have a free 30 minute powerpoint to help you better understand what is going on on in both of these links below and if you feel the program can help then you can follow through with the program.
Online programs:
****Our Pelvic Pain Solution Program is
Male: bit.ly/3vBZBXP
Female: bit.ly/3eJf0yG
In addition, we have several other courses that can help with postpartum conditions:
C-Section Solution: bit.ly/3xG0r7z
Vaginal Delivery Solution: bit.ly/3t6BpLy
Video Consults:
60min Video Consult
calendly.com/hinashethpt/60min-non-local?back=1&month=2021-01
Emergent 60 min Consult:
calendly.com/hinashethpt/emergent-60-min-phone-consult?back=1&month=2021-01
Thankyou😃
when i pull up my penis, and I lie on my front and give pressure on testis I feel a dull pain in in the groin and upper thigh pain, when i sit i feel tight in my hip to groin area , sometimes burning feeling pain all over my legs , toes, is it pudenal or piriformis nerve problem, can you tell me?
I’m so sorry you are going through this and this is exactly why we are trying to educate on these subjects. We would love to answer all the questions that come in however it becomes a liability to give medical advise without sufficient knowledge and questioning of your history and background.
The best we can help those who are not local to us is either via our online programs or a video consult…both links are listed below:
We have a free 30 minute powerpoint to help you better understand what is going on on in both of these links below and if you feel the program can help then you can follow through with the program.
Online programs:
****Our Pelvic Pain Solution Program is
Male: bit.ly/3cbqPul
Female: bit.ly/3cdz1dp
Video Consults:
60min Video Consult
calendly.com/hinashethpt/60min-non-local?back=1&month=2021-01
Emergent 60 min Consult:
calendly.com/hinashethpt/emergent-60-min-phone-consult?back=1&month=2021-01
You can see the english version video starting next monday look for : " pudendal nerve entrapment the solution"
Can anti depressants help with this and if there is which one should I take?
I’m so sorry you are going through this and this is exactly why we are trying to educate on these subjects. We would love to answer all the questions that come in however it becomes a liability to give medical advice without sufficient knowledge and questioning of your history and background. The best we can help those who are not local to us (in Philadelphia, PA) is either via our online programs or a video consult. Both links are listed below:
We have a free 30 minute powerpoint to help you better understand what is going on on in both of these links below and if you feel the program can help then you can follow through with the program.
Online programs:
****Our Pelvic Pain Solution Program is
Male: bit.ly/3vBZBXP
Female: bit.ly/3eJf0yG
In addition, we have several other courses that can help with postpartum conditions:
C-Section Solution: bit.ly/3xG0r7z
Vaginal Delivery Solution: bit.ly/3t6BpLy
Video Consults:
60min Video Consult
calendly.com/hinashethpt/60min-non-local?back=1&month=2021-01
Emergent 60 min Consult:
calendly.com/hinashethpt/emergent-60-min-phone-consult?back=1&month=2021-01
what is your opinion on pudendal nerve block? will i lose feeling in clitoris from this? i tried pelvic floor physical therapy in august, had success then and then went back in september and it started making the pain worse so we stopped sessions. the urogyn i see want to do a pudendal nerve block
should i maybe try to see another pelvic floor physical therapist?
They can help and if done properly with a good MD ...they should not create loss of sensation in the long run
Hi Sarah, how are you doing now? Did you visit another pelvic floor therapist?
I had kidney stones removed and ended up with chronic pelvic pain syndrome. I've got pain in my scrotum my bladder my anus my perineum my lower back my tail bone. Also when I pinch my belly in certain places I'm getting electric shock type pain. I hardly squeeze and it gives me this electric shock type pain. These pains in my tummy are really troubling me! Please help
Hi brother. Same happened to me. One thing is that you can take hot sitz baths it really helps. Do perineum massage. I'm trying to help people as I'm also going through this condition very badly. Do it for 3 days and let me know in the comments section so i can also tell my Doc's that yes a lot of people are suffering and it works
Im a male and have pudenal neuralgia and issues with my pelvic floor. Ive gone to PT for 6 months with no progress, and been to a highly rated osteopathic doctor and so far he has not been able to figure out why my pelvic floor keeps tightening back up. Im desperate, can anyone help me? Ive been in alot of pain for 2 years
have you been on any muscle relaxers and done stretches?
I am suffering from one year feel tingling sensation in penile its put me in depression got many treatments if any one have treatment please tell me
Will this cause bladder pain?
yes
I have PN. Best thing i did was found a qualified physical therapist to do internal releases.
wha are some tips he gave you? for someone who wants to try methods at home? please and thank you.
@@jgwentworth2696 The most important thing was the release from internal massage. You can get a tool that may let you release yourself. It is hard plastic and in the shape of an 's'. I am a "clencher" which is the worst thing to be when your have PN so I have to conscientiously not clench. "Reverse" keguls help me too. Nerves love to move so she has me doing a lot of stretching daily (also very important). Lastly, NEVER sit on hard surfaces, take your pillow with you, don't be embarrassed. You are trying to heal the nerve, not torture it! That last one if from experience. Hope this helps.
@@juliaswicked So you suffer from PN and clenching muscles in perineal area ?
@@KultureMania Yes, I have had for over 10 years. It's a constant battle.
@@juliaswicked I guess the pain from the PN clenches your muscles have you tried surgery for this? We have good techniques in France
I have been dealing with horrendous pain for 3 yrs... I think you just diagnosed me. What kind of a Dr. Can I go see to get this treated? I have been to an orthopedist..my obgyn and a proctologist. I have an anal fissure and struggled with hemorrhoids since age 13. I always thought this was from hemorrhoids because it would go away but 3 yrs ago it came back and never left. Pain is awful around my period. Nobody has been able to help me and I am starting to lose my mind...I'm 38 and can't imagine having this pain for the rest of my life. The pain runs all the way down my left leg to my heel.
Go to a site pudendalhope and find the closest physician on their website.
I have been to an Ortho and Obgyn with no help either, only bills. I thought the right Dr for this would be my Obgyn but read a comment someone saying they would see a Neurologist for this.
I have the same symptoms and I’m a 25 year old and a virgin because of this at least you got to live 38 is old as shit. I hate life I’ve had this for 1 year and it’s only gotten worst.
@@henrydenry9508have you gotten some relief?
If you treat the PN can you get sensation back?
We would love to answer all the questions that come in however it becomes a liability to give medical advise without sufficient knowledge and questioning of your history and background.
The best we can help those who are not local to us is either via our online programs or via our 60 min video consultation with Hina…both links are listed below:
We have a free 30 minute powerpoint to help you better understand what is going on in both of these links below and if you feel the program can help then you can follow through with the program.
Online programs:
****Our Pelvic Pain Solution Program is
Male: www.rebalanceptonline.com/pelvic-pain
Female: www.rebalanceptonline.com/female-pelvic-pain
Video Consults:
60min Video Consult
calendly.com/hinashethpt/60min-non-local?back=1&month=2021-01
Emergent 60 min Consult:
calendly.com/hinashethpt/emergent-60-min-phone-consult?back=1&month=2021-01
Can it cause burning in the perineum ?
Yes
yessss
I am suffering from one year feel tingling sensation in penile its put me in depression got many treatments if any one have treatment please tell me
I’m so sorry you are going through this and this is exactly why we are trying to educate on these subjects. We would love to answer all the questions that come in however it becomes a liability to give medical advice without sufficient knowledge and questioning of your history and background. The best we can help those who are not local to us (in Philadelphia, PA) is either via our online programs or a video consult. Both links are listed below:
We have a free 30 minute powerpoint to help you better understand what is going on on in both of these links below and if you feel the program can help then you can follow through with the program.
Online programs:
****Our Pelvic Pain Solution Program is
Male: bit.ly/3vBZBXP
Female: bit.ly/3eJf0yG
In addition, we have several other courses that can help with postpartum conditions:
C-Section Solution: bit.ly/3xG0r7z
Vaginal Delivery Solution: bit.ly/3t6BpLy
Video Consults:
60min Video Consult
calendly.com/hinashethpt/60min-non-local?back=1&month=2021-01
Emergent 60 min Consult:
calendly.com/hinashethpt/emergent-60-min-phone-consult?back=1&month=2021-01
It has ruined my life. Endometriosis surgery trigered this horrendous pain. I've had it since I was 24. I'm now 50 this yr. Don't see just any surgeon. Do your research. Unfortunately there are no surgeons who can j help me in my country. New Zealand is 20 yrs behind other countries tries when it comes to pudendal nerve entrapment. And the pain teams are even more backwards. God help me cause as I get older I'm loosing faith in this world.
@Jim Puzycki I tried Clonazepam but it just made me depressed. I occasionally take 1/2 5 mg tablet when my pelvis is really tight. I've also tried Baclofen,for muscle relaxation but it gave me the most vivid nightmares. Everyone reacts differently. Thanks for replying. Hope your day is going OK.
Jo, can you sit at all? Can you sleep?
Could you come to America for an evaluation?
@@elizabethmcleod246 I can't afford to get to America and I don't think I have enough courage to face a surgeon.
jo massey It might not be a surgeon you’ll see. Start with a urologist, gynaecologist and neurologist. There are some specialists in America, France, and Belgium that may know how to evaluate your case.
I'm on Gabapentin (Neurontin). 3600 mg a day. It has been a god send. I would be unable to function without it.
What about nerve hydro dissection injections?
Is it possible to see this in a MRI or something like that?
I’m so sorry you are going through this and this is exactly why we are trying to educate on these subjects. We would love to answer all the questions that come in however it becomes a liability to give medical advice without sufficient knowledge and questioning of your history and background. The best we can help those who are not local to us (in Philadelphia, PA) is either via our online programs or a video consult. Both links are listed below:
We have a free 30 minute powerpoint to help you better understand what is going on on in both of these links below and if you feel the program can help then you can follow through with the program.
Online programs:
****Our Pelvic Pain Solution Program is
Male: bit.ly/3vBZBXP
Female: bit.ly/3eJf0yG
In addition, we have several other courses that can help with postpartum conditions:
C-Section Solution: bit.ly/3xG0r7z
Vaginal Delivery Solution: bit.ly/3t6BpLy
Video Consults:
60min Video Consult
calendly.com/hinashethpt/60min-non-local?back=1&month=2021-01
Emergent 60 min Consult:
calendly.com/hinashethpt/emergent-60-min-phone-consult?back=1&month=2021-01
No mri does not usually show the pudendal nerve it’s a very hard condition to get a diagnosis which is another reason why it’s sucks so bad for many of us we don’t even get the closure we need to move on and improve
From where we buy this model
What can cause this? How long can this sharp shooting sensation last?
I’m so sorry you are going through this and this is exactly why we are trying to educate on these subjects. We would love to answer all the questions that come in however it becomes a liability to give medical advice without sufficient knowledge and questioning of your history and background. The best we can help those who are not local to us (in Philadelphia, PA) is either via our online programs or a video consult. Both links are listed below:
We have a free 30 minute powerpoint to help you better understand what is going on on in both of these links below and if you feel the program can help then you can follow through with the program.
Online programs:
****Our Pelvic Pain Solution Program is
Male: bit.ly/3vBZBXP
Female: bit.ly/3eJf0yG
In addition, we have several other courses that can help with postpartum conditions:
C-Section Solution: bit.ly/3xG0r7z
Vaginal Delivery Solution: bit.ly/3t6BpLy
Video Consults:
60min Video Consult
calendly.com/hinashethpt/60min-non-local?back=1&month=2021-01
Emergent 60 min Consult:
calendly.com/hinashethpt/emergent-60-min-phone-consult?
Anyone down for a class action lawsuit towards SoulCycle..?
What’s SoulCycle?
Please ihave question mri see us pudendal entrapment
It is very frustrating to have this pain, and i have some options that may help you during this time. We do have an online program that has helped hundreds of men suffering through this as well as online consultations with Hina. Here is our information:
We have a free 30 minute powerpoint to help you better understand what is going on in both of these links below and if you feel the program can help then you can follow through with the program.
Online programs:
****Our Pelvic Pain Solution Program is
Male: bit.ly/3cbqPul
Video Consults:
60min Video Consult
calendly.com/hinashethpt/60min-non-local?back=1&month=2021-01
Emergent 60 min Consult:
calendly.com/hinashethpt/emergent-60-min-phone-consult?back=1&month=2021-01
One day.Because that's psychosomatic problem.seek psychetric help.
I recomended psychetric drug but doc. guidence important.
1.Nortipan-M(pregabalin75mg,nortryptiline10mg,mecobalamin vit.b-12 1500mcg)
2.mirtazapine 15mg
3.duloxitine 30mg-30mg(60mg) gastroresitant sustain release
4.stalopram(esitalopram10mg+clonazapine5mg)
After pain go away reduce the dose.
Meditation+excercise eliminated that problem(Mentally not physically remember)
What happens if you have a weak pelvic floor?
TrixiesTreasures do kegel exercises
I think I have PN, Been suffering for a few years now, however no sharp shooting pains, more of a chronic burning pain.
UnionJxck me too
@@11Talltree How long for? I'm trying something called DCT now, google it. I'm hoping it works for me, but it takes months of hard work to start getting better
@@dawitshewangzaw2144 No, I've had it for years, but I'm now working on exercises that'll hopefully free up the pain. I have noticed changes since starting the exercises, but it's only a stronger tingling. They say the first few/weeks months it can get worse but then it's meant to get better. I'm only 6 weeks into the course so far and you're meant to do it for at least 6 months so we'll see how things go.
@@UnionJxck Update?
@@PenisSizeSurvey Sitting here, arse still on fire, however some more good days as of recent. I'm doing it for at least another 6 months, then I'll re-asses.
Kindly show stretches for relive pain
All of our stretches and self treatment is in our online program.
The best we can help is either via our online programs or a video consult…both links are listed below:
We have a free 30 minute powerpoint to help you better understand what is going on on both of these links and if you feel the program can help then you can follow through with the program.
Online programs:
****Our Pelvic Pain Solution Program is
Male: bit.ly/3cbqPul
Video Consults:
60min Video Consult
calendly.com/hinashethpt/60min-non-local?back=1&month=2021-01
Emergent 60 min Consult:
calendly.com/hinashethpt/emergent-60-min-phone-consult?back=1&month=2021-01
Hi Doc !
Please need your reply. It's been almost 2 years I'm in dying pain. Labs are clear everything is clear but I have pain which occurs specially after high protein sugar smoking or masturabation. It's shooting stabbing pain at the tip of penis. Please could you tell me is it a pelvic floor or peudendial nerve. Need your help doc ! I live in a third world country with half of my country in floods right now. Can't visit you. Please help !
I’m so sorry you are going through this and this is exactly why we are trying to educate on these subjects. We would love to answer all the questions that come in however it becomes a liability to give medical advice without sufficient knowledge and questioning of your history and background.
The best we can help is via our video consult…the link is listed below:
calendly.com/hinashethpt/60min-non-local?back=1&month=2021-01
Thank you so much for replying doc. I visited your website and honestly doc the fee's listed over there is my one month salary. I live in a third world country, Pakistan where we are going through massive crisis. I'm honestly telling you but I can't pay that much and I'm continuously in pain. Please if you could just give me 20 mins of your time so i can tell the doctor's back home that what's really wrong with me. I'm lossing the best days relationships of my life. I'm 27 and I'm loosing it. From the last 2 years I'm in the pain and right now I'm sitting in a small tub with hot water filled in it because there pain. A lot of pain. Just 20 mins so i can tell my Doc's that this is how we can treat this condition because they dont know what to do. I've lost around 16 kgs because I can't eat anything. No meat nothing. Please if you could help me. I promise I'll pay you the fees once I've that much money but it's almost more than my one month salary right now. I've to buy medicines and run a home in 350 dollars. I need your help, please.
i have mine because of scoliosis so doesnt that mean this isnt really chronic? cause pt can fix scoliosis right? or?
I have scoliosis and I am experiencing horrible pins and needles and pain in this area especially when touched and I am wondering this too and starting to experience my feet as well inner part it is ruining my lifee
So I am wondering this too !
Iam experiencing this condition . Could anyone help me
The best we can help is either via our online programs or a video consult…both links are listed below:
We have a free 30 minute powerpoint to help you better understand what is going on on both of these links and if you feel the program can help then you can follow through with the program.
Online programs:
****Our Pelvic Pain Solution Program is
Male: bit.ly/3cbqPul
Female: bit.ly/3cdz1dp
Video Consults:
60min Video Consult
calendly.com/hinashethpt/60min-non-local?back=1&month=2021-01
Emergent 60 min Consult:
calendly.com/hinashethpt/emergent-60-min-phone-consult?back=1&month=2021-01
In my case I believe the pain starts from some place from my low back..
Same, I think its from my si joints moving or my L4L5S1 area
Get a MRI
هل من احد يترجم الحل بالعربية شكرا
Can this cause pain in the inner thigh and low back
Yes, it can
I am the same
Can it cause buttock Or pricking pain near vagina and rectum
Either US GUIDE OR CT GUIDE HYDRODISSECTION CAN TREAT THIS PROBLEM
Simon Au what is hydro... And how do you know about this?
I have tried this and had mixed results. It flared up some pain but gave relief in some areas. perhaps it only targeted one branch. I'm not sure, i think i would like to maybe try again in combination with some of this physio. this condition is hell
Do you know anyone in the Bay area please
Hello i am suffering from penile numbness since more than a year, actually i was sitting on a PC at the corner of the wooden bed and one ay i felt numb penis so i got up and immediately the numbness returned back, but after. few days i felt electrical shock in my perineum and i lost my penile sensitivity , now my scrotum is numb and penis an poor erections , although i have errections but not like before and no taste in intercourse. kindly help me i need some exercises to get it back. i believe some nerves pinched actually i lso developed back issue so i developed paresthesias in the legs.
did you fix this problem already?
Can exercise to help it I can't afford to see a doctor.
Hi Mary,
Yes for those who cannot see us or afford to see someone we have created an online program that helps you step by step assess and treat yourself without techniques that we use on our own patients and educate them on. It is a little bit of an investment but minimal compared to what you would pay for in person or even in copays. Here is the link:
Our Online Program:
Female: bit.ly/2AhpaGn
I’m here because of shingles in that area. PHN pain now. It seems to be v e r y slowly getting better.
After shingles the only thing that work for me was Tramadol now I have the pain the phn and that area and runs to my sciatic nerve in my foot
Oh my God. I can't even imagine how painful that is. I had shingles on my back and I can still feel where it was, especially during stressful periods. How are you doing now?
can massage help this problem or muscle release
The best we can help those who are not local to us is either via our online programs or a video consult. Both links are listed below:
We have a free 30 minute powerpoint to help you better understand what is going on on in both of these links below and if you feel the program can help then you can follow through with the program.
Online programs:
****Our Pelvic Pain Solution Program is
Male: bit.ly/3vBZBXP
Female: bit.ly/3eJf0yG
In addition, we have several other courses that can help with postpartum conditions:
C-Section Solution: bit.ly/3xG0r7z
Vaginal Delivery Solution: bit.ly/3t6BpLy
Video Consults:
60min Video Consult
calendly.com/hinashethpt/60min-non-local?back=1&month=2021-01
Emergent 60 min Consult:
calendly.com/hinashethpt/emergent-60-min-phone-consult?back=1&month=2021-01