blunt trauma to my bulbocavernosous

Welcome to HOPE. We have tried to provide a place for newcomers to make their introductions. We will try our best to make you welcome and guide you through our website and Forum and assist you as best as we can through any questions you have regarding Pudendal Neuralgia.

blunt trauma to my bulbocavernosous

Postby doug250 » Wed Feb 08, 2017 4:22 am

Hi I am a 40 year old male who had a worked my way up to pro level off road dirtbike racing by a ridiculous amount of training. Hour and a half a day at the gym 4 days a week and riding my dirtbike 3 days a week and squeezing in over 125 miles a week pedaling was the norm for me from 2009 thru 2014. My 2 sons put the brakes on the racing but I continued to train. I own a construction company and rebuild big old houses. I work my tail off. I have severe ADD but have used it to my advantage over the years. I have never had a problem with my pelvic reason or my back (besides the normal wear and tear aches on my back....

This past October while trail riding my dirtbike with a friend.... (Mind you we go very fast and ride aggressive. Heart rates at 150-175). I went from a standing position to a sitting but hit a bump that made the bike pop up and caught my riding pants with a very sticky seat cover. My genitalia got caught and pulled under neath me so far I sat on em as i smashed into my seat. There wasnt a lot of pain out of the gate but immediately I felt the need to keep reaching down and grab my pants and adjust myself. Then the pain came. About a week later it was one testicle... Then the other... then my shaft , Then my lower abdomen then the base and the sides i felt the need to urinate alot and more often then usual. The pain in my testicles became so bad I couldnt function... Then it all went away within like 3 days.
Fast forward a few weeks and it is now December I felt fine so I decided to go for a mountainbike ride 6 miles in I was feeling great then during some aggressive pedaling I felt a yank at the base of my shaft and that night I relapsed into the whole pain pattern again. This time it included ED symptoms. Then it felt like I was sitting on a golf ball every time I sat. I went to ER they sent me home. I had 2 separate ultra sounds... I went to 2 different urologist both said I would be fine. Pain didnt go away and after a week of it around Christmas it seemed to go away. I gave it a week or 2 and felt 100% So I went for a dirtbike ride felt great. Next day I went out again then out of nowhere while standing and riding I felt the bulge like a golf ball come back. Then the pain came back all over again!! This time my bulbocavernosus would spasm and tighten like a calve cramp and send me to the ground in tears! This happened 4 nights in a row. I went back to 2nd urologist who had me get a pelvic mri they said it was clear but that I had degeneration in my L5S1 and that I was showing signs of problems from my S2S3? dermatome? STill zero rectal issues... He ordered a lumber mri but insurance rejected it. So here I sit 1st week in Febuary My bulbocavernosus muscle still spasms but I have learned to message it down and have on my own found a great pelvic floor specialist who I just saw the other day and has me doing some relaxation techniques that I believ is helping the bulbacavernosus from going into severe spasm.. When I sit it sets it off and I often feel tickling feeling at the base of my peis in my urethra area? Urinating relives the tickling momentarily. I still constantly feel the need to adjust myself like it is getting caught between my legs which is weird but all other symptoms have gone away expect for that and my bulbocavernosus getting tight and a weird pressure sensation in the same area??? What do I do next I am getting run around from everyone. This is mentally straining on me. Work aggravated it as well. I feel as though when I initially hit the seat I hit so hard on the bulbocavernosus muscle that I traumatized it and the layer of floor muscles above it on my pelvic floor. I assume i damaged my pudendal nerve there also which would explain all my symptoms without the rectal issues because thast nerve branches off before going through the bulbocavernosus muscle???

I know this is a lot in a short burst as Im typing from the cuff but I need to know if I simply have a bruised muscle and aggravated my nerve which should heal in time???? Or do I have symptoms of PE or PNE??? LIke I said the lack of rectal pain is leading me to believe its not...
doug250
 
Posts: 4
Joined: Wed Feb 08, 2017 12:28 am

Re: blunt trauma to my bulbocavernosous

Postby Andy_Pablo » Wed Feb 08, 2017 12:41 pm

Hi Doug.

While not exactly the same causes, I tried to "man up" & power through my road cycling & weights regime after initial symptoms & ended up making myself almost bed ridden for over three & a half years, & counting. I am no doctor, & can only recount my own experiences, but I would strongly advise to stop any cycling, dirt biking & heavy lifting while you have any symptoms. If your symptoms are slowly improving over time, then it might just be a bruised nerve & as far as I know, that should heal itself, albeit slowly. Very slowly...

You should obviously keep talking to your doctors, specialists & pt, but please be aware that my diagnosis took over a year & a half, so this is usually not a quick fix... It took a specialist who knew all about the condition to know where to go next. He gave me Pudendal Nerve Blocks as a diagnostic tool & six months later I had surgery. Twenty months later & while there is slight improvement, I am still housebound most of the time. This is all because I tried to carry on after initial symptoms that were similar to yours.

I genuinely hope that your condition is manageable & you recover.

Regards, Andy.
Credula vitam spes fovet et melius cras fore semper dicit...
Andy_Pablo
 
Posts: 154
Joined: Sat Oct 11, 2014 10:27 pm
Location: Devon, England

Re: blunt trauma to my bulbocavernosous

Postby doug250 » Wed Feb 08, 2017 2:32 pm

I have stopped all cycling and dirtbiking. 5 weeks now.
Today I woke up 95% good and am currently at work climbing around this house im building.
I am currently breathing and focusing on keeping my pelvic floor muscles relaxated and am about 90% symptom free. I am gonna continue to do this and hope for the best
doug250
 
Posts: 4
Joined: Wed Feb 08, 2017 12:28 am

Re: blunt trauma to my bulbocavernosous

Postby doug250 » Wed Feb 08, 2017 3:03 pm

And Andy Im so sorry for you and anyone else who has this issue. I am a strong and mentally tuff man. These symptoms I have been having are easily the worst experience of my life. I have been thru a lot of trauma in the past. Lots of surgical steel has come and gone in my body over rhe years.
doug250
 
Posts: 4
Joined: Wed Feb 08, 2017 12:28 am

Re: blunt trauma to my bulbocavernosous

Postby Andy_Pablo » Thu Feb 09, 2017 12:24 am

Thank you Doug. It is a horrible injury & I would not wish it upon anybody.

It is excellent news that you are improving. I sincerely hope that you continue to improve & fully recover.
Credula vitam spes fovet et melius cras fore semper dicit...
Andy_Pablo
 
Posts: 154
Joined: Sat Oct 11, 2014 10:27 pm
Location: Devon, England

Re: blunt trauma to my bulbocavernosous

Postby Violet M » Thu Feb 09, 2017 5:21 am

Sounds like you are on the right track for healing, Doug.

I did the same thing Andy did -- kept exercising (weightlifting and elliptical machine) too long after the pain started. I mean....who ever heard of anything like pudendal neuralgia before? The possibility of such a disease never even occurred to me and I'm a nurse. :oops:

You are right about the inferior rectal branch of the pudendal nerve. It can come off of the main trunk of the pudendal nerve higher up than the other two branches -- the dorsal penile nerve and the perineal nerve.

I don't think there is any way to say definitively whether you have a bruised muscle and irritated nerve with a bit of neuralgia or whether you have a nerve entrapment. If I had to guess I would guess just a bruised muscle and irritated pudendal nerve that will heal and calm down over time but none of us can say for sure. It makes a lot of sense to just keep doing what you are doing with the PT since you are getting better and in the meantime avoid anything that might aggravate your symptoms. Time to find a new hobby, maybe?

Violet
PNE since 2002. Started from weightlifting. PNE surgery from Dr. Bautrant, Oct 2004. Pain now is usually a 0 and I can sit for hours on certain chairs. No longer take medication for PNE. Can work full time and do "The Firm" exercise program. 99% cured from PGAD. PNE surgery was right for me but it might not be for you. Do your research.
User avatar
Violet M
 
Posts: 5397
Joined: Mon Sep 06, 2010 6:04 am
Location: United States

Re: blunt trauma to my bulbocavernosous

Postby doug250 » Sat Feb 11, 2017 5:54 pm

So I got my confidence up and felt my bulbocavernosus and followed it deep into my peraniam. I found a knot and what felt like a wrinkle in muscle??
I massaged it for like 10 minites last night and all pain has vanished except for a slight itchy / tingling feeling
Almost a relief feeling. Today i checked again and only slighty felt a bump in bulbocavernosus. Massaged and immediately felt itchy tingling feeling
This along with my pelvic floor specialist i after 3 months think i have found my issue. The knot in the bulbocavernosus must have been there from original injury and was so far deep in my scrotum i never felt it.
This must have caused the strain on my pelvic floor which when i rode would strain everything aggravating my nerves including pudendal?
doug250
 
Posts: 4
Joined: Wed Feb 08, 2017 12:28 am

Re: blunt trauma to my bulbocavernosous

Postby Violet M » Mon Feb 13, 2017 4:04 am

Sounds like a plausible explanation, Doug. Hopefully you will be able to get the muscle to heal and everything else will also heal and calm down.

Violet
PNE since 2002. Started from weightlifting. PNE surgery from Dr. Bautrant, Oct 2004. Pain now is usually a 0 and I can sit for hours on certain chairs. No longer take medication for PNE. Can work full time and do "The Firm" exercise program. 99% cured from PGAD. PNE surgery was right for me but it might not be for you. Do your research.
User avatar
Violet M
 
Posts: 5397
Joined: Mon Sep 06, 2010 6:04 am
Location: United States

Re: blunt trauma to my bulbocavernosous

Postby Yargo » Thu Oct 12, 2017 7:48 am

HI Violet, if you got some trauma to the bulbocavernosous, how long does it take for these to self-heal? I think that I injured my bulbocavernosous during biking and I still feel pain after 6 weeks now. I also noticed that whenever I was awoken and urinated early in the morning, I could feel some strange discomfort in bulbos area that feels an urged to urinate again. This keep me awake until the morning. It's no fun considering I always awake to pee at 3:30am. BTw, didn't take any meds or went to PT because nobody in my place knows about these Pudendal thing. All I could do is just search the internet for the answer for this pain.. Btw, when I lay down in bed, I could feel some burning sensation ONLY in the left part of the groin and penis. The right part is just fine... Thanks
Yargo
 
Posts: 1
Joined: Thu Oct 12, 2017 7:08 am

Re: blunt trauma to my bulbocavernosous

Postby Violet M » Sat Oct 14, 2017 3:57 am

Hi Yargo,

I wish I could predict how long it will take to heal. I'm sorry, I don't know. You are staying off the bike, right?

The bulbocavernosus muscle is innervated by the perineal nerve which is a branch of the pudendal nerve. If it is just trauma with no entrapment hopefully it will heal. If there is an entrapment that is another story. You could try some alternating hot/cold sitz baths to promote healing.

Violet
PNE since 2002. Started from weightlifting. PNE surgery from Dr. Bautrant, Oct 2004. Pain now is usually a 0 and I can sit for hours on certain chairs. No longer take medication for PNE. Can work full time and do "The Firm" exercise program. 99% cured from PGAD. PNE surgery was right for me but it might not be for you. Do your research.
User avatar
Violet M
 
Posts: 5397
Joined: Mon Sep 06, 2010 6:04 am
Location: United States


Return to WELCOME CENTER

Who is online

Users browsing this forum: Bing [Bot] and 2 guests