At what point do you see Hibner or Marvel?

[Linds_1989]

When you've tried multiple things over the last 3 years, PT,RE, trigger point injections and nerve blocks, and just get progressively worse, is that when you consider going to see Dr. Hibner or Dr. Marvel? Like they are the "PN" docs in the US right? I saw Dr. Echenberg when things were much calmer in 2015. But now I don't feel like he is the person for me to see. Idk if I need nerves frozen, or some things else, I just don't know. Heard how negative the surgeries are. It would be nice to stay away from that... I already have mesh in me I don't want to have more surgery. Please help...

[April]

Hi Linds,

I've grappled with that too. If you're asking about surgery, I think a lot of people wait until they've exhausted all the other options and nothing has worked, including meds. If you asking about a visit for a specific procedure, I think a lot people do that after they've concluded they aren't going to get better with a change in lifestyle and healing over time. And if you're asking about a visit to just get feedback on MRIs (or to get MRIs done), I think a lot of people do that much earlier. I did it less than two years into the problem.

April

[Violet M]

My philosophy is similar to what April described. I got to a point where it was obvious conservative treatments weren't working and that's why I ended up going to a surgeon.

Dr. Hibner is an expert when it comes to mesh. A large part of his practice is related to mesh removal. You might want to read the interview I had with him. http://www.pudendalhope.info/node/110 You will need to scroll down to find the section on mesh.

Violet