TENS unit for OI muscle spasms and burning pain

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TENS unit for OI muscle spasms and burning pain

Postby Violet M » Sat Aug 31, 2013 10:53 pm

Posted this elsewhere but I thought maybe it should have its own topic too.

TENS unit was very helpful post-op for relieving OI (obturator internus) muscle spasm. OI muscle spasms irritate the PN and cause burning pain.

PT told me where to put the electrodes. I had two channels on the TENS unit so I could do both sides at once.

One electrode goes just medial to the bony prominence on each side of the front of your abdomen. (also known as the anterior superior iliac spine. http://en.wikipedia.org/wiki/File:Gray435.png (medial meaning towards the center of your body -- so the electrode goes just inside that bone that sticks out in the front/side of your abdomen.

The other electrode in that same channel goes near your top inner thigh, close to where the body meets the leg.

Is that as clear as mud? :lol: The important thing is to do it for at least 2 hours a day. I turned it up to where I could feel it but it wasn't painful.

It was a bit of a trick keeping the electrode sites from itching after awhile. I used them over quite a few times because the used ones weren't as itchy. Sometimes used paper tape to keep them in place since it is hypoallergenic but what worked best was to wear thigh shapers to keep them in place.
http://www.spanx.com/product/index.jsp? ... age=family

Thigh shapers also worked well to keep gel ice packs in place, btw.

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.
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Re: TENS unit for OI muscle spasms and burning pain

Postby flyer28 » Mon Oct 28, 2013 5:19 pm

My PT tried TENS in the same spot (approximately), and some Dry needling of piriformis and glutes, its 3 days ago, but I am feeling rather worse....
On the other hand, classical PT (intrarectal trigger points release) makes no flare-ups anymore.
My PT that there is direct link between trigger points in rectus abdominalis and genital pain. Have you heard about it?
summer 2009 - episodic pain in genital area, mainly after sex, then also after any other physical labour
early 2010- major flare-up, lasting 3 months, later almost complete resulion of pain
late 2010 - chronification of pain
february 2011 - ESCW wave. major flare-up of debilitating pain, lasting 5 months
february 2012 - diagnosed CPPS with irritation of pudendal nerve, hypogastric plexus block
june 2012 - dorsal nerve block made by prof. Aszmann, no relief
november 2012 - worsening of pain
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Re: TENS unit for OI muscle spasms and burning pain

Postby Violet M » Sun Nov 03, 2013 5:33 am

Flyer, I could not have tolerated the TENS unit before PNE release surgery. It was only effective for relaxing the OI muscle after surgery and that was at least nine months post-op after the nerve was starting to calm down.

Interesting about the rectus abdominus. I'd not heard that before. http://www.exrx.net/Muscles/RectusAbdominis.html I guess it seems plausible there could be a relationship since it controls the tilt of the pelvis.

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.
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Re: TENS unit for OI muscle spasms and burning pain

Postby flyer28 » Sun Nov 03, 2013 11:33 am

Violet thanks for the info.
I will not resume Dry needling and TENS, I feel this might be dangerous if I am entrapped. Flare-up is not so vigorous as it was after ECSW (my biggest mistake), but the worsening is on my right side predominantely (this is my worse side). I had some dry needling to both piriformis, and I still feel how tender my piriformis and glutes are (a week after treatment).
On the other hand, I dont have flare-up after PT, which I once had. Will continue with PT, but no more experiments with needles.
I still think that dr. Aszmann might be right, that my only pathology is in right dorsal canal, this is the place where all my problems started 4 years ago. I remember that during first visit at urologist, there was no spasmatic muscles, no painful prostate, only neuropathic pain at the base of penis and I still got the feeling that the pain is arising from "somewhere behind", exactly where dorsal canal is. Left side was pretty unaffected. I think that all further pathology is secondary, spasmatic muscles, painful prostate etc, to repetitive injury to right dorsal canal. I tried to contact dr. ASzmann for PSSD test and maybe I will try the blocks into Alcock. Dorsal nerve decompression is pretty risky business with a lot of failures, but sometimes I feel that might save my life.
summer 2009 - episodic pain in genital area, mainly after sex, then also after any other physical labour
early 2010- major flare-up, lasting 3 months, later almost complete resulion of pain
late 2010 - chronification of pain
february 2011 - ESCW wave. major flare-up of debilitating pain, lasting 5 months
february 2012 - diagnosed CPPS with irritation of pudendal nerve, hypogastric plexus block
june 2012 - dorsal nerve block made by prof. Aszmann, no relief
november 2012 - worsening of pain
flyer28
 
Posts: 219
Joined: Fri Mar 25, 2011 11:29 am

Re: TENS unit for OI muscle spasms and burning pain

Postby Violet M » Sun Nov 03, 2013 11:19 pm

It's a really tough decision, Flyer. I hope you find something that works. ;)

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.
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Re: TENS unit for OI muscle spasms and burning pain

Postby sadie » Fri Jan 03, 2014 11:26 pm

I saw the words "TENS unit" and though I would throw my hat in the ring and say that I i do not know what OI muscle spasms are... but I tried the TENS unit for a week or two on both sides of my bum for PGAD and it made thing quite worse . I heard this made other PGAD woman worse in the PGAD department too .
2007-2010 anitriptyline for PN, 2010 it caused severe dystonia
2010 PNB w steroids caused severe PGAD
11-2010 St Josephs NH. , ketamine drip, meds etc to stop nerve from firing, nothing worked
11-2010 - 3-2011 Elliott Hosp. Pain Manag. Center , 16 PNB w/ lidocane did not work
3-2011 bilateral TG surg., w/ Dr. Conway
12-2011 3TMRI, Dr. Potter, rt side nerve re-entrapped w/ scar tissue
3-2013 rt side re-do surgery w/ Dr. Hibner for PGAD
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Re: TENS unit for OI muscle spasms and burning pain

Postby Violet M » Mon Jan 20, 2014 11:16 pm

sadie wrote: i do not know what OI muscle spasms are... but I tried the TENS unit for a week or two on both sides of my bum for PGAD and it made thing quite worse . I heard this made other PGAD woman worse in the PGAD department too .


Obturator internus (OI) is one of the muscles that makes up the wall of the vagina. The pudendal nerve runs between this muscle and the levator ani muscle in the Alcock's canal. If you have pudendal neuralgia this muscle can be really tight and cause burning down your legs.

I agree about TENS units and PGAD. Before my surgery when PGAD was bad I could not use a TENS but it was really helpful after PNE surgery.

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.
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Violet M
 
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Re: TENS unit for OI muscle spasms and burning pain

Postby clo236 » Sun Sep 18, 2016 7:00 pm

Hi guys,

Did the flare ups from the tens ever calm down?? I put 1 pad on each bum cheek and the pain has rocketed to 8/10, could any daage have been caused if the pads were near the injured nerve

thanks
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Re: TENS unit for OI muscle spasms and burning pain

Postby Violet M » Mon Sep 19, 2016 3:15 am

Sorry to hear you are having a flare-up. I wouldn't recommend putting the pads right on or near the nerve. I expect it will calm down though. I tried a TENS unit before surgery and it caused flare-ups that eventually calmed down. Try some extra heat, ice, and pain meds for several days.

As I posted at the beginning of the thread, the TENS unit was helpful for me post-op. I think it was about a year post-op. It's probably best to check with your PT before trying it, to make sure you are putting the electrodes in the right place for you.

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.
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