Notes on Violet’s Conversation with Dr. Barry Jarnagin – March 24, 2017 Amniotic Injectable Allograft Overview: Over the last two years, Dr. Barry Jarnagin, M.D., FACOG of the Center for Pelvic Health located in Franklin, Tennessee has been treating women with pudendal neuralgia using a commercially available amniotic injectable allograft. Dr. Jarnagin has submitted a… Continue reading Amniotic Allograft Injections
Category: Treatment Options
“Sometimes there is no perfect answer/ideal solution to life’s problems and we just have to make the best decisions we can after thinking things through.” ~ Alan, pudendal neuralgia patient
Botox
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Cryoablation
Interview with Dr. J. David Prologo, Director of Interventional Radiology Services at Emory Johns Creek Hospital and Assistant Proferssor at Emory University June 2018 Violet: Please describe the cryoablation procedure for a patient with chronic pelvic pain due to pudendal neuralgia (PN). Dr. Prologo: The cryoablation procedure has evolved over the last 4… Continue reading Cryoablation
PN Blocks Australia
Nerve block procedure: WHRIA (Women’s Health & Research Institute of Australia) Prof. Thierry Vancaillie. Oct. 2011 A study on the ‘natural history of pudendal nerve block’ which we recently finished (a manuscript has been submitted for publication last month) shows that there is substantial improvement in at least 40% of the patients. And that is… Continue reading PN Blocks Australia
Approved Exercises for People with PN
These are exercises that are generally approved by most PNE doctors but please check with your physician and physical therapist to make sure they are acceptable in your case. Walking Walking is considered to be a safe exercise for people with PN or PNE. Walking on an incline is not recommended as it makes the gluteus… Continue reading Approved Exercises for People with PN
Bicycling Neuropathy
Introduction The paresthesia, numbness, or pain in the genital area associated with bicycling is often called “cyclist’s syndrome”. It may affect avid cyclists or amateurs. Scientific articles on the topic discuss both the hypoxia associated with compression of the blood vessels and compression of the pudendal nerve from pressure put on those areas by the bicycle saddle.… Continue reading Bicycling Neuropathy
Constipation
Constipation — One thing to Avoid! One of the possible causes of pudendal neuralgia is frequent straining from constipation. The theory is that if you are constipated and you strain to have a bowel movement, the pudendal nerve may be damaged due to a stretch injury. Avoiding this complication can be difficult for many with… Continue reading Constipation
Intrathecal Pain Pump
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Exercises PNE Patients Should Avoid
Squatting, Cycling, Piriformis stretches, Gym work outs, Stair Master, Ellipse, Exercise cycle, Lifting, Bowling, Ab crunches, Leg presses, Pilates, Step aerobics, Yoga, Skiing, Sit-ups, Jogging and Spinning. There may be more exercises that we have not discussed. Use your best judgement. Usually people with PN, after doing any of the exercises above, will have pain… Continue reading Exercises PNE Patients Should Avoid
Sitting and Bending
1. Sitting and Bending Sitting Why should sitting be avoided? Professor Robert describes what happens when a person sits: “The course of the nerve is thus very special. It successively traverses three very different regions, describes a curve which drags it around the region of the ischial spine, which it straddles like a violin string on its bridge.… Continue reading Sitting and Bending