Hey, I've got someone emailing me about her condition. She's had PN symptoms that have come for good periods of time and then gone for long periods of time. This is the third time she's gotten them now. I've emailed Dr. Sheldon Jordan with her history (as written from her) and he's recommending a PN injection. However, she's got no money or insurance so I'm trying to find her someone who can give an accurate guided PN injection nearer to where she lives, which I believe is in or near New York city.
Thank you for your help.
Greg
PN Injection needed in the New York area
PN Injection needed in the New York area
Had surgery in Nantes, France in 2001 with Professor Robert. I advocate physical therapy with PTs who specialize in the pelvic floor. I also advocate injections to help diagnose PN and I am in favor of having PN surgery to release the nerve when the diagnoses points to an entrapped nerve.
Re: PN Injection needed in the New York area
Dr. Alan Leff does Botox into the OI muscle but I don't know about PN blocks. She could check with him.
http://www.painmanagementny.com/news_leff.html
She could also call Amy Stein's office and see if they know anyone. 212.354.2622
http://www.painmanagementny.com/news_leff.html
She could also call Amy Stein's office and see if they know anyone. 212.354.2622
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.
Re: PN Injection needed in the New York area
I live in New York and am not aware of anyone who does CT guided blocks -- I ended up going to Dr Jordon in LA. Dr Harris does unguided blocks.
prolonged sitting summer -- Vulvar Burning, Vulvadynia, Urinary Frequency, Lower Back Pain, Numbness in Foot, Pain when sitting, Hip Pain
1/12 90% Better after Pelvic Floor PT and 10 mg of Elavil
3/12 Potter MRI
4/12 MRI showed Labral Tears in both hips
4/12 Hip Injection with Dr Jordon -- some improvement
7/12 FAI and Labral repair Hip Surgery, Dr Coleman, HSS, 10/12-3/13 99% better!
3/13 Flared - present,
7/14 Ilioinguinal nerve block positive
1/12 90% Better after Pelvic Floor PT and 10 mg of Elavil
3/12 Potter MRI
4/12 MRI showed Labral Tears in both hips
4/12 Hip Injection with Dr Jordon -- some improvement
7/12 FAI and Labral repair Hip Surgery, Dr Coleman, HSS, 10/12-3/13 99% better!
3/13 Flared - present,
7/14 Ilioinguinal nerve block positive
Re: PN Injection needed in the New York area
I do not believe Dr. Leff does pudendal blocks. He does alot with botox injections to other muscles of the pelvis. He does not believe in surgery. I saw him about 4 years ago. The closest doctors for pudendal blocks to NYC would be Dr. Howard in Rochester NY or Dr. Conway in NH. Look on the dr. page for their contact information.
2/07 LAVH and TOT 7/07 TOT right side removed 9/07 IL, IH and GN neuropathy 11/07 PN - Dr. Howard
6/08 Obturator neuralgia - Dr. Conway 11/08 Disability, piriformis syndrome - Dr. Howard
4/09 Bilateral obturator decompression surgery, BLL RSD - Dr. Howard
9/10 Removed left side TOT, botox, re-evaluate obturator nerve - Dr. Hibner
2/11 LFCN and saphenous neuralgia - Dr. Dellon 2/11 MRI with Dr. Potter - confirmed entrapment
5/11 Right side TG - Dr. Hibner 2012 Left side TG - Dr. Hibner
6/08 Obturator neuralgia - Dr. Conway 11/08 Disability, piriformis syndrome - Dr. Howard
4/09 Bilateral obturator decompression surgery, BLL RSD - Dr. Howard
9/10 Removed left side TOT, botox, re-evaluate obturator nerve - Dr. Hibner
2/11 LFCN and saphenous neuralgia - Dr. Dellon 2/11 MRI with Dr. Potter - confirmed entrapment
5/11 Right side TG - Dr. Hibner 2012 Left side TG - Dr. Hibner
Re: PN Injection needed in the New York area
Dr. Howard would probably be best. Dr. Conway doesn't perform blocks. He refers patients to Dr. Quesada in Manchester, NH for them.nyt wrote: The closest doctors for pudendal blocks to NYC would be Dr. Howard in Rochester NY or Dr. Conway in NH. Look on the dr. page for their contact information.
Best of luck to your friend, Greg!
Kind regards,
Karyn
Ultra Sound in 03/08 showed severely retroverted, detaching uterus with mulitple fibroids and ovarian cysts.
Pressure and pain in lower abdomen and groin area was unspeakable and devastating.
Total lap hysterectomy in 06/08, but damage was already done.
EMG testing in NH in 04/10 - bilateral PN and Ilioinguals
3T MRI at HSS, NY in 09/10
Bilateral TG surgery with Dr. Conway on 03/29/11. Bilat ilioinguinal & iliohypogastric neurectomy 03/12. TCD surgery 04/14.
Pressure and pain in lower abdomen and groin area was unspeakable and devastating.
Total lap hysterectomy in 06/08, but damage was already done.
EMG testing in NH in 04/10 - bilateral PN and Ilioinguals
3T MRI at HSS, NY in 09/10
Bilateral TG surgery with Dr. Conway on 03/29/11. Bilat ilioinguinal & iliohypogastric neurectomy 03/12. TCD surgery 04/14.
Re: PN Injection needed in the New York area
Dr. Howard doesn't do the blocks either he refers you to Dr. Westesson who does them CT guided. Last I knew Dr. Quesada was doing them under fluoroscopy. If she doesn't have PN then either of these dr.'s would be able to figure that out. Dr. Conway will do the PNMLT but Dr. Howard does not do that testing due to the concerns over the accuracy. She would be in goods hands with either dr.
2/07 LAVH and TOT 7/07 TOT right side removed 9/07 IL, IH and GN neuropathy 11/07 PN - Dr. Howard
6/08 Obturator neuralgia - Dr. Conway 11/08 Disability, piriformis syndrome - Dr. Howard
4/09 Bilateral obturator decompression surgery, BLL RSD - Dr. Howard
9/10 Removed left side TOT, botox, re-evaluate obturator nerve - Dr. Hibner
2/11 LFCN and saphenous neuralgia - Dr. Dellon 2/11 MRI with Dr. Potter - confirmed entrapment
5/11 Right side TG - Dr. Hibner 2012 Left side TG - Dr. Hibner
6/08 Obturator neuralgia - Dr. Conway 11/08 Disability, piriformis syndrome - Dr. Howard
4/09 Bilateral obturator decompression surgery, BLL RSD - Dr. Howard
9/10 Removed left side TOT, botox, re-evaluate obturator nerve - Dr. Hibner
2/11 LFCN and saphenous neuralgia - Dr. Dellon 2/11 MRI with Dr. Potter - confirmed entrapment
5/11 Right side TG - Dr. Hibner 2012 Left side TG - Dr. Hibner
Re: PN Injection needed in the New York area
Oh! Thanks for the clarification, NYT! Yes, you're correct about Dr. Q doing them under flouroscopy.nyt wrote:Dr. Howard doesn't do the blocks either he refers you to Dr. Westesson who does them CT guided.
Dr. Conway doesn't do PNMLT's. He works with an Associate, Dr. Winefield who does (needle!) EMG testing.
Ultra Sound in 03/08 showed severely retroverted, detaching uterus with mulitple fibroids and ovarian cysts.
Pressure and pain in lower abdomen and groin area was unspeakable and devastating.
Total lap hysterectomy in 06/08, but damage was already done.
EMG testing in NH in 04/10 - bilateral PN and Ilioinguals
3T MRI at HSS, NY in 09/10
Bilateral TG surgery with Dr. Conway on 03/29/11. Bilat ilioinguinal & iliohypogastric neurectomy 03/12. TCD surgery 04/14.
Pressure and pain in lower abdomen and groin area was unspeakable and devastating.
Total lap hysterectomy in 06/08, but damage was already done.
EMG testing in NH in 04/10 - bilateral PN and Ilioinguals
3T MRI at HSS, NY in 09/10
Bilateral TG surgery with Dr. Conway on 03/29/11. Bilat ilioinguinal & iliohypogastric neurectomy 03/12. TCD surgery 04/14.
Re: PN Injection needed in the New York area
I had a CT guided PN block in NYC (Manhattan) at Dr. Kenneth Chapman's office. I found it through Dr. Coady's office. His contact info is below:
Dr. Kenneth Chapman
Manhattan Office
860 5th Avenue
New York, NY 10065
212-724-7246
Good luck!
Dr. Kenneth Chapman
Manhattan Office
860 5th Avenue
New York, NY 10065
212-724-7246
Good luck!
Started with vulva itching 2/11. Diagnosed as vulvodynia and then PN in 01/12. Progressed to sitting pain and constant burning. Received 4 nerve blocks with only temporary relief, did year of pelvic PT before being diagnosed with bilateral FAI and hip labral tears 7/12. Did orthopedic PT 1.5 years. 3/13 Arthroscopic hip surgery at HSS with Dr. Kelly. Take cymbalta and lyrica daily. About 97% better than worst point thanks to combo of surgery and meds. Yay!