Has anyone had injections using the technique described in this article?
https://pmc.ncbi.nlm.nih.gov/articles/PMC5034745/
Simplified technique for injection of Botulinum Toxin to Obturator
Internus muscle using ultrasound-guided nerve stimulation for
persistent pelvic pain
Susan Florence EVANS1 and Justin Matthew PORTER2
1Gynaecology, Pain Medicine, Pelvic Pain SA, Norwood, and 2Pulse Anaesthetics, Rose Park, South Australia, Australia
Lidocaine or Botox into the obturator internus
Lidocaine or Botox into the obturator internus
Last edited by 29Mari on Sat Mar 21, 2026 5:17 pm, edited 4 times in total.
PGAD began 2010. Left vulva deep pain&arousal. Lower left ab pain/tugging.
2020 PFPT failed.
2023: Prolapse surgery, More PT.
2024: Trigger point injections helped to some extent.
2025: Dry needling helps! Inconclusive nerve blocks. Potter MRI shows pelvic varices but no nerve entrapments.
2026: Success wth vein health supplement Diosmin&Hespiridin! It helps my PGAD.
2020 PFPT failed.
2023: Prolapse surgery, More PT.
2024: Trigger point injections helped to some extent.
2025: Dry needling helps! Inconclusive nerve blocks. Potter MRI shows pelvic varices but no nerve entrapments.
2026: Success wth vein health supplement Diosmin&Hespiridin! It helps my PGAD.
Re: Lidocaine or Botox into the obturator internus
I couldn't get the link to work. Is it working for anyone else?
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: Lidocaine or Botox into the obturator internus
Thanks I corrected the link.
https://pmc.ncbi.nlm.nih.gov/articles/PMC5034745/
https://pmc.ncbi.nlm.nih.gov/articles/PMC5034745/
PGAD began 2010. Left vulva deep pain&arousal. Lower left ab pain/tugging.
2020 PFPT failed.
2023: Prolapse surgery, More PT.
2024: Trigger point injections helped to some extent.
2025: Dry needling helps! Inconclusive nerve blocks. Potter MRI shows pelvic varices but no nerve entrapments.
2026: Success wth vein health supplement Diosmin&Hespiridin! It helps my PGAD.
2020 PFPT failed.
2023: Prolapse surgery, More PT.
2024: Trigger point injections helped to some extent.
2025: Dry needling helps! Inconclusive nerve blocks. Potter MRI shows pelvic varices but no nerve entrapments.
2026: Success wth vein health supplement Diosmin&Hespiridin! It helps my PGAD.
Re: Lidocaine or Botox into the obturator internus
I haven't had the procedure but I would be interested to know what the success rate is and how long the pain relief lasts. My understanding is that typically Botox only lasts a few months and since the procedure requires general anesthesia it makes you wonder how often you would have to have general anesthesia. If nothing else is helping it might be worth it, but you also have to consider whether you would want the pudendal nerve blocks that go along with it. Too many nerve blocks can be a potential problem, especially if they use steroids.
Violet
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.