Dr. Hibner and Dr. Aszmann?

This is an area to share and learn about new Medical Advances and Techniques where we can be educated and educate.
scaredgal
Posts: 153
Joined: Tue Nov 30, 2010 3:24 pm

Dr. Hibner and Dr. Aszmann?

Post by scaredgal »

Does anyone have any confirmation that Dr. Hibner is going to go see Dr. Aszmann to learn how to decompress the distal pudendal nerves?
User avatar
A's Mommy
Posts: 447
Joined: Fri Sep 17, 2010 12:46 pm
Location: Pennsylvania
Contact:

Re: Dr. Hibner and Dr. Aszmann?

Post by A's Mommy »

Ali told me he is flying to Vienna at the beginning of February.

Ali can confirm this.

Thanks :-)

AM
Daughter grew completely on left side of pelvis
Multiple uterine surgeries to fix uterine adhesions, septum, and endo
Had all the conservative workups done, 3Tesla (Potter), recovering from L sided TG (Hibner) 11/10, Botox 6/11 failed, bilateral anterior PNE decompression (distal Alcock's/perineal branch), Aszmann, Vienna, 10/11; dx'd with CRPS Type 2, 12/11, Ketamine @ CCF 2/12, doing 75% better PRAISE JESUS!
http://fighting-pne.blogspot.com
http://www.thepelvicmessenger.org
scaredgal
Posts: 153
Joined: Tue Nov 30, 2010 3:24 pm

Re: Dr. Hibner and Dr. Aszmann?

Post by scaredgal »

That's good news! How are you doing A's mommy - any improvements?
merrie
Posts: 114
Joined: Wed Oct 27, 2010 10:32 pm

Re: Dr. Hibner and Dr. Aszmann?

Post by merrie »

Dr Hibner also told me when I saw him at the end of December that he will be going to Vienna in early February.

Dr Hibner also told me he is actively working on various things re/ ketamine treatments and ketamine options for pn patients - so I suspect we may hear more about this as well in the coming months.

Merrie
PNE onset 9/2008
Weekly pelvic floor PT since 9/2008
Numerous nerve blocks 2008 - current (pn, s2-s4 epidurals, pelvic/lumbar/splanchnic sympathetic)
PRF s2,3,4 May 2009
Numerous hip injections and trigger point injections
Numerous rounds of botox (first 12/08 - most recent 5/13)
Hibner consult / Kalinkin MRI 11/10
PT with PHRC in May 2013
User avatar
A's Mommy
Posts: 447
Joined: Fri Sep 17, 2010 12:46 pm
Location: Pennsylvania
Contact:

Re: Dr. Hibner and Dr. Aszmann?

Post by A's Mommy »

Scaredgal -- I think I'm slowly improving. Surgery was the only option for me and I'm glad I had it done: I needed it. Dr. Hibner was the best choice in my opinion and now I just have to let the nerve heal. I am taking Lyrica 75mg 2x a day and just went to a pain clinic for the first time and she wants to start me on the lowest dosage of a Fentanyl patch because she said it is the least constipating of all the narcotics, and that the Percocet I was taking is short acting and not intended as a drug for chronic pain. I am also on Valium but I need that the most because I still have severe muscle spasms, but they have flipped now since the surgery. I believe they are all right sided now instead of left. However, my right side has compensated so long for the left sided pain that of course it's in spasm. My new PT even confirmed this on Tuesday (external exam only). I do admit I am a bit leary about the Fentanyl patch because it has such a stigma of "chronic pain" associated with it... but, I HAVE chronic pain. I told her I don't want to be on this forever, and as I heal, I want to try times without it. I want to be off all drugs and living a normal life. That is my goal. She did say some people have to live their normal lives on pain meds. If that ends up being me, so be it, but until then, I will still have my goal and faith of being completely healed and restored.

Merrie -- very excited to hear about the Ketamine treatments although I am not 100% familiar with this. I knew about him going to see Asmzann in February, also great news. He is so innovative. I love him. Didn't get a Christmas card from him though, so that made me a little sad :P
Did you have your appointment with him and/or Loretta? What's the scoop on that? What's your plan of action?

With love,
AM
Daughter grew completely on left side of pelvis
Multiple uterine surgeries to fix uterine adhesions, septum, and endo
Had all the conservative workups done, 3Tesla (Potter), recovering from L sided TG (Hibner) 11/10, Botox 6/11 failed, bilateral anterior PNE decompression (distal Alcock's/perineal branch), Aszmann, Vienna, 10/11; dx'd with CRPS Type 2, 12/11, Ketamine @ CCF 2/12, doing 75% better PRAISE JESUS!
http://fighting-pne.blogspot.com
http://www.thepelvicmessenger.org
RJR
Posts: 155
Joined: Mon Nov 15, 2010 11:26 pm
Location: Northern VA

Re: Dr. Hibner and Dr. Aszmann?

Post by RJR »

AM,
Glad to hear that your right side is OK, and just unwinding from the left's influence. Keep it up!
Your big brother in PNE,
RR
Cyclist till perineal pain onset R side (Apr'08). Dx with PN (Aug'09). Lyrica gave 30% pain reduction. Potter MRI (Oct'10) validated at surgery with Dr Hibner (Nov'10) - found nerve attached to scarred STL. Now sitting 10 hrs/day vs 1 hr/day pre-op. Occasional MRI-guided steroid injections by Dr. Jan Fritz at Johns Hopkins. Surgery video = http://www.youtube.com/watch?v=6FDwana6SQU

Deep neuropathic burning pain flares have been gone since surgery...Grateful to Dr Hibner.
merrie
Posts: 114
Joined: Wed Oct 27, 2010 10:32 pm

Re: Dr. Hibner and Dr. Aszmann?

Post by merrie »

I am currently scheduled for PNE surgery with Dr Hibner in August. Im still evaluating whether Im ready for that at this point from a number of perspectives. First, I have a young child who may possibly need major surgery in the near future which would require me to take significant leave from work to care for him and I will not be able to manage both surgeries this year financially or physically. Second, my local PNE and pain management dr is not on board with the surgery and I need him to be from a long term care and pain management perspective. I have an appt to discuss further with him in a few weeks.

Sigh

Merrie
PNE onset 9/2008
Weekly pelvic floor PT since 9/2008
Numerous nerve blocks 2008 - current (pn, s2-s4 epidurals, pelvic/lumbar/splanchnic sympathetic)
PRF s2,3,4 May 2009
Numerous hip injections and trigger point injections
Numerous rounds of botox (first 12/08 - most recent 5/13)
Hibner consult / Kalinkin MRI 11/10
PT with PHRC in May 2013
donstore
Posts: 463
Joined: Mon Nov 08, 2010 6:13 am
Location: San Francisco

Re: Dr. Hibner and Dr. Aszmann?

Post by donstore »

AM,
I started the same dose of Lyrica as yourself but noticed that It's not quite as effective as at the beginning. I can still feel the difference though, that's for sure. I am thinking about upping the dose and see what the benefits are versus the side effects (unnoticeable at the current dose). RR has been on 300 mg. per day with no problems and significant pain reduction. I have been taking 15-20 mg. of hydrocodone and 15-20 mg. of oxycodone (same as percocet) later in the evening per day as well as well as 2 colace per day for constipation. I have noticed that the big difference for constipation was fiber intake. When I am at home, I eat a BIG serving of fiber every day, usually broccoli, spring mix salad, or asparagus. When I was out of town for the holidays, I couldn't eat as much fiber and really noticed the difference. If you can hang with the a big pile of the rabbit food, it really cuts into opiate-related constipation. Best wishes for a speedy recovery.

Don
Mild to moderate PN for 5 plus years, pain controlled by lyrica and opiates.
Nerve block (unguided) 9/10 Dr. Jerome Weiss - sciatica for 5 months but got numb in painful perineal/scrotal area - he diagnosed entrapment - but no more cortisone for me
Potter MRI 5/11 - rt STL entrapment of PN at Alcocks
Consult with Dr. Hibner Feb. 2012
Bilateral inguinal hernias diagnosed by dynamic ultrasound - surgery on 6/20/13
Feeling a little better, a few more months will tell
scaredgal
Posts: 153
Joined: Tue Nov 30, 2010 3:24 pm

Re: Dr. Hibner and Dr. Aszmann?

Post by scaredgal »

Hi A's Mommy,

So glad to hear you are improving! It's too slow isn't it? At least you have the surgery behind you now - I wish I did.
User avatar
A's Mommy
Posts: 447
Joined: Fri Sep 17, 2010 12:46 pm
Location: Pennsylvania
Contact:

Re: Dr. Hibner and Dr. Aszmann?

Post by A's Mommy »

Donstore,

I feel the same way about Lyrica --- like I want to go up on it. Unfortunately, I'm still in the process of trying to get it approved by my insurance, so I have about one week of samples left from my PCP. It does tone down the nerve zaps though. I feel them but they aren't as earth shattering.

I just ACHE down there... that's the best way to describe it. An intense ache. That's the primary symptom. Combined with random nerve zaps, vaginal burning, vulvar tingling, and sacrum pain.

Scaredgal,

Yes, thank God I am behind surgery. I hope I never have to have the right side done. I can't imagine this any longer. I hope PT solves my problem w/ the right.

AM
Daughter grew completely on left side of pelvis
Multiple uterine surgeries to fix uterine adhesions, septum, and endo
Had all the conservative workups done, 3Tesla (Potter), recovering from L sided TG (Hibner) 11/10, Botox 6/11 failed, bilateral anterior PNE decompression (distal Alcock's/perineal branch), Aszmann, Vienna, 10/11; dx'd with CRPS Type 2, 12/11, Ketamine @ CCF 2/12, doing 75% better PRAISE JESUS!
http://fighting-pne.blogspot.com
http://www.thepelvicmessenger.org
Post Reply

Return to “MEDICAL ADVANCES & EDUCATION”