Went back to the doctor yesterday--my main issue right now is rectal (and probably bladder) spasms. Levator-Ani Syndrome stuff.
He gave me a Nitroglycerin ointment to use: has anyone here tried this?
Nitroglycerin ointment
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Silas1066
- Beginner
- Posts: 59
- Joined: Sat Jan 03, 2009 1:16 am
Nitroglycerin ointment
Age: 38 | Onset Age: 32 | Symptoms: Frequency, the feeling of having to urinate right after voiding, pain in the penis—especially on the tip, dripping, urine retention, mild burning. | Helped By: Hot baths, exercise. | Worsened By: stress, caffeine, possibly diet.
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critthinker
- Senior Veteran
- Posts: 242
- Joined: Sat Dec 05, 2009 10:15 am
- Location: California
Re: Nitroglycerin ointment
Yes, I tried NTG .2% almost a year ago, when I developed an anal fissure that morphed into levator ani syndrome. I think what was hardest for me was figuring out exactly WHERE in the rectum to place the NTG. It's supposed to be pretty effective for fissures, and my colorectal surgeon recommended it for levator ani syndrome as well. Here are some suggestions I have for you:
--Myofascial trigger point therapy. I had much success with this.
--Sitz baths. Seems so simple, but it can be quite effective if you do it regularly (2-3x per day)
--Electrogalvanic Stimulation. I never tried this, but read some very encouraging reports about it. Might be difficult to find a medical facility at which they'll do it for you.
--Biofeedback. I just read a report (http://www.medpagetoday.com/PainManagem ... ment/19314) that suggested biofeedback can be quite helpful. Check it out.
I know of at least one study that indicated Botox did not work for levator ani, but to be totally honest, I went in for the procedure one day (last year), and the next day nearly all my rectal pain had vanished (unfortunately, I acquired an infection from the procedure that left me dealing with pelvic pain after the infection resolved).
--Myofascial trigger point therapy. I had much success with this.
--Sitz baths. Seems so simple, but it can be quite effective if you do it regularly (2-3x per day)
--Electrogalvanic Stimulation. I never tried this, but read some very encouraging reports about it. Might be difficult to find a medical facility at which they'll do it for you.
--Biofeedback. I just read a report (http://www.medpagetoday.com/PainManagem ... ment/19314) that suggested biofeedback can be quite helpful. Check it out.
I know of at least one study that indicated Botox did not work for levator ani, but to be totally honest, I went in for the procedure one day (last year), and the next day nearly all my rectal pain had vanished (unfortunately, I acquired an infection from the procedure that left me dealing with pelvic pain after the infection resolved).
Age: 27 | Onset Age: 26 | Symptoms: Pelvic pain (began w/ introduction into bladder/prostate of highly resistant strain of bacteria that was acquired via a Botox injection intended to treat levator ani syndrome) | Helped By: Paxil for anxiety, Trigger point release and trigger point injections, stretches, hot baths, Prosta-Q | Worsened By: Stress/anxiety, Sitting down for long periods,