Pudendal Nerve Entrapment?

[thebattler]

Hi

I have suffered now for over 9 months with the usual symptoms of urinary frequency, urinary urgency, pain in my lower back and sides and severe pain in the tip of my penis and my perineum.

I have read Headache in the Pelvis and I am currently beginning the Protocol as outlined in the book albeit at home and not in the USA.

I wondered what your opinion was on PNE. I only have pain in my penis when I sit down. The pain is like a stabbing sharp burning pain at the tip and almost always disappears when I stand up. In addition the pain is less if I sit on a cushion/soft surface than a hard surface where the pain is very bad.I have lower back pain but I wondered whether that was due to an associated muscle spasm due to the pain in my penis.

I have a very specific trigger point on the right hand side of my perineum that when pressed seems to refer pain to my penis and it sems to make my tendons/muscles spasm back or jump back in my perineum. I have had nerve injections but they have not helped. My MFR specialist who I see feels that it is PNE but I am aware that this is condition is very rare.

I find that squatting really helps and often gives me 30-40 seconds of pain relief when I stand back up. There is no doubt that I have a muscle spasm in my perineum because I can feel it snap and tighten towards the end of my urination.

Sometimes I wonder if I am in denial about chronic prostatitis / chronic pelvic pain syndrome and am almost wanting it to be PNE?!

I would really welcome your thoughts as I have to go back to my urologist/pain management specialist next Tuesday?

Keep right on with the good work.

The battler

[webslave]

Treat it as common-or-garden CPPS/pelvic myoneuropathy until you find none of the strategies we use helps. Going the PNE route is a last resort and only if you have very specific symptoms.

[NoMoPain]

I believe PNE is a bogus (incorrect) diagnosis. I know Dr Wise thinks so too.

Trigger points and restrictions can certainly constrict the Pudendial Nerve, but again the Trigger points and restrictions are the source of the problem.

This is the same principle of Sciatica, where Piriformis trigger points can pinch on the Sciatic nerve. Work on the Trigger point and restrictions.

Unfortunately most of the "all knowing" Medical Doctor's do not subscribe to the idea of trigger points, so they cannot point you in the right direction.
How ironic that Trigger points were discovered by a Cardiologist (Janet Travell, MD) and can be empirically verified to exist, but most MD's simply refuse to recognize them -- Most likely a byproduct of their education which is heavily influenced by the Pharmaceutical industry.