I'm a bit lost... what is the difference between the two and if there is damage what function is lost?
TIA
Hey all!
For sympathetic innervation of the abdomen and pelvic viscera, are the preganglionic and postganglionic axons both splanchnic nerves?
What do the Vagus and Splanchnic nerve do for the stomach and intestines?
I am 5’10, 169 lbs, and African American. I was in a car accident a month ago and among my many injuries was a broken pelvis. I received internal fixations. On December 10, I started experiencing excruciating nerve pain at the bottom of my foot. It felt like someone was slicing the bottom of my feet and toes with a knife. They increased my dosage of Gabapentin from 300 mg a day to 900 mg a day. While it has helped a little, I still feel the nerve pain. So, I was wondering if there was anything else you guys would recommend doing to take the pain subside kore? I am nearly crying in pain daily and I have been to the doctor’s twice for a shot of Toradol for the pain. I am not smoking or drinking at the moment. Please help me, as I am getting desperate.
I have had mild ED and perineum and sciatica irritation for 3-5 years from sitting too much, but never once experienced a sudden injury or excruciating pain that people talk about, just pudendal discomfort that gradually worsened over the years to the point where the pain is now moderate and goes along with tingling and occasional spasms. Can **permanent** nerve death ONLY happen from a sudden severe injury, or can it even happen from extended irritation for many years? I don't know how nerve work and always assumed a nerve would have to be suddenly and violently injured to cause any amount of irriversible nerve death, but my nurse told me its possible for long term nerve strangulation to cause some permanent nerve death even if there was never excruciating pain or sudden blunt injury.
My PT said it may be a couple months before my nerve becomes loose enough for PT exercises and I should only stretch right now, but stretching and breath work alone isn't calming down my nerve fast enough. How can I relax and loosen the pelvic floor while also giving the pudendal nerve proper rest and nutrition to heal once it becomes less tight?
From what most people on here have told me, pelvic floor tightness needs to be addressed before pelvic floor weakness, and its better to do stretching for several months and then move on to kegels once its no longer too tight. But how about hip and glute stability exercises? Should I also wait several months before doing them? Or are they less harsh on the nerve? For me, both kegels and hip exercises inflame the nerve, but kegels inflame it about 4 times more, whereas hip stability exercises just cause a mild ache and spasms that don't last long, unlike kegels, which can cause pain even the next day. Is mild perineum pain from exercise ok as long as it helps stabilize the perineum in the long term?
My symptoms of peripheral nerve pain started after a very invasive pelvic surgery. It can’t be that uncommon, is anyone else in the same boat?
The reason why this is so important is many physical therapists have said that nerve entrapment in the Alcock's Canal is similar to other areas of entrapment, but can have different symptoms and can be harder to rehabilitate vs other areas where the pudendal nerve can be entrapped. So I'm wondering if different exercises or stretches are necessary vs other types of nerve entrapment?
The way I see it, I either have endo on my leg nerves and/or spine OR I have MS.
When I have a flare up, my legs burn and feel tighter and tighter until it feels like they’re being crushed. I’m laid up unable to sit up or walk, then it’s gone in 1-4 weeks and everything is normal for a month or 3.
I have already been diagnosed with stage 4 endometriosis AND got an excision surgery done. I’ve read up on pelvic floor weakness and don’t think I have that. I also don’t have sciatic pain at all. My hips and butt are unaffected. I’m so sad and stressed that I’m still in a level of pain that doesn’t allow me to work without losing a job due to absences.
Did anyone have endo grow on their nerves? What was done? Is it a surgical solution?
I heard it’s really rare for endo to leave the pelvic region. Has anyone had that happen?
Hard flaccid is pelvic floor tension myalgia or sacral plexus / pudental nerve neuralgia
Both of them can cause damage to nerves and both have same protocol to treat it which i described below
Very effective is for me TENS and rectal massage, as well rectal vibrator, swimming, duloxetine, sauna
See my post here with steps https://www.reddit.com/r/erectiledysfunction/comments/p4xglj/10_months_of_pelvic_floor_dysfunction_ed_and/
1 year, and finally a lot of improvements
TRY IT! Some tips for tens (I ordered Tens machine and placing by myself on lower back just above ass (see in link above) + on feet, but I found very helpful to place electrode one just above coccyx and one on left side or right side of perineal body (adjust power by yourself, should not be burning or a lot of tigglings) - after that I have 60% improvement after 3 days in comparison to the status before.. Moreover all these symptoms now i understand are with nerves , when I stimulate sacral , pudental nerves and perineal body i feel all nerves on penis which always are panful and I was thinking it is bacteria. That is so pleasure to do it. Why I did not try it earlier??? I ordered machine 8 monthes ago but was afraid , now I understand how stupid I am
PS WHAT TO AVOID! CIALIS AVOID! PENILE PUMP THERAPY AVOID! A LOT OF MIXED SUPPLEMENTS AVOID! STANDARD KEGELS AVOID! RUNNING A LOT AVOID (BETTER SWIMMING + HYDROMASSAGE OF LOWER BACK + PELVIS!
PSS About bacterias - as you cant normally feel that you wanna pee, urine is left in you longer and it can cause some issues with bacteria. So , I would suggest you to have urine calendar + take D Mannose + drink 3 litrs of after per day at least (but dont before bed).
PSSS in meanwhile do MRI of poelvis with tractograhy + MRI lower back + colonoscopy in diagnosis aims and to exlude rectal cancer, lower back issues. TRactography cn show currecnt state of peripheral nerves - a lo of neurogist ignore it, find normal neurologist
Post created after personal experience with bad therapies and good therapies, and after consulting with 59 doctors for last 1 year and reading tons of info in english, german, russian, polish, turkish, doing hundreds of blood, urine, sperm, non inavisve diagnostics tests MRI, CT, USG etc
Has anyone here recovered from pudendal nerve entapment?
I’ve posted in here a couple times describing my issues, but to recap: I had surgery in September 2020 for suspected endo. My surgeon did find a small amount and burned it away. The following month I started having lower left pelvic pain that impacted my bladder/pressure and urethral/clitoral “shocks” that were TERRIBLE. Everytime I would pee, the shocks would then follow for 15 mins to an hour. I honestly feared going pee. I was told her to see a pelvic floor therapist and have gone for 6 sessions so far. She has changed my world. I can’t thank this group enough for giving me guidance and the push to go see one. I’m still experiencing some pain/pressure here and there and much smaller shocks if I get up to pee before bed, etc but nothing like before. My PT suspects I have a pudendal nerve issue. She thinks from my endo surgery (and my previous galbladder and appendix surgeries) that the adhesions beneath the skin have fused on to parts of the muscle, some of which are tugging and putting pressure on the pudendal nerve. She’s been doing tons of abdominal and pelvic massage to loosen the adhesions and that has helped tremendously. She’s also done a great deal of internal work, loosening the level 2 muscles near the urethra. Still a lot of work to be done, but wondering if anyone else is dealing with a pudendal nerve issue and how you’ve coped and moved forward? Thanks!
I was diagnosed with PFD, and have recently started PT. They say my muscles are extremely tight. My question is for those of you who have this do you experience itching in your vaginal or anal areas? I know tight pelvic floor can irritate the nerves so I don't know if my itching is from nerve irritation or something else. I'm currently awaiting patch testing for the itching but would appreciate any thoughts/experiences.
I have a veeery "weak tense" pelvic floor and due to that the Hard Flaccid Syndrome since over 3 years.
I have in additon a occult tethered cord (since my birth I guess) and I can get a surgery for this, but I am very unsure if a lumbar spine nerve (this nerve is connected to the PF) surgery can worsen the pelvic floor while its in this state.. The doc doesn't have knowledge about the pelvic floor/-syndrome.
Has anyone had an surgery on their lumbar spine/-nerve, while he/she had a chronic pelvic floor syndrome/problems?
It's been 1 year of chronic pain and I can't fathom living like this for the rest of my life. I've seen 1 doctor and 1 urologist and between them not caring about my situation and being prescribed ibuprofen for 1 month, the pain remains the same. 1st ultrasound I was told I had bilateral epididymitis, 2nd ultrasound a few months later came back perfectly normal, though pain still remains.
My pain comes only when I'm sitting or lying down. If I'm standing or walking, I barely feel any discomfort. If I'm lying flat on my bed, and I bend one of my legs up towards me (while crossing it under my other leg) I feel something in my scrotum "tingling". I don't know if it's the nerves, the veins or other "wiring" but it's like something is moving that shouldn't be. Also, if I really focus on where the pain is coming from, it's not only my scrotum, but there's also something not 100% right in my glutes/upper legs. Something important to mention is my chronic pain was caused by doing squats everyday for a number of weeks.
Something else worth mentioning is when I masturbate, my pain disappears. I could be touching myself for 1 hour and not feel any pain, even while I'm sitting. But I've read a lot of people say masturbating makes their pain worse.
From my symptoms, would pelvic floor physio actually help me or is a nerve block/potential spermatic cord block my only option? Thank you to the community and keep the faith everyone.
I have posted a lot on here over the past month. My PT says that I have improved and I can feel that as well, my prolapse has improved some as well. My bigger issues are now located in the anus. She prescribed me Diclofenac (that one seems pretty harsh - any one take that one?), A suppository of Valium, Baelofen & Gadapentin, and a med for overactive bladder. She would also like to do some trigger point injections (I am worried about those as well). What has really helped has been the PT, anxiety meds and relaxation (big time) and heating pads. I think that getting the anxiety under control is key and then hopefully the muscles and nerves will follow suit.
For the traumatic chronic pelvic pain sufferers with hard flaccid. Jelqer, kegeler, masturbator.
The traumatic event causes the pelvic floor to go into a permanent contraction. It is ALL the muscles, not just the ischiocavernosus.
Postural or gait abnormalities, skeletal asymmetry, and prolonged sitting may trigger symptoms in some individuals. Because the lower extremity, hip, abdomen, pelvis, and spine are a connected kinetic chain, any dysfunction along this chain may cause overcompensation and dysfunction of other associated muscles.20,21 A recent, small, blinded, prospective study of women with chronic pelvic pain showed a higher frequency of abnormal pelvic musculoskeletal findings (eg, asymmetric iliac crests) in those with pelvic pain compared with controls.21
Several recent studies have demonstrated neural “cross-talk” between pelvic organs, which, while necessary for normal physiologic regulation of bowel, bladder, and sexual function, may explain why shared painful symptoms of the rectum, bladder, and pelvic and adnexal structures might develop.16-18 The underlying mechanism for this phenomenon is poorly understood, but it may be mediated by the peripheral and central nervous systems.19
Recognition and Management of Nonrelaxing Pelvic Floor Dysfunction
Digital palpation of the pelvic floor muscles is used to assess contraction and relaxation and to evaluate pain. External palpation of the urogenital triangle (Figure) includes the ischiocavernosus, bulbospongiosus, and transverse perineal muscles and the perineal body. Assessment of muscle tension and tenderness of the urogenital triangle is especially important in women with dyspareunia.
The deeper muscles include the pubococcygeus, puborectalis, and iliococcygeus, known together as the levator ani, and the obturator internus on the lateral pelvic wall (Figure). Pelvic floor muscles are assessed for tenderness, tone, contraction, and relaxation through vaginal and rectal digital palpation.30 The strength of a pelvic floor contraction can be classified subjectively as absent, weak, normal, or strong after asking the woman to squeeze around the palpating finger. Relaxation is assessed after attempted voluntary
After the traumatic event it sets up a pain experience that persists long after the initial stimulus is gone. Hence chronic pelvic pain.
Consistent with clinical experience, a meta-analysis showed a significant association between sexual abuse and a lifetime diagn
... keep reading on reddit ➡
I tore my ACL in my right knee about 5 years ago and while I've had a full recovery after surgery, I've always thought my right hamstring has been tight ever since. Fast forward to 2020 and my pelvic pain/issue start in May and I've been dealing with them ever since. I've noticed that my "hamstring tightness" seems to include glute pain and the occasional low back pain. After reading a bit online, I'm thinking I may have been having sciatic nerve issues rather than a tight hamstring.
Anyways, fast forward to this week, I've been doing sets of 3 sciatic nerve flosses daily and it feels like it's been a pretty big relief. I'm just curious if anyone else has had something similar.
33 year old female, 5’6” 170 pounds. I live in the UK but am from the US originally. I am currently on methylphenidate hydrochloride 20mg three times a day and 40mg Amitriptyline at night for my nerve pain that has yet to be diagnosed.
I was in a severe car crash 18 years ago. I fractured my pelvis multiple times and had two titanium rods inserted. I also had an external fixator for a couple months.
One of the screws broke a couple weeks after surgery due to hospital error. My pelvis malunited.
I’ve been relatively ok and very active until about five years ago. I gradually loss mobility and I can no longer work. I cannot stand or walk for long and two years ago I have a PAO on my left hip to see if this would help. It did not. For at least a year I have had what I think is SI joint pain in my left bum cheek, radiating down the back on my thigh. It started off minor but is now a huge problem and I never get any relief other than a double dose of Codeine 60mg, ibuprofen and paracetemol.
I have severe burning sensations in my left thigh and sometimes in my right side. I have severe lower back pain if I am sitting or standing for longer than 5-10 minutes. I also get severe pain in my right groin. I also get involuntary movement of my right leg which looks like a sudden jolt. Also my right foot and toes go numb.
I have waited over a year for a referral to a spine specialist however after trying to reach my hip surgeon’s PA I get no response. The past two months I have deteriorated considerably and no longer know what to do. My GP won’t prescribe me anything stronger without a letter from a specialist. But who knows when I will be able to see a specialist as I’ve already been waiting over a year?
I am scared I am soon going to permanently injure myself.
Is there anyone who can give me NHS/UK specific advice?
18M. I have an upcoming first time consultation with a pelvic floor physiotherapist for these symptoms. What should I expect? Will the doctor be doing an intimate physical examination of my pelvic area, or just run through a general list of questions? Will they be doing tests? Helping with stretches? Prescribing a medication?
How much should I expect to get out of this first consultation? Will I likely have a clear path to at least some pain relief by the end of the first appointment or does it typically take multiple appointments to determine the proper treatment plan for hard flaccid syndrome?
I’m a 46 male and I wonder if I have a pelvic floor disorder or something similar.
I had no diagnosis until now, except ‘everything is fine’, but it’s really not ok, and I had to conduct most of the exams by myself. I lift heavy weight since 25 years, and I might have damaged something.
I think some of you here can give me some guidance or tell me what is happening.
Pelvic pain been present since years but rapidly went worse these 2 last years.
Now it is degrading exponentially.
The first signs were proctalgia fugax, pelvic discomfort and stabbing pain in the pelvic floor five to ten years ago.
Pain now is overall terrible, I really enjoy the very few times I feel a little better.
Constant mild to severe pain in pelvis area.
Very severe urethritis.
Bladder pain.
Coccydynia, anterior iliac spine, pubic ramus and pubic arch bone and muscular pain.
Retaining urine causes immense pain proportionally to the time I wait.
Slight bloating of the lower abs.
I feel some inflammation on the rectus abdominis lower insertion, similar to tendinitis.
Strong spasms of abs, levator ani, pelvic floor when urinating at the point I may vomit or faint.
Impossible to urinate only, I have to sit.
It’s evolving in a way where I lose more and more control.
I feel like it’s nerve related.
I wake up every 2 hours in the night to urinate, which is a very high frequency compared to before.
Difficulties to empty the bladder.
No ED until now.
Post ejaculation is terribly painful for 20mn to a few hours with strong muscular spasms in the pubic area and urethral pain.
Exercising legs heavy is worsening things.
My hip tilt seems incorrect.
Abundant clear mucus in stools.
Stools are narrower than before.
No blood in urine.
Clear urine, no odor.
No blood in stools.
No urethral discharge.
PSA low.
Calprotectin negative.
No infections.
No apparent redness swelling or anything in the genital area.
RMI shows nothing except mild compatible with psoas tendinitis.
No swelling of the prostate visible.
WTF is happening to me ?
I have had a hydrosalpinx (in? of?) my left tube for over a year and I just got my most recent ultrasound and pelvic exam today. I consulted with a surgeon and apparently because I've had this hydrosalpinx for so long with the swelling and everything my pelvic muscles and nerves are very tender and could be permanently damaged. There's no way to know if they are until I get that tube out and have time to recover from surgery. This whole situation is just so awful. I could have had this problem dealt with MONTHS ago, but my previous gynecologist made surgery an absolutely last resort option because I "might want kids in the future" even after I told her that I'm not interested in having kids, and that I would much rather be infertile and not in pain than fertile and in constant agony.
Hi guys,
Do you think the main reason is nerve damage? If the primary reason is nerve damage, it can effect pelvic floor and all over the area.
If PF is the primary reason, then we are lucky and get rid of this by therapy etc.
What are your thoughs on that? I'll go to my urologist on tomorrow and ask about everything, i'll inform you.
My PT said it may be a couple months before my nerve becomes loose enough for PT exercises and I should only stretch right now, but stretching and breath work alone isn't calming down my nerve fast enough.
The way I see it, I either have endo on my leg nerves and/or spine OR I have MS.
When I have a flare up, my legs burn and feel tighter and tighter until it feels like they’re being crushed. I’m laid up unable to sit up or walk, then it’s gone in 1-4 weeks and everything is normal for a month or 3.
I have already been diagnosed with stage 4 endometriosis AND got an excision surgery done. I’ve read up on pelvic floor weakness and don’t think I have that. I also don’t have sciatic pain at all. My hips and butt are unaffected. I’m so sad and stressed that I’m still in a level of pain that doesn’t allow me to work without losing a job due to absences.
Did anyone have endo grow on their nerves? What was done? Is it a surgical solution?
I heard it’s really rare for endo to leave the pelvic region. Has anyone had that happen?
