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Anesthesiology/severe pelvic floor spasms

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Expert: Dr Ian Jackson - please note UK based - 3/28/2009


Question
My diagnosis is severe pelvic floor spasms with only physical therapy recommended.  It is dibilitating as I cannot work because of pain, cannot sit, it hurts to wear clothes.  My question is: do you think a nerve block could help block the pain?  thank you for any adivce you can offer.

Answer
Hi there
This is completely outside my area of expertise. However from my knowledge of pain syndromes it is unlikley that this would help.
I suspect that a specialist might be able to offer some therapy eg the use of botulinum toxin to paralyse the affected muscles. However that's a guess on my part but would seem a logical possibility.
Kind regards
Dr Ian Jackson

Anesthesiology

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Dr Ian Jackson - please note UK based

Expertise

I am a Consultant Anaesthetist in the UK. My interests include ambulatory or day surgery, obstetric anaesthesia and analgesia, acute pain management (use of epidurals and patient controlled analgesia)anaesthesia for surgery on the airway, orthopaedics and most things except brains and hearts. Interest in prehospital care of trauma and provision of medical cover at motorsport events.

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Organizations
European Society of Regional Anaesthesia
British Association of Day Surgery
Obstetric Anaesthetists Association
Association of Anaesthetists

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