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Genitofemoral Nerve Block--OT Docs halp!
Posted on 12/16/14 at 7:24 pm
Posted on 12/16/14 at 7:24 pm
I posted a thread last week about my severe lower abdominal and testicular pain, right before my urologist appointment. She referred me to a pain management clinic for the reason in the title. (I never dreamed such a tiny, good looking young doctor could cause so much unbearable pain... )
I am looking at a probable case of genitofemoral neuralgia, with no apparent cause. Pain management clinic is the only real means of relief until the condition goes away... so here are my questions:
1). What kind of anesthesia am I looking at getting for this procedure, and due to a debilitating fear of needles, can general anesthesia be requested or applied without negative impact to the procedure?
2). Where is the genitofemoral nerve exactly, and how do they access it?
3). What are some potential side effects of this procedure, and what sensations should I experience when it is successfully applied?
I am looking at a probable case of genitofemoral neuralgia, with no apparent cause. Pain management clinic is the only real means of relief until the condition goes away... so here are my questions:
1). What kind of anesthesia am I looking at getting for this procedure, and due to a debilitating fear of needles, can general anesthesia be requested or applied without negative impact to the procedure?
2). Where is the genitofemoral nerve exactly, and how do they access it?
3). What are some potential side effects of this procedure, and what sensations should I experience when it is successfully applied?
7
Posted on 12/16/14 at 7:27 pm to DByrd2
tl;dr
but you have the aidsbola
but you have the aidsbola
Posted on 12/16/14 at 7:30 pm to DByrd2
Oh man... My buddy's Dad had that. Got so bad that he went through voluntary castration. Prayers sent.
Pics or wife/girlfriend?
Pics or wife/girlfriend?
This post was edited on 12/16/14 at 7:31 pm
Posted on 12/16/14 at 7:41 pm to dpd901
Ultrasounded guidance genitofemoral nerve block with a 3 inch 18 gauge needle..........under Fentanyl and Versed........best buzz you are gonna have of the year........enjoy.
Posted on 12/16/14 at 7:42 pm to DByrd2
I'd assume they'll do local anesthesia, I doubt many would use general for a nerve block. General anesthesia wouldn't affect the procedure itself but carries its own risks that would usually be considered unnecessary with stuff like this.
For lack of a better way of explaining it without a lot of anatomic stuff, part of the genitofemoral travels in the ring that some people develop a hernia in, down by the groin. Some people use ultrasound as a guide when injecting around it.
As far as possible side effects and what to expect from it, that's best to discuss with the pain doc doing it. Ask them what their patients usually report as far as side effects and success etc.
Best of luck
For lack of a better way of explaining it without a lot of anatomic stuff, part of the genitofemoral travels in the ring that some people develop a hernia in, down by the groin. Some people use ultrasound as a guide when injecting around it.
As far as possible side effects and what to expect from it, that's best to discuss with the pain doc doing it. Ask them what their patients usually report as far as side effects and success etc.
Best of luck
This post was edited on 12/16/14 at 7:49 pm
Posted on 12/16/14 at 7:46 pm to DByrd2
Radical Double Mastectomy and Radical Hysterectomy.
Sorry Brah for you being a closet Chick.
Sorry Brah for you being a closet Chick.
Posted on 12/16/14 at 7:49 pm to TMDawg
Thanks y'all... Not gonna lie, been VERY worried about the whole needle around my junk thing, but as long as i am high enough that I don't care what they do, I am down with it. I just wanted to make sure they weren't going to just give me lidocaine cream at the injection site and tell me to deal with it.
As for the sensation (or lack thereof) after a successful block, what can I expect? I mean is my whole groin area going to be numb?
As for the sensation (or lack thereof) after a successful block, what can I expect? I mean is my whole groin area going to be numb?
Posted on 12/16/14 at 7:50 pm to DByrd2
quote:
1). What kind of anesthesia am I looking at getting for this procedure, and due to a debilitating fear of needles, can general anesthesia be requested or applied without negative impact to the procedure?
They'll probably do this under ultrasound guidance. I do them in the office, with no anesthesia, mainly because what I give is local anesthesia anyway (mixed with steroid). And, to avoid 1 needle stick, you would rather at least one needle stick to get an IV in order to put you to sleep? Makes no sense.
Posted on 12/16/14 at 7:53 pm to DByrd2
Nerve block is not an unreasonable therapeutic/diagnostic option.
I do not know the details of your case, but you should consider seeing a dedicated pelvic floor physical therapist prior to any invasive procedure as testicular and pelvic pain can be diagnostic quandaries (I question the certainty of your current diagnosis...)
If you are in Baton Rouge I can give you specific names/recs
I do not know the details of your case, but you should consider seeing a dedicated pelvic floor physical therapist prior to any invasive procedure as testicular and pelvic pain can be diagnostic quandaries (I question the certainty of your current diagnosis...)
If you are in Baton Rouge I can give you specific names/recs
Posted on 12/16/14 at 7:59 pm to DByrd2
quote:Don't worry, they won't be injecting your balls or anything like that
been VERY worried about the whole needle around my junk thing
The injection affects the nerve before it gets that far down.
Posted on 12/16/14 at 8:02 pm to TMDawg
I told the man what they are gonna do, I did one last week.
Posted on 12/16/14 at 8:05 pm to L S Usetheforce
Yea I know how they work too but dude was understandably worried about his goods
Posted on 12/16/14 at 8:05 pm to ThinePreparedAni
png- Call it irrational, but I am self-admittedly a pussy when it comes to needles. I can force myself to chill long enough for an IV to be started, but anything else I get severely anxious and at times downright scared to an extreme. The general area that this block would take place in has me highly anxious just thinking about it. (Thus starting the thread to maybe, although doubtedly, ease my anxiety.)
TPA- I am unfortunately bot in the BR area. I am around Kansas City. Unfotrunately, military Primary Care Providers are ill-equipped to diagnose or treat an issue like this. What could the physical therapist provide that a urologist could not as far as diagnosis of what is causing my pain?
Also, what makes you question the diagnosis, if you don't mind me asking?
ETA: Thanks for that TM and L S Usetheforce
TPA- I am unfortunately bot in the BR area. I am around Kansas City. Unfotrunately, military Primary Care Providers are ill-equipped to diagnose or treat an issue like this. What could the physical therapist provide that a urologist could not as far as diagnosis of what is causing my pain?
Also, what makes you question the diagnosis, if you don't mind me asking?
ETA: Thanks for that TM and L S Usetheforce
This post was edited on 12/16/14 at 8:08 pm
Posted on 12/16/14 at 8:15 pm to DByrd2
I'd go with what the urologist said. Abdominal pain can be due to a lot of things but testicular pain makes the diagnostic approach a little different than just your average abdominal pain. Urologists are good at that stuff.
Posted on 12/16/14 at 8:17 pm to DByrd2
Sorry about the aids
Posted on 12/16/14 at 8:21 pm to DByrd2
quote:
I am unfortunately bot in the BR area. I am around Kansas City. Unfotrunately, military Primary Care Providers are ill-equipped to diagnose or treat an issue like this. What could the physical therapist provide that a urologist could not as far as diagnosis of what is causing my pain?
Most patients with chronic testicular and abd / pelvic pain are difficult to diagnosis and treat. Rarely is there a magic pill or procedure (Google CPPS)
LINK
Most urologists (present company included) do not always have the time to devote to exploring all the issues that may factor into what feels like an isolated pain issue. The PT can assess your posture (seated/standing), gait, muscle imbalances, flexibility and give a different perspective on the pelvis /lower abd/ trunk and supporting musculature.
Posted on 12/17/14 at 7:55 am to ThinePreparedAni
SUPER helpful article TPA. Thanks for the explanations and all! I am honestly going to show this to my doctor and see what she can't do to help me follow some of the flow charts/symptom diagnosis priorities in that article.
The cysts that I have are supposedly spermatocele, but the urologist I saw didn't think them big enough to treat/have removed... Is that common?
The cysts that I have are supposedly spermatocele, but the urologist I saw didn't think them big enough to treat/have removed... Is that common?
Posted on 12/17/14 at 8:03 am to DByrd2
Most small epididymal cyst require only observation. They typically cause dull, vague pain intermittently. Only removed if they are large or causing constant lifestyle limiting pain
Good luck
Good luck
Posted on 12/17/14 at 10:34 am to ThinePreparedAni
Perhaps a long shot, and I don't know your complete symptoms, but have you considered possible muscular causes (vs. "no apparent cause")?
Junky tissue, knots, trigger points in your lower abs, psoas, and iliacus can result in pain there and can get progressively worse.
Without seeing/talking to you I could be completely off base, but I would eliminate this as a cause first.
Does the pain change with position?
Junky tissue, knots, trigger points in your lower abs, psoas, and iliacus can result in pain there and can get progressively worse.
Without seeing/talking to you I could be completely off base, but I would eliminate this as a cause first.
Does the pain change with position?
Posted on 12/17/14 at 3:15 pm to LSUfan20005
Pain does not change with position. Although the back part of my scrotum and around the epidydimus are highly sensitive, supportive underwear and changing of position generally do nothing for the pain.
Talked to my PCP today and she said although she doesn't mind exploring it, with the type of pain I have been having and the fact that I have been imaged by CT and ultrasound 4 times, she doesn't seem to think it would resolve anything.
Talked to my PCP today and she said although she doesn't mind exploring it, with the type of pain I have been having and the fact that I have been imaged by CT and ultrasound 4 times, she doesn't seem to think it would resolve anything.
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