Dr. Renney - The pain is burning, tingling, sharp, knife like. Sometimes they may have a sensation of a foreign object in the rectum. The pain is hard for people to describe due to the problem being neuropathic. Neuropathic pain is not the same as trauma pain or surgery pain.

Dr. Renney - The pain with standing usually deceases somewhat but may not completely resolve if the intensity level is significant.

Dr. Renney - A good example, a patient goes to Mayo clinic for a week, lays around in a hotel, has tests done, and feels great. The reason, he didn't sit, commute or work. So, yes, it depends on level of activity

Dr. Renney - Three years ago, the only surgeon with experience in PNE was in France, so I went to him. After I improved, I took an interested team of physicians to France to learn from the experts (Prof. Robert and his associates) and so that care would be available in the US. Our group follows their protocols. Hopefully we can publish data together in the future for the US medical community.

Dr. Renney - PNE is entrapment of the nerve either at the Ischial Spine, between the two ligaments or in Alcocks canal where it is covered by fascia. (Female Nerve Diagram & Male Nerve Diagram) A majority of the cases are at the spine. The nerve resembles the violin strings. It is stretched and does not lie flat. When you sit, tension is placed on the nerve and you have pain. This can also happen during a bowel movement. Some people have it with sexual relations. Dr.

Dr. Renney - The diagnosis is based on the history, the results of the injections and the Pudendal Nerve Motor Latency Test (PNMLT). You need at least two of these for us to feel comfortable with the diagnosis of PNE.

Dr. Renney - 2/3 of PNE cases are men. We have not found any real difference in symptoms between men and women. Dr. Renney - The original studies were done in cyclists. The other causes are similar to those you mentioned. You can add chronic constipation to that list.

Dr. Renney - If the rectal sphincter is injured during childbirth, you probably had a difficult delivery so the pudendal nerve could be stretched or injured. It is not a result of a rectal muscle tear with an episiotomy. Jill O. - Thank you Dr. Renney for appearing tonight.

The average reduction from the pooled results of six clinical trials for hypertensive patients with high BP (>140/90 mmHg) is 14/8 mmHg. However, a number of factors affect the expected reduction: the greater the baseline BP, the older the patient and the more slow breathing time accumulated per week, the greater the reduction.

No. On the contrary, the absence of any major cuts to the body causes minimal disturbance to the physiology. Also the early mobility and return to normal diet makes it easy for the body to recover.

YES, constant high blood pressure hardens the arteries, by damaging the protective layer of the arteries. It increases the thickness of muscles of the heart, known concentric hypertrophy, as diagnosed on 2D Echo Cardiography. In many cases severe thickening leads to conditions of cardiac failure. It increases the burden on the heart, which has to work harder to maintain the normal blood flow.

Dr. Renney - The main symptom is pain with sitting. You feel great in the AM until you sit for coffee, or drive to work. You get better with lying down. The pain is in the distribution of the pudendal nerve....genitalia, perineal or rectal. It can be any combination of these areas depending on the part of the nerve entrapped.

Dr. Renney - The treatment is: (1) 3 guided nerve blocks with corticosteroids, (2) use of medications such as neurotin, elavil etc., (3) protection from sitting (4) or the offending factor that causes pain. This can be something as simple as avoiding lifting of bags of groceries or a bike if that causes pain

Dr. Renney - This is my opinion as a patient only. If you still have pain after the injections and the medications don't get you to a zero on the VAS (Visual Analog Scale for pain intensity) and you worry about the pain daily, I say have surgery and hope you get improvement because nothing else has helped. Jill O. - One reason why we invited you to speak is because of a patient named Michael who had been diagnosed with IC. For three years, he tried every IC therapy to no avail.

Dr. Renney - The main point is the history. You need to ask specific questions and you can discover the difference. We see many patients with this diagnosis that actually had PNE.

Dr. Renney - You need to seek out a doctor who is open to suggestions that you have PNE. It could be internist orthopedist, urologist or gynecologist. In my case, it was a radiologist who made my diagnosis.

Due to 'brittle' bones osteoporosis patients often suffer from very painful micro-fractures in the vertebrae of the spine. Already after a few weeks of Curatron treatments a high level of pain relief is obtained, which is explained by closing of these micro-fractures.

Yes. More than half of the patients we treat have some component of leg and/or arm pain. Sometimes the pain is referred, sometimes radicular. Some have neurologic deficits. All variations have responded to the proper kind of exercise. There is often a perception that the presence of extremity pain is cause for alarm, a reason to immediately get an MRI scan or refer the patient to a surgeon. But if a neurologic deficit is not profound (i.e.

Dr. Renney - In France, they say they are able to help 68% of their patients with a nerve block (i.e. the pain decreases 80% on the VAS). So, you have to focus on improvement not cure! We have one patient with complete recovery from injections alone (0 on VAS).