Perineal Pain

    • May 3, 2018 at 8:55 am #15768
      blair.morris
      Participant

      Does anyone have any experience and if so advise on dry needling for Perineal pain?

    • May 17, 2018 at 7:47 am #16081
      Anonymous
      Inactive

      The pain distribution is partially mediated by the ilioinguinal and {genito}femoral nerves and those should be needled as I described in the Advanced Course. Needling the paravertebrals specifically upper lumbar and I would also check the obturator nerve as it will refer to the lateral pelvic wall. The above in combination with manual therapy of the thoracolumbar junction/upper lumbar should give you a good result. but if the pain persists /unchanged I would move them on to a pelvic pain specialist as they may require additional and possibly direct care to perineal region.

    • October 25, 2018 at 6:49 am #19048
      bunny
      Participant

      Frank,
      What are your thoughts on estim of T12-L2 at higher frequency for perineal pain? For more specific pudendal nerve pain, would you recommend DN with estim to the upper sacral segments? Thanks.

You must be logged in to reply to this topic.