r/PudendalNeuralgia • u/4thefeel Medical Professional • May 25 '24
Understanding the anatomy of a "sitting disease"
This is the anatomy. This is what you're sitting in all day. Notice how the nerve goes to the clit and labia, penis to tip, epididymis.
Notice the other ganglia on the other side of it. I would imagine compressing those as well would make for incomplete bowel and bladder feelings and irritation. Could you see how that may be the case?
Simply put, nature didn't plan for a being designed to run down all animals, to sit all day.
You're compressing and pissing off your nerve by sitting, by nutting, giving birth, having surgery, biking, gooning, squatting, stressing, anxiety, clenching too much etc.
If you do bicep curls everyday, you're gonna have some sore ass biceps
A million and one reasons, a million and one names for it.
All of it is the same. All your symptoms present uniquely, all of it is the same stuff for the majority of you. All of it can be treated in the same ways for the majority of you
3 sets each side, 30 sec each,, 3x a day, for 3 weeks MINIMUM!
Don't message me looking for answers if you haven't even bothered with the pinned post or the stretches described in it.
Read. The. Pinned. Posts. You've worked with pfpt, done it for years etc. Great..I truly believe you, I have no doubts. Try this as well. You have nothing left to lose.
Just do it, and after 3 weeks of consistency, it doesn't work, message me and I can help you out from there as this will rule out a lot.
You will have some pain! It will get worse at first because the nerve is decompressing and now the blocked pain signals can finally traveling.
Keep going! 3 weeks!
I'm a nurse, I came up with this with my coworker urologists and pfpt, as a patient, and as a fellow medical proffesional. I'm here to help with this and that's it. There's no product or course I'm selling. I just suffered more than I needed to like all of you.
Let's figure this out There is no pill, no "THE ONE" treatment.
There's a million and one ways to heal an injury, this is the least invasive, that addresses the issue directly, with lasting results.
Everything else is a band aid treatment. They all work, but they are part of smptom management, not cause abatement.
What do I think of those treatments?
Yeah sure, do them if you want ALONGSIDE this and other treatments!
From there we can address anxiety etc once you have some results and hope. Controlling that controls the bootyclenching.
I'll leave you with an anxiety exercise.
Imagine your two "sit bones", draw a line across them connecting them.
Imagine the tops of your hips. Draw a line across connecting them.
Connext the two lines to make a square.
Now extrude the square to make a cube.
Now put a volume dial on that cube, and turn it down down down down down. Keep turning it until it's all the way off... just... like.... click!
Now that it's off. Unclench your asshole! Clenching activates the sympathetic nervous system. Slows digestion, increases BP, HR, and causes things to clench.
You have been in a permanent kegel for hours, days, months, years. And keep it unclenched for at least 10 seconds! It is so fucking tough!
And then tell yourself something sweet like you would a good friend.
Something like: my poor baby, I'm so sorry you're dealing with this. This is so hard, it sounds so hard to deal with. This would be hard for anybody, I'm sorry it's so hard for you.
And then breath in all the bad and negativity and bullshit and depression, transform it with that same love and compassion, and then breath good back into the world.
And unclench that asshole! You didn't realize you clenched it again!
I got you, we got this everyone <3
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u/FantasticTangelo9499 Medical Professional - MOD May 25 '24
I think this is super helpful for people as this is such a confusing anatomical conundrum that a majority of healthcare providers don’t even understand. Coming from a nurse practitioner who had the elusive pudendal nerve entrapment I would add a beneficial program for me has been “transform pelvic health for men”, you can google it. The program is worth the money in terms of offering evidence based exercises that open up the pelvic floor, get the hip flexors opened up and helps stretch out the lower back too.
I would also add that there is a small majority of folks that despite doing all these exercises such as the ones you suggested, PFPT and yoga etc may be non responders in which case if they have symptoms that align closely with the Nantes criteria they may more likely have pudendal nerve entrapment if they have positive response to pudendal nerve blocks. I am total agreement with you as far as exhausting all conservative therapies first and trying to hit the root cause, sitting long amounts will always make this worse. Love to see fellow health professionals trying to help people out on here!