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What Causes Pelvic Floor Pain After Hysterectomy?
Question: I am 8 months posy total vag hysterectomy and continue to have pelvic floor pain. I have had it since day one and it has never resolved,
What could cause this? CAT scan is neg and I keep being told nothing is wrong.
I work as a physical therapist and lifting makes the pain much worse. The pain goes from aching in character to burning, GYN says nothing is wrong and that she cannot figure it out, I had a 12# fibroid tumor that was removed vaginally and her response was that you never know how far a vagina can stretch until it has to! Could this be nerve damage and what can be done to help me? I am not a nut case who is attention seeking nor am I narcotic seeking.
What could cause this? CAT scan is neg and I keep being told nothing is wrong.
I work as a physical therapist and lifting makes the pain much worse. The pain goes from aching in character to burning, GYN says nothing is wrong and that she cannot figure it out, I had a 12# fibroid tumor that was removed vaginally and her response was that you never know how far a vagina can stretch until it has to! Could this be nerve damage and what can be done to help me? I am not a nut case who is attention seeking nor am I narcotic seeking.
Brief Answer:
This sounds like nerve related pains!
Detailed Answer:
Hi and thank you so much for this query.
I am so sorry to hear about this pain that you have been experiencing since undergoing this procedure. I have reviewed the information you have provided fully. I believe you when you say you have pain and I have no reasons to suggest that this may have any other secondary motives. The exact origin of this pain has not been identified and this pain remains a problem to you. I have a few thoughts about this.
1. The fact that the exact origin of this pain has not been identified should not prevent your doctors fro doing something to help. Besides, this pain started after a vaginal procedure which present a clear risk factor for some sort of an injury to have happened that may explain this pain. This may take the form of a neuropathic or a nociceptive pain.
2. I strongly believe that this pain is related to a nerve problem seen the characterisation of its burning sensation in nature. Managing it with medication indicated for neuropathic pain like gabapentin and amytryptilline should prove helpful. Unfortunately, these medications may take as many as 3weeks before they kick into full action in order to address any pains. For this reason, I will recommend that you start with a local anesthetic suppository like lidocaine and get this pain controlled in the short run and gradually tapper off when the oral medications must have been able to keep the pain under control.
3. Should these measures prove ineffective, adding analgesics to this treatment depending on the level of your pain would be a great idea. I am confident that these measures would be able to provide a solution to this pain and greatly improve the quality of life that you lead.
I hope this helps and addresses your query fully. I wish you well and thank you so much for using our services. Please, feel free to ask for more information and clarification if need be.
This sounds like nerve related pains!
Detailed Answer:
Hi and thank you so much for this query.
I am so sorry to hear about this pain that you have been experiencing since undergoing this procedure. I have reviewed the information you have provided fully. I believe you when you say you have pain and I have no reasons to suggest that this may have any other secondary motives. The exact origin of this pain has not been identified and this pain remains a problem to you. I have a few thoughts about this.
1. The fact that the exact origin of this pain has not been identified should not prevent your doctors fro doing something to help. Besides, this pain started after a vaginal procedure which present a clear risk factor for some sort of an injury to have happened that may explain this pain. This may take the form of a neuropathic or a nociceptive pain.
2. I strongly believe that this pain is related to a nerve problem seen the characterisation of its burning sensation in nature. Managing it with medication indicated for neuropathic pain like gabapentin and amytryptilline should prove helpful. Unfortunately, these medications may take as many as 3weeks before they kick into full action in order to address any pains. For this reason, I will recommend that you start with a local anesthetic suppository like lidocaine and get this pain controlled in the short run and gradually tapper off when the oral medications must have been able to keep the pain under control.
3. Should these measures prove ineffective, adding analgesics to this treatment depending on the level of your pain would be a great idea. I am confident that these measures would be able to provide a solution to this pain and greatly improve the quality of life that you lead.
I hope this helps and addresses your query fully. I wish you well and thank you so much for using our services. Please, feel free to ask for more information and clarification if need be.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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