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I think PN is almost 100% mindbody and "successful" PNE surgeries are in the placebo realm (equivalent success rate to sham surgeries). I also think that with the negative publicity/lawsuits around hernia or prolapse repair using mesh, TMS finds a new location to manifest itself.
I know several people that claimed to have had a successful PN surgery to "correct" a prior "botched" surgery. In every case, they relapsed after a stressful period.
Also if you analyze carefully what some post PN-surgery patients write, you will discover that while they claim that their PN surgery was a success, they now suffer of FAI/piriformis syndrome/SIJD etc. Can you say symptoms imperative?
Ewok2,
I know two cases. Those 2 patients were very vocal about it, thanking profusely a PN doctor for having removed the mesh and healed them. They both relapsed after experiencing stress. They never came back on the forum to tell the truth.
I am in no way saying that all cases are TMS of course. I really don't know.
i have a doctor that believes in both CS and TMS (to a degree). She explained that CS is just a boost in sensitivity, but that certain activities that freak out the nervous system (or produce more pain) will cause an increase in sensitivity. So in her explanation, CS pain can fluctuate based on how much the painful area is prodded. Of course there is a stress component too, which to me, makes it very similar to TMS. Seems like CS is the more physical explanation for TMS-like phenomenon, but ignores the psychological. Both seem to suggest reducing fear and stress and to bring down the nervous system. I'm sure as time goes on and they learn more, the two conditions will merge.Central sensitization as I understand it, is an "evidence based" explanation of chronic pain. There is no proof of its existence as a pathology.
I think all the people that have suffered from chronic pain have been diagnosed or offered an explanation that involved central sensitization. I have been there.
You got 3 good weeks with low PN pain. Why would it be the case if you suffer from so called central sensitization?
You have to be patient and stop torturing yourself with medical explanations. You know that if you had met another physician, you would have been diagnosed with something else than PN/PNE. Fibromyalgia, levitator ani syndrome, CPPS. CS is yet another explanation when they can't seem to explain your pain.
This part. Whenever i tried to feel emotions, the only thing i can feel is a slight tightness. I assume this is anxiety because that's what i have. however, i was told that anxiety isnt an emotion. it's a result of emotions. My problem is i cant really feel anything beyond that. I only seem to have obvious emotions when something major happens. i dont feel anything (other than pain) when i'm just sitting around doing nothing. I want to be able to do this because i think it's real. For instance, if i break down and cry, sometimes my pain dissipates for a little while. however, i cant just go around yelling and crying all the time either.Hello ezer
Also- feeling emotions - in the past I have often tried to focus in tightness in chest or any constructions or knots. Doing this and focusing on any uncomfortableness around these areas usually results in physical responses and then releif- but to be honest is this kind of felt perception forcing it? I offer wouldn’t breathe at the peak of this felt moment- and really focus pressure on these tight bits to force shivers or heat release...
You see I recently tried just observing the awkwardness inside- or the tension- and boy that was intense. So intense I could not see out the wave of emotion for it to dissipate- in some cases I would be craning my kneck, contorting my face, feeling heat and shivers and feel like crying but couldn’t..... very very very uncomfortable.... and no releif from tension.
Any thoughts would be fantastic !
i have a doctor that believes in both CS and TMS (to a degree). She explained that CS is just a boost in sensitivity, but that certain activities that freak out the nervous system (or produce more pain) will cause an increase in sensitivity. So in her explanation, CS pain can fluctuate based on how much the painful area is prodded. Of course there is a stress component too, which to me, makes it very similar to TMS. Seems like CS is the more physical explanation for TMS-like phenomenon, but ignores the psychological. Both seem to suggest reducing fear and stress and to bring down the nervous system. I'm sure as time goes on and they learn more, the two conditions will merge.
Hello ezer
You see I recently tried just observing the awkwardness inside- or the tension- and boy that was intense. So intense I could not see out the wave of emotion for it to dissipate- in some cases I would be craning my kneck, contorting my face, feeling heat and shivers and feel like crying but couldn’t..... very very very uncomfortable.... and no releif from tension.
So... any ideas on what technique is the better one for feeling emotions? Do you breathe through them rather than forcing them? Do u only observe and do no manipulation at all and just ride out the physical responses? When I do that it feels like my body is on the cusp of actually exploding but can’t—— so Really uncomftabke. I guess eventually I may actually cry and get releif - just a bit fearful of the unknown and any symptoms that may come back...
Any thoughts would be fantastic !
This a common theme among people with PN. Your nervous system is in a calm, almost meditative state while sleeping (though, i sometimes have the opposite problem if my sleep is stressed and full of night mares). The good news about this symptom, is that if you had true "nerve damage", it shouldnt be nearly gone in the morning. Not to mention, looking back at our stories, most of us didnt have an injury so traumatic as to permanently damage the nerve. Even if you had a slip, or some sort of other pelvic surgery, nerves do heal!!! Probably only in rare cases is PN true nerve damage, like if it's encapsulated in scar tissue, or an extreme stretch of the nerve. However, injuries and surgeries, etc. can sort of kickstart the process."when i wake up i am mostly pain free".
Same here, hot baths were an addiction of mine. i could never tell if the heat was helping relax the tension, or if making the water as hot as possible, shocked the rest of my body from feeling it. I still bathe every day because it's one of my relaxation rituals. My pain stays low for a while after baths.Goshawk, very late at night or right after waking up I did not experience very much pain. Or when I took a hot bath. The pain was not too much a bother during those periods. But yes, I reckon it is challenging.