Log in

I forgot my password

Somebody please help me...

Fri Nov 24, 2017 8:05 am by Andlag

Hey everyone,

since I started being sexually active i often experienced burning in my vagina which was often worse during sex /around the time of my period or when using lubricants. I was never able to use tampons because the one time i tried putting them in it felt like acid was poured on my skin. Fast forward to 2 months ago when I got a UTI and an allergic reaction in my vagina. I thought it …

Comments: 11

7 years later and life looks bleak :(

Wed Dec 06, 2017 2:50 am by RainyShay77

So 7 years ago I had a case of BV...the antibiotic caused a horrible yeast infection which took 5 months to 'get rid of'. During this time I had allergic reactions to 2 of the yeast infection creams which magnified the pain. Over the past 7 years I've tried multiple rounds of physical therapy (they only slightly helped), chiropractic, nerve blocks, medications to target nerve pain (amitriptyline, …

Comments: 4

Amtriptyline, baclofen, gabapentin cream for provoked vestibuldynia

Mon Nov 20, 2017 8:15 pm by WVR00

Hello,
Has anyone had success with this cream in helping their vulvodynia? How long has it taken to help? I’ve had some success with it, but not completely better. I’ve been on it for a month. I️ was hoping to hear from some ladies who have had major success with this cream. I’m hoping for some encouragement here. This condition is so frustrating. I’m lucky enough to have access to two …

Comments: 1

Amitriptyline given for vulvodyina pain

Tue Oct 24, 2017 2:46 pm by katycrawford

Hi there,

After years of being misdiagnosed etc as most women have on this forum I have finally been diagnosed with vulvodynia (yay) and have been given the lowest dose of an antidepressant called Amitriptyline. Has anyone been on this before and has any positive (or negative) news to give me? Im feeling down already and I've only been taking it for a few days, I don't have much hope of it …

Comments: 3

New diagnosis, any advice whilst I wait for a specialist

Wed Oct 25, 2017 1:47 pm by Julesyjules

Hi,

I'm new here and wanted to ask for some advice whilst I wait to see a specialist nurse.

After urinary problems which lasted 7 weeks, I finally saw a urologist, who on examination discovered significant inflammation and called in a gynaecologist, who diagnosed vestibulitis. They referred me to a nurse who specialises in vulvar skin issues. That was 5 weeks ago, and I'm still waiting for the …

Comments: 1

Vulvodynia help

Tue Nov 14, 2017 4:27 pm by Katiej

Hi guys new here and newly diagnosed. So I had bv and then after alot of antibiotics and home remedies I still continued to have weird symptoms despite swabs being negative. Two seperate gynes have told me I have vulvodynia as a result of the area being overwhelmed. So first gave me lidocaine which xidnt do much. No I am on amitriptyline for the past 5 days. Seems to be kicking in a little (im a …

Comments: 3

New w/ Secondary Provoked Vestibuldynia

Wed Apr 26, 2017 11:46 pm by Birdy

Hi everyone,

I'm here because I'm pretty sure I have secondary provoked vestibuldynia, even though my gyno is still "optimistic" it is not.  My problem started six months ago when I got my second UTI in as many months (after going 25 years of life without one) and then ended up with a bad yeast infection (also my first one ever) thanks to the antibiotics.  Ever since the yeast …

Comments: 4

Newly diagnosed

Tue Oct 10, 2017 8:37 pm by Brevispink

Hello everyone. I have recently been diagnosed with unprovoked vulvodynia and would really appreciate some advice and support. I have had a chronic urine infection for 16 months and was on antibiotics for 9 of those months. I have been very uncomfortable for the entire time, but now I have absolutely unbearable stinging and burning all day with itching too. The infection has just about gone, …

Comments: 9

Recent "Poke" Pain - So Confused/Losing My Mind

Thu Oct 12, 2017 9:26 am by kelseybeth23

Long Story, but I am losing my mind and getting really depressed, so if I tell the full story maybe someone can help me.

Back in August I started to get an itch down there. Normally, in the past, when this would happen, I would change the way I wore my clothes, take more baths instead of showers, and use Monistat. This time, after about two weeks of no relief, I started to get concerned. I was …

Comments: 5


Breaking the pain cycle

View previous topic View next topic Go down

Breaking the pain cycle

Post  Mouse on Fri Nov 19, 2010 9:56 pm

I found this post on another site which could be of interest to those of you who experience constant pain. My specialist also said that pain no matter how it presents is pain.


"My expert-doctor explained to me recently that she viewed PGAD as a chronic pain syndrome (no psychological cause in this disorder as far as she is concerned). In her opinion, arousal is just a form of lower level pain. Her treatment approach is most interesting and I would like to describe it, to see if others have used a similar way to treat their PGAD symptoms, and what success they may have had.

My doctor used an analogy to describe the problem: essentially, there is an express super-highway built from the clitoris to the brain in women with PGAD which manifests itself as persistent arousal. It is very important to get this highway dismantled to breakdown the arousal symptoms. She believes the problem needs to be treated fully from top to bottom in order to have a chance of confusing the brain, and stopping the pain signals. This is what it involves in general:

(1) For the brain - in order to stop the neuropathic pain signals appropriate medication is needed (like gabapentin, lyrica, amitryptyline, prozac depending on the patient)
(2) For the middle area (lower abdomen and low back) the brain needs to be further confused to breakdown the cycle, and nerve blocks are in order; her preference is to use lidocaine injections and blocks are done on both the sacral and pudendal nerves, essentially 4 spots to get each side. The sacral nerve is done first as it is important to go deeper to intercept the nerve signals; if the patient is comfortable pudendal blocks can be done at the same time.
(3) For the bottom, the pain signals need to be interfered with as well. The application to the whole vulva and clitoris of a 5% topical lidocaine gel after urination for 8 weeks is suggested, if it can be tolerated as some degree of pain will be involved at the beginning. If the person finds it really too painful, then stop. If this is not a good choice, then a cream with with gabapentin or amitryptyline could be applied to the area.

This is a top to bottom approach to confuse all those pain signals.

So far I have tried the first two parts of the treatment plan; even if I only had the nerve blocks a few days ago, I can tell they are confusing my pain signals. Way to go! I had practically zero pain for the first 24 hours, and now I get intermittent pain which is different in nature than before (I didn't get stabbing pains before which only lasted seconds, plus once the pain set it there was no way it would reverse in 20-30 minutes or stop if I changed body positions which is the case now). Another interesting thing is that with lidocaine blocks, there was hardly any swelling at the injection sites. Something is definitely happening and that is promising.

I asked the doctor how long I could expect the effects to last. She said the freezing lasts one hour, then the effects of the blocks can last from 2 hours to 2 weeks. Obviously, the longer the pain cycle is broken or interfered with, the more promising this type of treatment will be.

Has anyone had success with any of these elements in combination or separately? I shall await your responses."

Mouse

Posts : 303
Join date : 2010-09-09
Location : New Zealand

View user profile

Back to top Go down

Re: Breaking the pain cycle

Post  Sarah001 on Sat Nov 20, 2010 8:53 pm

I have to say I've also heard breaking the pain loop is very important, I take meds but haven't had nerve blocks at this point and can't tolerate lidocaine on the actual vulva but I think a TENS machine would also help contribute to breaking the cycle and then I believe it's a case of removing perpetuating factors like muscle spasms etc so the nerves can't slip back into old habits. Let us know how you get on.
avatar
Sarah001

Posts : 1163
Join date : 2010-06-11
Age : 44
Location : UK

View user profile

Back to top Go down

Re: Breaking the pain cycle

Post  Mouse on Sat Nov 20, 2010 9:21 pm

Hi Sarah,

That's a post I found on another site, it's not mine. It made a lot of sense so I thought I'd post it.

I tried a numbing cream when this started. It was horrid but I'm keen to hear if anyone has had joy with the Gabapentin and Ami creams. Are they better tolerated if they are not ingested?

I'm trying not to get too excited but I'm in a very low pain phase at the moment. It's been 3 weeks with no pain over 3/10, there's still pressure and a burning pain but nowhere near the degree I've had it in the past.

Vicki

Mouse

Posts : 303
Join date : 2010-09-09
Location : New Zealand

View user profile

Back to top Go down

Re: Breaking the pain cycle

Post  Mouse on Sun Nov 21, 2010 12:38 am

This is the latest update... the person is in Canada.

Thanks for rejoicing with me, as this is a positive change in my treatment. This urogynecologist used lidocaine only for nerve blocks; she explained that lidocaine freezing lasts one hour. The purpose of the blocks was to try and break the firing of pain signals. Also, the doctor explained that her other patients had felt relief anywhere from 2 hours to 2 weeks. I felt very little pain during the procedure, and as the sacral blocks were done first, when she did the last pudendal block as there are two, it was easier than the first. She said that was because the first blocks were already working and interrupting the pain!

I liked the use of lidocaine in the nerve blocks, as no guided CT scan is needed. This doctor is a pro, she palpated the spots to be injected, and gently and skillfully inserted the needle releasing lidocaine at each stop, right from the surface of the skin to deeper levels of tissue. Lidocaine in nerve blocks made it that I had minimal swelling at the injection sites and I healed faster. Then 48 hours after the procedure, I went for a gentle swim at the pool to get my joints moving.

So far, I have had 3 good days in a row, with some short bouts of a different kind of pain (like some stabbing, or spasms in the vulva - not the usual raw burning pain from before) mixed in with some arousal; prior to the blocks, once the pain started, it would only get worse. After the blocks, the pain would go on and off by itself - it helped if I changed position. I am very pleased with this result, as I know for sure that the nerve blocks have managed to change the pain pattern.

Mouse

Posts : 303
Join date : 2010-09-09
Location : New Zealand

View user profile

Back to top Go down

Re: Breaking the pain cycle

Post  jules on Mon Nov 22, 2010 4:54 am

Gabepentin gel burned my skin. i also could not tolerate the lidocaine gel either...it stung and would only last for 15 minutes after the stinging stopped. As for the nerve blocks, i had two, but they were not in the pudendal nerve, they were in the nerves lower in the spine. i had relief for six days and i don't know if there was a connection. i will be very interested to see if you get on-going relief from your block. keep us updated.

jules

Posts : 225
Join date : 2010-03-17

View user profile

Back to top Go down

Re: Breaking the pain cycle

Post  Mouse on Mon Nov 22, 2010 6:35 am

OOOoooiii it's not my post!!! I copied it from another support group because I thought it sounded like a great treatment plan.

No nerve blocks for me! Yet. Bummer about the creams though.

Mouse

Posts : 303
Join date : 2010-09-09
Location : New Zealand

View user profile

Back to top Go down

Re: Breaking the pain cycle

Post  chester on Wed Nov 24, 2010 3:11 am

HI! I have a question, What is a TENS machine and how does it help break the pain cycle?

chester

Posts : 4
Join date : 2010-11-23
Location : ny

View user profile

Back to top Go down

Re: Breaking the pain cycle

Post  Sebby (Admin) on Sun Nov 28, 2010 11:41 am


Hey guys im waiting for a nerve block...if the general one is not so good they are going to try the pudendal block. Im not sure how long either will last on me or if they will be any good..im just waiting to see.

http://www.tensmachines.blogspot.com/ - this little article expains simply how the tens works.

I use a tse machine that is similar but is suppossed to work better. I will try that (my mum lent it to me) and also a buy a cheaper Tens to see the difference.

I do feel a difference when using it.. recently the battery went and I had to pick up a new one and have noticed more pain..(I am on my period so my pain does get worse then) so I have new battery now so will start up the treatment again

I do hope the nerve block can give me some relief..I dont exactly know how long it will last on me but at my local hosp its a day patient thing and so I would need to book whole day off work..I may need to do that if I find it helpful every few weeks and am quite afriad of having to expain that to work..My line manager is lovely so Im not worried bout that but not so sure bout the new overall boss we will be getting.

Its also something I dont want to have to explain to a man I hardly know..I mean my line manager is a women thank goodness....I may have to refer myself to occupational health just in case if I do need the regular blocks.

avatar
Sebby (Admin)
Admin

Posts : 750
Join date : 2009-12-03
Age : 36
Location : London UK

View user profile http://vulvodyniasupport.forumotion.net

Back to top Go down

Re: Breaking the pain cycle

Post  Sponsored content


Sponsored content


Back to top Go down

View previous topic View next topic Back to top

- Similar topics

 
Permissions in this forum:
You cannot reply to topics in this forum