A week was spent working with the team of Professor Roger Robert (Anatomist and Neurosurgeon). The CHU in Nantes has a long-standing history in the treatment of pain syndromes and is a premier centre in Europe. During the week we were very fortunate and honoured to be able to follow the team during its activities; clinical, surgical and educational. This resulted in the introduction of the gluteal approach to pudendal nerve release surgery at the Randwick, Sydney campus and has enhanced our understanding and management of patients suffering from the debilitating condition, “pudendal neuralgia”.
You will learn about the latest clinical advances in the management of Peripheral Neuropathy as well as about the treatment options that are available. You will also learn about the doctors, hospitals, and medical centers that are at the leading edge in conducting clinical research about Peripheral Neuropathy. Information on ongoing clinical trials, a list of questions to ask your doctor, and a useful directory of resources and organizations that can help patients with Peripheral Neuropathy complete this report.
Your symptoms & history indicate that the nerve in the pelvis, the pudendal nerve, may be responsible for all or some of your pain and other symptoms. The pudendal nerve runs from the lower back, then passes between 2 ligaments, then runs along the top of the pelvic floor muscles, then through to the base of the pelvis the pelvis and out to the perineum. Adjacent to the ligaments are muscles: the pelvic floor muscles (PFM) at the front and the obturator and piriformis at the back.
Neuromodulation is now in PubMed! The National Library of Medicine (NLM) has given its official stamp of approval for the science and technical quality of articles published in Neuromodulation – the premier journal in the rapidly growing field of medicine known as neuromodulation.
The lead scientist, Dr Lorimer Moseley, is particularly interested in the role of the brain and mind in chronic and complex pain disorders. Through collaborations with clinicians, scientists, patients and thoughtful friends, the team is exploring how the brain and its representation of the body change when pain persists, how the mind influences physiological regulation of the body, how the changes in the brain and mind can be normalised via treatment, and how we can teach people about it all in a way that is both interesting and accurate.
Explain Pain has been a huge stepping stone for patients and clinicians - not only in understanding pain but being able to communicate the concepts to others. Over 5 years on, and the book is still unprecedented in its layout, descriptive illustrations and incredible bank of information. Backed entirely by scientific evidence, Explain Pain is a recommended text at many universities but also read and enjoyed by everyday people in pain.
I've always been curious and I wanted to understand and visualise my area of pain but for 4.5 years that wasn't possible as I was never diagnosed accurately and didn't have the visual reference in my head either. From my yoga practice I remember sending the breath to different areas of my body and it was not only relaxing, but it I felt I was sending great energy to that area... sort of loosening it up, relaxing, letting go. I wanted to get back to that after diagnosis and I found this brilliant resource to help me do just that.
So... what is NOI? Neuro Orthopaedic Institute (NOI) Australasia has been in operation for 20 years, with highly qualified instructors working on all continents with multidisciplinary audiences. Organising over 100 seminars a year throughout the world, NOI’s faculty members are active in many conferences, university programmes and other postgraduate education sessions. The company reinvests in education and clinically based research and Noigroup Publications has grown from the demand for resources to support this emerging research. Read on...
I read with interest the paper by Shek and Dietz,1 and congratulate the authors for an informative study. With all its limitations, such as early postpartum follow-up, the authors have described a new form of birth trauma (irreversible overdistension injury), which is distinct from levator avulsion injury, and cannot be detected by static magnetic resonance imaging (MRI). In their study, 13% of women after a normal vaginal delivery had levator avulsion diagnosed...