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NeuromaFrom: ALISON (anonymous@obgyn.net)Sat, 12 Sep 1998 09:38:57 -0500 (CDT)
I am a 33 year old woman who gave birth on the 26th January this year to my second child. I was not given an episiotomy and tore slightly, whereupon I was stitched by a resident doctor. Over the following fortnight the wound healed fine, but the pain never seemed to subside to any great degree. After a month I was still in pain and realised that with my first child, when my episiotomy stitches had become infected, the acuteness had calmed down by now. I waited till my "Six week check." where I was seen by two doctors and my allocated Consultant Doctor. On examination there was an obvious extremely tender area on my perineum just below the vagina. They came to the conclusion that maybe when I had been stitched there had been a pile of stitches one on top of the another and, perhaps, they had not broken down at the same rate as the others. That seemed like a reasonable explanation to the pain I was feeling, like a cigarette end touching against it. I was given a steroid cream to see if it would alleviate the problem and if not they would operate to remove the stitches. Unfortunately the cream only helped when it was "on" with the soothing effect of having any cream on a tender area. When I went back to my G.P. a month later she reckoned maybe it was a neuroma caused by a stitch catching a nerve and tying it in a knot. The option was to refer me to a Pain Management Clinic. in an effort to minimise the pain. To date I have been onceand was given a trigger point block injection to numb the immediate area. This, in itself was horrendous and the pain is as uncomfortable as ever. The rest of the Pain Clinic’s suggestions, as I understand, are a dilute anaesthetic solution injection into the base of the spine to reduced the fine nerve ending pain. Anti-depressants that have been known to help ease neurological pain and when I asked about the possibility of an injection in to kill the nerve my doctor explained that it could cause ulcerations and make the problem worse. I have been told I have two options : 1. Do nothing … this is just not an option, I can’t sit down without twisting out of shape and I also understand that nerve damage gets worse the longer it is left. 2. Have surgery to excise the neuroma…. this is not advised as it can lead to a bigger neuroma ? Any suggestions, or any help whatsoever will be greatly appreciated
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