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Re: CHRONICPAIN: botox for chronic pelvic pain?? please advise..

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Tue, 7 Aug 2007 17:31:18 -0500 (CDT)


Jo

Sorry, I have no knowledge of this procedure...Dr. von Almen

At Mon, 6 Aug 2007, jo wrote: >
>Hi, I'm wondering if anyone has experience with getting botox shots for
>pelvic pain. I am in my 8th month of severe pelvic pain after having my
>left ovary removed for large endometrioma. My pelvic floor muscles are
>in spasm and it causes tremendous pain from too much activity, heavy
>bloating, sexual activity, or IBS related problems. I have had a clean
>colonoscopy so I am not worried about anything serious there. I have
>been in physical therapy for this problem for approximately 8 weeks, but
>have made no major improvement. I take vicoden and B&O suppositories on
>my very worst days. I am anxious to return to my normal active life and
>my doctor suggested that botox might be the next step if my pain
>continues. There is a possibility that I have adenomyosis, but my doc
>does not think that it is contributing to lower pelvic pain (feels like
>I'm carrying a bowling ball right above my cervix). I recently had a
>Mirena inserted to help with my painful and very heavy periods and my
>body is still adjusting. Since it was inserted I have periodic burning
>cramps in my lower abdomen that stop me in my tracks, but they come and
>go.
>
>Any information or suggestions would be greatly appreciated. Thanks!!

--
William F. von Almen, II, MD, FACOG
Private Practice
New Orleans, La.



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