His and Her Health

Whoever posted the thread about Botox,could you re-post I inadvertently erased it. My bad.

No Problem Moderator, I reposted it- just see that I get an answer haha
I read this abstract online and as I am considering botox for pfd it was my understanding that the pain at the vestibule due to pfd would probably be alleviated with botox. However, after reading this abstract I was rather disheartened to find out that this may not be the case. So I wanted to ask Dr Goldstein if he could please tell me the results of using botox on women that present with pfd/vestibule pain and if these womens experienced relief with the surface pain as well as the muscular tightness with botox?
thanks much!
vulvodynia.com/dia_vv_ab11.htm

Conclusion. BTX/A injections may be effective in reducing coital pain in vestibulodynia with levator ani tenderness, but has little effect on vestibular allodynia. The relationship between pelvic floor hypertonicity and decreased coital pain suggests vestibulodynia may be a variant of Chronic Regional Pain Syndrome. Dose and volume of BTX/A injected may be related to degree of relief.

<small>[ 04-24-2009, 09:59 PM: Message edited by: Moderator ]</small>

What is allodynia?

It means " other pain".

After further reading about allodynia, I do wonder if the botox would actually help the pain in the vestibule.
It appears that allodynia is a glitch in the central nervous systm so I am wondering now as I consider botox, how the botox would actually effect that area if the circuitry inside the spinal cord is not operating correctly? ugh
I wish I had an answer to this before I put a neurotoxin in my body. My pt said my muscles are not extremely tight, but I still have the pain at the vestibule-the 4, 6 and 8 oclock positions that were discussed. And if I knew if there was a slim chance of botox alleviating the pain at the vestibule, I definitely would not go thru with it!
Dr Goldstein if you read this, can you please tell me your statisitics with this. Do women that have botox done, find relief from their surface pain (vestibule) if the diagnosis is PFD?
thank you