His and Her Health

I read that once botox is injected, the nerve needs to regenerate itself. Is this the pudendal nerve?
What does this mean, is the nerve destroyed. Is the nerve as good before the injection as it is after?

thank you

Botox is injected into the muscle, not the nerve. its purpose is to temporarliy paralyze the muscle that is being injected. If there are nerves that are being irritated by this muscle, then there can be an indirect affect on calming or easing the nerve irritation, b/c the muscle stops spasming or tightening. It will not "damage" or change the function of the nerve.

ok there was a discussion about it killing off the nerve endings, so you are certain of this?

thank you

Just wondering where you saw/read this discussion or is it in an article? Botox is used to treat the muscle spasm as far as I understand. As it allows time for the muscle to take a rest, that probably allows for the nerve to be under less pressure. Perhaps there is some regeneration as you are referring, but I am not sure about this...would need to see the reference. The problem with a nerve or nerves is different in people; some just have increased superficial nerves increasing the sensitivity and increasing pain (like to light touch when normally light touch does not cause pain), some people have slow conduction in a nerve, some people have had a nerve that was overstretched....so person to person it is different.

I had read it on another forum, they were discussing regeneration of the nerve endings after botox.

What is the treatment for the superficial pain u referred to in your post?

Some just PT is enough, others need medication from MD.

I have also read that the botox is used to relax the muscles and the lack of spasms helps with the pain. I don't believe that the nerve is damaged in any way...

I also found this little tidbit: "Pudendal nerve blocks using a long-acting analgesic and a steroid can reduce the nerve inflammation and are usually given in a series of three injections four to six weeks apart." This might be something you could look into if you're not into the botox.

Hope this helps!

Alex

I know links don't really post here, but if you understand science-y-ness (lol) then this is a great article : (put www. in front of it) enfermedaddelavulva.com.ar/docs/botox_vd.pdf

No article or website has been able to explain how botox is good for provoked Vestibuldynia (VVS), as botox is generally used to block ACh receptors in muscles, causing paralyisis essentially. But this article helps us understand why it may be good for pain too. Exciting!!!!

Hey ladies!!

I've seen Dr Jubin in Saskatoon, and she is willing to use botox in my vuvlar area in an attempt to reduce pain! I found 2 really good articles talking about botox and vulvodynia (if you want links to them, message me!), and she read them and agreed to proceed. She also gave me a prescription for medical botox, to see if my health coverage will cover it.

She also gave me a prescription for vaginal valium. Has anyone tried this?

My appointment is in 2 weeks, wish me luck!

Lyndi

Botox definitely can be helpful. It would be most helpful if you found a PT to lengthen the muscles after the botox. We have seen this approach to be most effective in treating tight and spasmed muscles. Vaginial valium can also be very helpful to help relax tightened or spasmed pelvic floor muscles.Also, most effective if you combine the vaginal valium with PT. have you found a PT in your area that specializes in pelvic pain? You can go to: www.pelvicpain.org, www.nva.org, www.ic_help.org, www.apta/womenshealth/findapt
Good luck

Lyndi, Have you tried the vaginal valium or had the botox as of yet? Many of my patients are using this type of valium; they are either prescribed valium suppositiories or some are prescribed Valium (trade name) and use the pill directly in the vagina. It definitely has helped many of them and seems to be less systemic then taking it orally. Some are prescribed a nightly dose and others as needed.

Also wondering if you were able to get the botox covered. I don't think it is in many cases, but i also think it may depend on diagnosis codes the MD uses. It has been very beneficial with my patients that have had it.

Keep us posted
niva

Hi Niva!!

I have used one of my vaginal valium pills, but my physician never said what they are good for. She did say that the results can last for a while.

I do like the botox, though I haven't tried intercourse with a man yet. I do find masturbation takes longer (a good thing) because it doesn't hurt and I don't have the uncomfortable. . ness. . that I used to get afterwards. I just seem less sensitive. That is after 2 rounds of botox, though if I press hard I still have the normal pain.

Thank you for the reply : )

Okay I have been having the best sex of my life!!!!

For those who know my story, I've had VVS ever since I was sexually active, which was almost 10 years ago.

I tried botox. . . probably . . . . 6+ months ago. I believe she used 1 vial. . I think. . in the vulvar area. My dr noticed some spasming. We did an extra few (cc's?) of botox about 3-4 weeks after the first dose.

So this is what I do know (besides having mind blowing sex. . no jokes. . okay you DO need a partner who has skill, but that is a wwhoollee other topic).

After sex (say the next morning, or later in the evening) I take one Aleve (Naproxen) which is a NSAID (non steroidal anti inflammatory) recommended by my pharmacist. Then I try to ice the area (NO longer the 20 mins, and not directly on the skin. More then 20 min will cause vasodilation which is NOT what you want!). I ice once or twice, then 8 + hours after the first Aleve I take another one.

This is what I do (plus that one session of botox) and I am having great sex every 2-3 days and multiple times in one night. I have never been able to do this before!

I might get some more botox when I can afford it. The botox has seemed to have treated the superficial pain in the vaginal entrance. The ice and anti inflammatories seem to calm down the after pain and swelling which is my biggest issue now.

Good luck!

Re:botox/nerve Hi LyndiCan,

Did you ever suffer from burning nerve pain over the past 10 years? I'm trying to figure out if botox will help me (burning/tingling pain along the course of the perineal branch of the pudendal nerve). My pain is on the left-side of the urethra, vulva, vesitbule, and along the urethral wall inside the vagina.

Thanks,

Micky

While there is some affect on the nerves, the predominant effect of Botox is on the muscles.
Secondly, I only think that Botox is useful to augment physical therapy/dilators.