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The two meds apparently work well together. Low doses of Nortriptyline can have a secondary use for blocking nerve signals. I pulled this off the internet " Nortriptyline works by increasing the amount of specific nerve transmitters in the nervous system, reducing pain messages arriving in the brain".
In this case report, a 76-year-old female patient presented to her general practitioner with a 10-year history of unilateral buttock pain, which had been diagnosed as pudendal neuralgia. She tried various treatments and visited numerous specialists, but there was little improvement overall.
29 paź 2018 · Clinicians have become increasingly aware of pudendal neuralgia as a cause of persistent genital pain. The purpose of this review is to summarize the current knowledge regarding the presentation, etiology, evaluation, and management of this condition.
Of all treatments adopted in the frame of PN, the most cited treatments are based on local infiltration targeted to the pudendal nerve and pudendal nerve decompression through surgery (including radiofrequency).
13 paź 2021 · Results: The results of the literature review and expert consensus are incorporated into 10 sections to describe diagnosis and management of PNE: (1) diagnosis of PNE, (2) patients advice and...
Pudendal neuralgia is an underdiagnosed disease in clinical practice. The aim of this systematic review is to highlight the role of pudendal neuralgia on sexual dysfunction in both sexes.
11 lis 2022 · Pudendal neuralgia is chronic pelvic pain caused by an irritated or damaged pudendal nerve. Your pudendal nerve runs from the back of your pelvis to all the muscles and skin in your genital area, including your anus, vagina and penis. Treatment options include medication, physical therapy, lifestyle changes or surgery.