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Convergences in Pelviperineal Pain, Nimes France, 26-28 April 2012


Convergences in Pelviperineal Pain Program Pdf

Dear Friends,
You will find in attachment the program of the next international congress of the Convergeces in Pelvi-perineal Pain wich is going  to be held this year in France in Nîmes, 26-28 april 2012.
I hope you will be abble to attend and we’ll meet to exchange on this difficult topic.
Thanks to make the promotion to people who could be interested.
Warm regards

Chers amis,
Vous trouverez ci-joint le programme du prochain congrès international des Convergences in Pelvi-perineal Pain qui aura lieu cette année en France à Nîmes du 26-28  avril 2012.
J’espère pouvoir vous y retrouver pour échanger sur ce sujet bien difficile.
Merci de faire passer l’information aux personnes intéressées.

Queridos amigos,
Encontrará adjunto el programa del próximo congreso internacional de las Convergences in Pelvi-perineal Pain que se cogerá en Francie en Nîmes del 26 al 28 de abril 2012.
Espero que podamos encontrarnos allí para cambiar sobre este sujeto difícil.
Gracias por hacer pasarles la información a las personas a las que podrían les haber interesado.
Un abrazo de

Cari amici,
Troverete il programma del prossimo convegno internazionale di Convergences in Pelvi-perineal Pain che si terrà quest’anno in Francia a Nîmes dal 26 al 28 di aprile 2012.
Spero di ritrovarvi qua per uno scambio di idee su quest’ argomento così difficile.
vi ringrazio di trasmettere l’informazione alle persone che sarebbero interessante
Amichevoli saluti

Eric Bautrant MD


Women’s Health and Research Institute of Australia (WHRIA)

The following information is from the Women’s Health and Research Institute of Australia (WHRIA) website:

From Discovery, And Research Innovation To Reality

Pudendal Neuralgia: Pelvic & Perineal Pain

Associated with the Pelvic Nerve

Your symptoms & history indicate that the nerve in the pelvis, the pudendal nerve, may be responsible for all or some of your pain and other symptoms. The pudendal nerve runs from the lower back, then passes between 2 ligaments, then runs along the top of the pelvic floor muscles, then through to the base of the pelvis the pelvis and out to the perineum. Adjacent to the ligaments are muscles: the pelvic floor muscles (PFM) at the front and the obturator and piriformis at the back.

What is Pudendal Nerve Pain (Pudendal Neuralgia)?

Pudendal nerve pain may be associated with either irritation of a branch of the nerve, or with compression of the pudendal nerve itself by fibrosis of the surrounding tissues or the bulky PFM or tight ligaments. The symptoms of this problem are mainly expressed by pain (burning, electric shock like, raw feeling etc.) in the vagina, penis, scrotum, perineum, anus and pelvis and difficulty sitting for prolonged periods of time. Pudendal Nerve Pain may be related to childbirth, vaginal surgery, cycling, excessive abdominal & pelvic exercise, past pelvic/perineal trauma and straining or it may have no obvious cause. You may also have associated bladder, bowel or sexual problems.

What can be done about this?

You will be assessed by a doctor and physiotherapist to determine whether your pudendal nerves and pelvic floor muscles indicate that pudendal neuralgia is a possibility.

You may have a pudendal nerve block performed as a diagnostic procedure; local anaesthetic is injected into the canal through which the nerve travels.

You may be prescribed some medications to clam down nerve pain.

Early treatments aim to relax the pelvic floor muscles and decrease the pressure on the nerve. You will also be advised not to strain especially during defaecation & voiding. If appropriate you will also be given bowel & bladder management strategies. You may also need to manage painful trigger points in the PFM. You may be suitable for trigger point injections or Botox injections into the PFM if deemed appropriate.

Sitting: The aim is to avoid pressure on the entire perineum from the pubic bone to the tail bone (coccyx).Try sitting on 2 rolled towels or a cut up pool noodle. Clarke Rubber have “stadium seats” which can be cut into an appropriate shape.

What should you NOT do?

Prolonged sitting; straining; cycling (stationary, road, racing); rowing; abdominal strengthening exercises such as sit-ups, Pilates & intense core stability work; high level dance classes; heavy weight lifting; any other high level intense training which causes marked abdominal strengthening; pelvic floor muscle strengthening exercises. You will be taught how to RELAX & maybe stretch your PFM by the physiotherapist.

What can you do?

If you are able & inclined: general cardio work such as walking, swimming (not breast stroke), gentle running, soft sand running, light weights, gentle exercise classes, yoga (stretching & gentle toning not high level strengthening). If any of these activities flares your pain please cease & discuss with the physiotherapist…

Here are some quick links to the website’s resources.

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Definitions of pain

What is Pudendal Neuralgia (PN)?
Most simply put PN is Carpal Tunnel in the pelvis/buttocks. Compression of the Pudendal Nerve occurs after trauma to the pelvis and is aggravated with pressure. The pain is often described as a toothache like pain, with spasms, sensations of tingling, numbness, or burning. It can be very debilitating.

What is Neuropathic pain?
Neuropathic pain is the result of an injury or malfunction in the peripheral or central nervous system. The pain is often triggered by an injury, but this injury may or may not involve actual damage to the nervous system. More…

Pain Train my online health record

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Pain Train my online health record





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