Right Sided Groin Pain In Female. Muscle Or Nerve Damage?

Has anyone heard of "Right sided levator muscles spasm at the right inferior deep puborectalis muscle"? Well that is my new diagnosis after a year of constant pain. No one can figure out how this happened. Just had a botox injection into this area at the hospital. It's not a cure but waiting to see if paralyzing the muscle is going to give any relief. Anyone ever hear of this?

Hi @leigho55,

That sounds really painful! I'm sorry.
I would like to introduce you to past members @kellym, @trishie, @hew, who have talked extensively about pelvic floor dysfunction/levator ani syndrome. I hope they can provide some insight for you.

I also found a great article on the internet that provides an in-depth look at levator muscles spasm, possible causes and treatment: http://bit.ly/2hgyN9Z

@leigho55, from what I've researched so far, any injury in that area, even years ago, can lead to damage and wear and tear of these muscles. Is surgery an option, and if so have you considered it?

@leigho55, Hi, as one of the (really) small 1/2 % percentage of MALES with Pelvic Floor Dysfunction with severe constipation I'd encourage you or your physician(s) to reach out to Adil Bharucha, Motility M.D., FACS, and the world's leading specialist in PFD, at Rochester Mayo. I recognize it may seem strange to read from a male about PFD. But bodies are all different. Such is life.
There is some link between lower sacral nerve root with some involvement with levator ani tone, weakening, and pain. All of course tied through the Pelvic Floor.
The ties between the sacral S-3/S-5 Foramina, the rectalis portion of the pelvic floor, your levator ani, your ongoing pain, and the total pelvic floor involvement are well-worth a contact to Bharucha's group.
Often times, surgeries involving the pubo-rectalis / pelvic floor in general are neither encouraged, nor successful.
Hence the need for a specialist in PFD like Dr. Adil Bharucha or his team.
As a life-long sufferer with PFD, and now with a loss of lumbar functioning, with radiculopathy, the PFD -- which I had partially resolved after 2009 through Pelvic Floor Retraining at Rochester -- has surged back with a vengeance.
An interesting broad view of the issues are at https://www.glowm.com/section_view/heading/Neurophysiologic testing of the pelvic floor/item/57#4111. It may be the same one referenced by @kanaazpereira. Excuse the duplicate, if so.
It's very difficult, but at some point we all have to learn more about ourselves than even our allopathic physicians -- to enable us to move in a direction even we did not suspect -- in order to find healing.
You have my compassion, and my thoughts.
@kellym, @trishie, @hew,

Thank you for your prompt and insightful reply, @hew. I agree: often, we have to be our own advocates to lead a healthy, meaningful life.

I am delighted to have read this message! Thank you so much. This all makes sense now. I have been so busy this past month I forgot to go on and see if anyone responded to my post. I have been miserable and the botox injection did not do a darn thing actually it just aggravated it more. This is 24/7 pain. I was told by the colorectal surgeon to try possibly a new pain management Doctor to help me with relief since mine is done helping me and only wants to inject me with epidurals. How do I ease this pain? Do I have to stay pain pills the rest of my life? I went in for a CT myelogram and the next day after the nerve block wore off I woke up with this incredible pressure on my right side in the groin area. One yr. later I am worse and its traveled up the right side front and back with a vengeance. Not one Doctor I have seen this past 13 months has told me what you just told me. I so appreciate it. I am actually waiting for a call today from Mayo in Jacksonville Florida to see if I can get a 2nd opinion from their pain specialist. Is this a waste of my time to do this? How did this happen? No one is telling me. I had a spinal fusion at the L4/5 may of 2014. Could something of gone wrong then? I will look forward to another response. Thank you so much. I have had a weight lifted thank you. I have become a pin cushion for these Doctors and lots of pills/steroids/therapy you name it and now I am being told to start all over again. My neurosurgeon a year ago told me none of this is back related. Now my primary is trying to get me back into see him. I had to quit my job in July because it was just to painful to be on my feet in retail and too painful to be sitting at a desk job. Disability has denied me and no one seems to understand this is a chronic disability. I just am at the end of my rope. I hope to hear back from you ASAP for anymore insight you can give me on what my next step should be in your eyes. Thank you so much!

I have read through all this thank you. I do not have a prolapse as of yet. I think @hew has hit the nail on the head. Seems to be the only person that understands what I am somewhat going through. I will look into this Dr. at Mayo in Rochester. Not one of the many Dr's I have dealt with this past yr. have even suggested this possibility to me. I don't understand how not one Dr. would not take a special interest in helping a patient find out what happened and want to see it through to the end that you found answers and possible relief without just passing you onto the next Dr. that will try something else. It should not be like this. To much money and time has passed and not one ounce of hope to feel better. I am at a loss and my faith in some Dr.s I have seen are lost. Not even my primary wants to help anymore.

Hi, @kanaazpereira, Not one Dr. has mentioned anything about surgery. Not one Dr. is actually knowing what to do or is not saying. I am in 24/7 pain and not one Dr. in my circle are connecting with each other and giving me any answers. I could not open the above web site for some reason. I never had an injury to this area ever in my life. This injury happened while turning on the procedure table after a CT myelogram. Why???? Have not met the right Dr. yet to give me an honest answer. Everyone is treating me like I am a crazy person and I am tired of it all. Real tired. O will probably have to do as @hew suggested below.

Hi @leigho55,

I am so sorry that you are in such pain. As Hew suggested, if you would like to make an appointment at Mayo Clinic, Rochester, MN, to see Dr. Bharucha, you can call or request an appointment online here: http://mayocl.in/1mtmR63.
Here is some more information about Dr. Bharucha: http://mayocl.in/2hRuZAh

In the meantime I am also going to tag past members @sad10514, @heidiren, @mm92599 in the hope that they will return with some more information for you.
I don't want to burden you with tons of material, but I would encourage you to read this older discussion on Connect, as well: http://mayocl.in/2iIKme1
Here is a complete link to the article: http://www.sciencedirect.com/topics/page/Levator_ani

@leigho55, did you go for a second opinion as planned? Please know that the Connect community is here for you.

I can really feel for your pain, frustration, suffering, and exasperation at the allopathic medicine community.        What prompted me to seek out Dr. Adil Bharucha at Mayo Rochester was my own frustration. I nearly died after suffering for most of my life. Even so-called "Lauded" allopathic physicians really are often clueless - but are too lofty to admit that other physicians may actually "know" something that they are too closed-minded to accept.        Namely, that one physician, or one practice, or a group of physicians, or a large city of practioners, or even a whole State, or Region of health care practictioners doesn't really know any answer to some most basic questions about how the human body works - or what to do to treat conditions.         The art of diagnosing basic conditions of allopathic medicine is lost in the United States.Lost, that is, except to a very few highly knowledgeable practitioners. And just "who" they are often illudes most all physicians of Allopathic medicine.         You see, they all want to "Be" that magical savaant of the human body. But few, so very few can be that "one."        Before 1930, anismus, or at least 15 other issues with the pelvic floor were diagnosed using only common sense, historical knowledge learned from other physicians, and a stethascope with basic ascultation skills.  This is the way medicine is still practiced - and most importantly, still taught, in the first world nations of Europe. Cancers are diagnosed through touch, communication, simple tests, ascultation, listening, looking at variables - and by knowledge passed down through extensive training, and listening. Not just getting a medical degree.        Along came the "Age of Medical Machines" post WWII and the Marvel of so-called Modern Medicine. American Physicians became mere operators of machines, and reading reports about the human body. They have forgotten how to read the human body and know the human condition. Basically diagnoses is becoming a lost art in American medicine. Sad, but true.I found a solution by asking doctors in my city, my region, and in Chicago, Illinois, a simple question. "From whom do you receive your training?" Basically, what do all these doctors study? What conferences do they attend? Whom do they travel to see? From whom do they hear about issues in their chosen Allopathic specialty?That is how I found Dr. Adil Bharucha, Mayo Rochester. And he has made all the difference in my quality of life.Good luck in your journey. But your journey must take you to Rochester, MN, for any issues related to your pelvic floor.Great luck to you. You have my support, and my sympathies. But you have to leave your home area and go to Minnesota.I hope you have even better fortune for you in the coming time.@hew.

Hi @hew,
Thank you so much for all the support and information you are offering. Please note that I removed your personal email and phone number from this public discussion. Posts to the discussion board are public, and we don't want you getting unwanted spam etc. We recommend sharing personal contact information by private message as it is a secure, private option.
Thank you for understanding.