Hello @bwardccrn, Welcome to Mayo Clinic Connect. Thank you for the private message. I thought I would answer it in this discussion on Pudendal Neuralgia since I think this is the discussion you may have been reading through to find out if any members have tried botox injections. You mentioned you have been having PT with a specialist in pelvic pain with little effect. The doctor mentioned botox injections into the pelvic floor muscles but was skeptical the injections would work since she has not had many patients who have tried the injections. I'm hoping other members in this discussion with experience may be able to share it with you.

@richman54660 @harper2018 and others have discussed related treatments in another discussion and may have some thoughts or suggestions to share with you -- Have had chronic anal pain for 6 years: https://connect.mayoclinic.org/discussion/very-quick-summary-20-yr-old-have-had-chronic-anal/

Does your doctor give the botox injections or would you have to go to another specialist?