TIPNA

[bbc]

Thanks...this is good news : )

[pianogal]

does anyone know how much hibner's office charges total for botox these days?

I am toying between flying back to france to see dr. bautrant where it will be 750 euros plus travel (2500 first class lay flat seat and probably 500 misc expenses) so probably 3500 USD total.

If hibner is cheaper, I'd prefer to go locally.

thanks!

[GregT]

I think that someone posted that the going rate for botox was around $2,000 in the U.S. Does your insurance not pay for it? Most of them do when it's for pain. There is a lot of information on a Dr. Gajraj outside of Dallas who gives botox into the O.I. muscle.

Greg
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Had PN surgery in France in Dec, 2001. Sitting is a bit better, but I still have muscular pain in much of the pelvic area. Never had pain on one side or the other, just in the middle.

[Karen Wiesner]

Even though it's for pain, the insurance companies will NOT reimburse for injections into the pelvic floor because it is "off-label" use....any excuse to not pay...
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TG surgery in Houston. Subsequent therapies have included; acupuncture, trigger point, both corticosteroid & heparin blocks, cold laser, prolotherapy, pulsed radio frequency ablation, & Botox (which has helped!), along with pelvic floor rehab.

[GregT]

[Karen Wiesner]

I wonder how you managed that miracle??? Your doc must have "fudged" the paperwork or something....

K.
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TG surgery in Houston. Subsequent therapies have included; acupuncture, trigger point, both corticosteroid & heparin blocks, cold laser, prolotherapy, pulsed radio frequency ablation, & Botox (which has helped!), along with pelvic floor rehab.

[GregT]

[Karen Wiesner]

That doesn't make sense to me, Greg, for if the Botox is used for "off-label" use, then no insurance company will reimburse according to all my sources. I also went to Jordan & Gajraj, and my insurance company paid for some aspects of the procedure, but specifically, I had to pay for the Botox....??????

K.
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TG surgery in Houston. Subsequent therapies have included; acupuncture, trigger point, both corticosteroid & heparin blocks, cold laser, prolotherapy, pulsed radio frequency ablation, & Botox (which has helped!), along with pelvic floor rehab.

[Fran]

Karen - I had Botox twice by the same dr. and both times it was covered. She was a gyno/pelvic pain specialist so not sure if it's the type of dr. that determines payment, but most likely the insurance. She also treats urinary problems, which I don't have.

( I have Federal BS/BC insurance). And the last time I had it done was in December of 2008. Maybe it wouldn't be covered now. Don't know.

Fran
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Had first and second sets of blocks in Houston Aug. and Sept. 2004. Have had several rounds of pelvic floor therapy, but only one actually helped. Had Botox Aug. of '07 with mixed results and again in Nov. 08. Not being treated by anyone currently.

[GregT]

[healing123]

Dealing with Botox and chronic pain, I had numerous Botox in my buttock muscles, did not help. Covered by insurance, that was 8-10 years ago.
It was done by a rehab. doctor. DId not help me at the time.
WIsh it had. Trying to stop the reoccuring spasms.
Just sharing that some insurances do cover, but.... that can change yearly with insurance.
Best of Blessings to you.
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Blessings,
Healing123

[Karen Wiesner]

It's extremely important that all of the muscles involved in your pain syndrome be injected with Botox, not just some. Additionally, the injections need to be of adequate quantity and placed deeply into the "belly" of each muscle involved. If not done properly, one will experience no improvement. You have to have a physician who REALLY knows what he's doing....
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TG surgery in Houston. Subsequent therapies have included; acupuncture, trigger point, both corticosteroid & heparin blocks, cold laser, prolotherapy, pulsed radio frequency ablation, & Botox (which has helped!), along with pelvic floor rehab.

[healing123]

Yes! I agree 100 percent. I have learned to be an advocate for myself and not just allow my body to undergo procedures based on one person's opinion. You are exactly correct. I have learned a great deal since then, through out this journey, and I appreciate the willingness of others to share who are going through their journey. Thank you for expanding on the issue.
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Blessings,
Healing123

[carlank]

Botox from McDermott Pain Cinic, Southwestern Medical School, is now controlled by a Dr. Noe who does not believe in PNE. The other doctors are gone. Dr. Gajraj is in Dallas in private practice & can write a prescription as can any doctor; insurance usually will not cover it. He will inject it for pain relief. Hibner does botox as a means to an end - to do a procedure - not for pain control. I just left Phoenix & for the 1st time had an answer to the pain in my "sit bone" - a nail I was sitting on. My PNE is gone. During my re-back surgery in 2000, I was in a device far too long & no matter how many times I told the doctors this fact, they chose to ignore it. I awoke the next a.m. to a "golf ball" on the right side & PNE. 30 pounds loss & 6 wks. later, I was a vombie on Tylenol. 5 back surgeries - Houston, Mayo, Antolak, Spinner, France - finally Hibner & now relief. Hibner used botox in the right side of the vaginal canal so the women's PT can work on slowly (1-1 1/2 yrs) stretch the tendons back into place so this nail I am sitting on will disapate - a procedure. I am grateful for the help I have had - very. Very glad I had the re-surgery done. No more fishhook in the vag. canal or inconscience. Carlie
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Oct 99-02 4 Back Surgeries;12-02French R PNE surgery; Guided-Botox pain reduction; Oct 08 Hibner: R Side Re-surgery-PNEcured Broken hip 10/09;Rotated R-hip-pain-PT treated

[Joddy]

Karen, according to Neversurrenders post dated Dec16,2008, It says:
Dr Weiss likely knows more about pundenal neuralgia than anyone in the U.S. according to Dr Hibner. Does Dr Hibner support Dr Weiss?.