Hi everyone! I've tried all the nerve blocks available and they were of no benefit to me. One of the treatments I've been receiving from my Pelvic Floor Therapist are external and internal deep tissue massages, both pelvic and anal. She has found several trigger points, mainly near the Alcock Canal. Because the nerve blocks were ineffective, my therapist now believes that my pain could be muscle related, even though the pudendal nerve is most likely affected. The doctor who diagnosed me with Pudendal Neuralgia is now recommending Botox injections, along with a Gastroenterologist/Internist that I recently saw for a second opinion. Has anyone tried Botox, and what was the outcome?