Prof. Prof. DK Prof. Dr. med. Marc Possover, MD, PhD
Endometriosis of the Sciatic Nerve - The Story of your Pain.
Why so many women lose years of their lives - and why neuropelveology can give them back
You didn’t start with a diagnosis.
You started with pain.
A strange pain. A deep, burning pain in the buttock. Electric shocks shooting down your leg.
Pain that follows your cycle and then stops following it at the begin, where you developed the pain. Pain turns into something constant. The pain is unbelievable high somewhere between 8 and 10, or even at 15 on a scall from 0 to 10.
At first you are told it is your back.
Then your leg.
Then your muscles.
Then your posture.
Then your stress.
You try physiotherapy.
You do exercises.
You stretch.
You strengthen.
You try strong pain killers and hormonal treatments – without any changes and massive side effects.
Nothing changes.
The slow disappearance of your normal life
You stop sitting.
You stop driving long distances.
You stop traveling.
You stop sleeping well.
You stop trusting your own body.
You cannot sleep anymore.
You adapt your life around pain.
Then hormones are prescribed.
At first there is hope.
Then disappointment.
Side effects appear.
Your pain changes - but does not disappear.
Then comes surgery.
You wake up hopeful.
You leave disappointed.
The pain is still there.
Then another surgery.
And another.
Your life becomes a sequence of waiting rooms, MRIs, referrals and unanswered questions.
When pain turns into nerve failure
One day your leg feels strange.
Not only painful - but weak.
Heavy.
Unreliable.
Your foot begins to drop.
You trip.
You compensate.
Your pelvis tilts.
Your walk changes.
Your leg no longer truly feels like it belongs to you.
Skin sensations become strange, distant, unreal.
Your body is no longer protecting you - it is failing you.
You are told it is “postoperative.”
You are told it will improve. It doesn’t.
You are told it’s in your head.
Your nerve is silently being destroyed.
The invisible disease
Sciatic nerve endometriosis does not behave like “classical” endometriosis.
It does not form big masses.
It does not sit on organs.
It lives inside nerve corridors.
Sometimes inside the nerve itself.
It grows where imaging rarely looks.
It hides behind vessels, fascia, ligaments and scar tissue.
Even MRI can look normal.
Especially when:
• the radiologist is not trained to look for pelvic nerve disease
• the MRI is done under hormonal suppression
• the MRI is not timed to the menstrual cycle
And so you are told once again:
“There is nothing to see.”
Why MRI is necessary - but never enough
MRI must be done to exclude tumors, disc herniations, schwannomas, and major surgical complications.
But MRI cannot tell:
• if your nerve is being infiltrated from the inside
• how many fibers are already destroyed
• whether part of the nerve must be resected
• if intraneural exploration is required
• if time is running out
Those questions are invisible on scans, but decisive for your future.
Why neuropelveology changes everything
Neuropelveology looks at what imaging cannot.
It listens to your pain.
It maps your symptoms to nerve anatomy.
It recognizes patterns that no MRI report mentions.
It measures nerve function - not just structures.
It tells whether your nerve can still be saved.
It tells whether surgery must be urgent.
It tells whether waiting will cost you permanent disability.
This is not “just another surgery”
This is nerve preservation medicine.
Because once motor fibers are lost, they do not grow back.
And once walking is affected, life changes forever.
You are not difficult.
You are not exaggerating.
You are not “just sensitive.”
You are injured.
And your nerve deserves protection.
— Prof. Marc Possover
Founder of Neuropelveology
We’re Here to Help
Possover International Medical Center – Zurich
☎️ +41 44 520 3600
📍 Klausstrasse 4, CH-8002 Zürich
🌐 www.possover.com
📧 mail@possover.com
Let us help you find the cause of your pain - and finally start your journey toward healing.
If you or someone you know is struggling with chronic pelvic pain, pelvic nerve disorders, endometriosis, or consequences of pelvic surgery, please contact us via email at international@possover.com to begin the process. Because we want to avoid the scenario where a patient travels to Zurich, only to discover that we may not be able to offer help for their specific situation, we have Pre-Consultation Zoom process. How does it work?