Richard P. Marvel, M.D., FACOG, FACS , Amy Stein, DPT, BCB-PMD, IF, Allyson Shrikhande, M.D., Alexandra T. Milspaw, Ph.D., M.Ed., LPC. Pudendal Neuralgia Online Patient Conference. Pudendal Neuralgia Association, Inc.. 2019 May. Link to Conference.
Pudendal Neuralgia (PN) is a condition that involves pain of the pudendal nerve, which runs between the anus to the genitals of both men and women. This condition is commonly associated with pudendal nerve entrapment (PNE), or the pinching and compression of the nerve, while PN can be caused by other factors. PN is more common in women than men and can be treated through peripheral nerve block. In the ultrasound on the right, you can see in the boxed section compression areas within the pudendal nerve. Through our image-guided process and treatment, we can target the pinched or compressed area and track the areas or release over time.
Overall, pudendal neuralgia can result in extreme pain that makes it difficult to complete everyday tasks. Specifically, symptoms of pudendal neuralgia include:
Pudendal neuralgia may be a sensitive matter for both men and women. When you come in for your appointment, we listen to your concerns and follow up with a series of screenings and tests to ensure a proper diagnosis of PN or PNE. Combining non-surgical options, physical therapies, and traditional medicine, we develop the best treatment plan for you.
Often times patients ask us how long it will take for the pain of pudendal neuralgia to go away. Unfortunately, until taking a full history and examination and creating an Individualized Treatment Plan it is hard to say how long a patient will feel this pain. Our goal is to minimize the pain with our treatment protocol in conjunction with pelvic floor physical therapists and anything else we have discussed in our treatment plan. We do see a significant improvement in our patient’s symptoms and pain scores
The prognosis depends on the underlying cause as well as the duration of symptoms, the most common causes being: ischemic neuropathy, stretch neuropathy, ligamentous compression, myofascial compression and compression from a hernia. Based on these causes and the underlying problem will ultimately dictate if pudendal neuralgia will go away.