Select Page

Pudendal Neuralgia

pudendal neuralgia nerve ultrasound imagePudendal 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. 

Causes for Pudendal Neuralgia

Symptoms for Pudendal Neuralgia

Overall, pudendal neuralgia can result in extreme pain that makes it difficult to complete everyday tasks. Specifically, symptoms of pudendal neuralgia include:

  • Aching, burning or stabbing pain in the pudendal nerve region
  • Pain that increases when sitting down
  • Genital pain (penis or scrotum for men, labia for women)
  • Painful ejaculations
  • Pain with bowel movements or urination

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.

Risk Factors for Pudendal Neuralgia

  • Biking/Spinning Class
  • Prolonger Sitting
  • Gynecologic Disorders
  • Chronic Prostatitis
  • Vaginal Delivery
  • PF Muscle Disorder
  • Sacrospinous
  •  Sacrotuberous
  • Pelvic Surgery/Scarring
  • Tarlov Cyst
  • Lumbar Spinal Stenosis
  • Prolonged Dorsal Lithotomy

Recovery Time for Pudendal Neuralgia

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

Does Pudendal Neuralgia Go Away?

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.


Patient safety is our utmost priority at Pelvic Rehabilitation Medicine.

Meet Pelvic Rehabilitation Medicine

At Pelvic Rehabilitation Medicine, we treat whole human beings, not symptoms. In the body, everything is connected; and the pelvic region is the vital center of the body’s connected functioning. Our physicians take an innovative approach, combining traditional medicine with holistic modalities and rehabilitative medicine. We treat both male and female patients who experience core muscle and nerve problems; chronic pelvic pain; and pelvic floor muscle dysfunction. Learn More »

Relevant Publications/Citations

Charity Hill, MD sits as a committee member of the Medical Education Committee for the International Pelvic Pain Society. Link to Medical Committee.

Request Your Consultation Today

Request a Consultation

Practice Safety Protocol

The health and safety of our patients and employees is Pelvic Rehabilitation Medicine’s top priority. While remaining open, our Team is strictly adhering to the recommendations offered by the CDC, and our disinfecting policies are meticulously executed in each of our offices. We assure you a healthy, safe environment while bringing you the exceptional healthcare you deserve. 

You have Successfully Subscribed!