Can Pudendal Neuralgia Be Cured?

Pudendal neuralgia is a rare condition that affects both men and women. This condition causes considerable pain, discomfort and/or numbness in the pelvis or genitals of the sufferer. This occurs due to irritation of the pudendal nerve, which runs from the back of the pelvis to near the genitals. It can cause difficulty in using the bathroom, engaging in sexual activity or even just sitting down. The pain can vary in intensity and can fade and recur over time.

Symptoms of pudendal neuralgia

Those who suffer from pudendal neuralgia experience symptoms in their lower bodies, genitals or in the perineum area. These symptoms can range from increased sensitivity, a feeling of swelling or tightness, numbness or “pins-and-needles” in any of the affected areas or burning or stabbing pain. These symptoms may be localized to one side of the body and may radiate out into the patient’s abdomen, buttocks or legs. Symptoms may be worse when sitting.

Those suffering from pudendal neuralgia may also experience pain or difficulty in sexual activity, erectile dysfunction or a persistent feeling of needing to use the bathroom.

What causes pudendal neuralgia?

A number of things can cause damage to someone’s pudendal nerve. It can occur during surgery, childbirth or from an injury. Anything that can compress or irritate the nerve can cause the condition, including even types of exercise, like extended use of a bicycle. Sitting on hard surfaces may also cause the condition in some cases.

How is pudendal neuralgia diagnosed?

Anyone with persistent or acute pelvic pain should consult a doctor or healthcare professional. During a medical examination, a healthcare professional will ask questions about the symptoms a patient may be experiencing and conduct a physical examination of the affected area. A doctor may have to manually check the nerve by putting pressure on it with a gloved finger. A doctor may also prescribe MRI imaging of the affected area to better examine the anatomical structures involved. In some instances, a doctor may prescribe a block of the pudendal nerve. This is an injection that is intended to numb the nerve. If symptoms diminish or disappear, this is considered a positive diagnosis for pudendal neuralgia.

How is pudendal neuralgia treated?

Under most circumstances, people with pudendal neuralgia receive treatment via a prescribed combination of physical therapy, changes to habits and lifestyle and prescription medication. Patients are encouraged to practice corrective posture. By sitting or standing straight, pressure on the pudendal nerve can be diminished, which decreases the symptoms.

In some cases, physical therapy can alleviate symptoms or even reduce them entirely. An exercise which relaxes and stretches the muscles of the pelvic floor can reduce inflammation or swelling, taking the pressure off of the pudendal nerve. Once this pressure is eased, irritation of the pudendal nerve should be diminished. Patients suffering from incontinence can also find that physical therapy helps with associated symptoms.

A doctor may prescribe medication like muscle relaxers, which may help relieve the symptoms of pudendal neuralgia. In some cases, other drugs may also be prescribed depending on the severity of symptoms and how they respond to initial therapeutic attempts. In some rare cases, a doctor may suggest surgery as a way to remove any growth or structure that presses on the pudendal nerve.

Are you or someone you know suffering from pudendal neuralgia? The first step to finding a cure is to talk to a qualified healthcare professional for an initial consultation. Click the link below to be put in touch with someone today!

Request an appointment here: https://coresurgicalmd.com or call Core Surgical at (212) 548-3267 for an appointment in our New York office.

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