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Pudendal Neuralgia: Symptoms, Causes, and Treatments
Written by Medicover Team and Medically Reviewed by Dr Shrikant Deshmukh , Neurologist
Pudendal neuralgia is a chronic pain condition that affects the pudendal nerve, which runs through the pelvic region. It can cause discomfort or sharp pain in the buttocks, genitals, and perineum. Early diagnosis is essential, as untreated cases may interfere with everyday activities, including sitting, walking, or sexual function.
What are the Pudendal Neuralgia Symptoms and Warning Signs?
Pudendal neuralgia can mimic other pelvic disorders, making awareness of its signs important for early diagnosis and treatment.
Common Symptoms
- Burning, tingling, or sharp pain in the pelvic area
- Numbness in the genitals or perineum
- Discomfort or worsening pain while sitting
- Pain that improves when lying down
Severe Symptoms
- Pain during or after sex
- Ongoing discomfort that affects mood or sleep
- Difficulty with daily activities due to pain
What Are the Common Causes and Risk Factors of Pudendal Neuralgia?
Pudendal neuralgia typically results from compression or irritation of the pudendal nerve.
Causes
- Pelvic injuries (from childbirth, falls, or accidents)
- Pressure from cycling or long hours of sitting
- Previous pelvic surgeries
- Chronic constipation and straining
Risk Factors
- Sedentary lifestyle or desk-bound jobs
- Athletes, especially cyclists
- Individuals with a history of pelvic injury or surgery
- Aging, which may weaken pelvic support structures
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Get Second OpinionHow Pudendal Neuralgia is Diagnosed?
Diagnosing pudendal neuralgia requires a thorough evaluation due to its overlap with other pelvic disorders.
Diagnostic Procedures
- Medical history & symptom check: A detailed talk about your pain and health
- Physical exam: Checking for sore spots or nerve sensitivity
- Imaging tests: MRI or CT scans to look for nerve compression
- Nerve block test: A temporary injection to see if the pudendal nerve is causing the pain
At Medicover, we use advanced imaging, nerve conduction studies, and minimally invasive diagnostic techniques under the guidance of our pain specialists and neurologists.
What Are the Treatment Options for Pudendal Neuralgia?
Treatment focuses on reducing nerve irritation and relieving pain through a combination of therapies.
Medications
- Pain relievers: Such as ibuprofen or paracetamol
- Nerve-pain meds: Like gabapentin or amitriptyline
- Topical creams or patches: To numb the pain in one area
Non-Surgical Therapies
- Pelvic floor physical therapy: To relax muscles and reduce tension
- Nerve blocks or steroid injections: For pain relief
Surgical Treatment
- Pudendal nerve decompression surgery in severe cases unresponsive to conservative care
At Medicover, our multidisciplinary team tailors each treatment plan using pain management specialists, physiotherapists, and surgeons to provide lasting relief.
When to See a Doctor?
Consult a healthcare provider if you experience:
- Persistent pelvic or perineal pain lasting more than 4 weeks
- Pain that worsens while sitting and disrupts daily life
- Any signs of sexual dysfunction or numbness in the pelvic region
High-Risk Groups: Those with a history of pelvic surgery or trauma and Cyclists or individuals with sedentary jobs
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What Is the Recovery Process After Pudendal Neuralgia Treatment?
Recovery looks different for each person, depending on the cause and treatment. Most people find relief with the right care and patience.
Post-Treatment Care
- Follow-ups with your doctor to track progress
- Pelvic therapy to provide symptom management
- Lifestyle changes like using cushions or avoiding long sitting
At Medicover, we offer individual recovery plans, patient education, and emotional support to guide your healing journey.
What Precautions Can Help Prevent Pudendal Neuralgia?
Taking preventive steps can reduce the risk of developing or worsening pudendal neuralgia.
Prevention
- Don't sit for too long, take breaks or use special cushions
- Maintain good posture and pelvic floor health
- Regular exercise like walking or swimming
- Use proper cycling seats if you're a regular cyclist
Complications
- Chronic pelvic pain
- Emotional stress or depression due to chronic pain
- Trouble with daily activities or sex
Long-term Management of Pudendal Neuralgia
Managing pudendal neuralgia is often a long-term process that requires lifestyle adjustments and ongoing treatment. Patients are encouraged to:
- Adapt Seating Arrangements: Use cushions designed to relieve pressure on the pelvis.
- Incorporate Regular Exercise: Gentle activities like swimming or yoga can maintain physical health without exacerbating symptoms.
- Stay Informed: Education about the condition empowers patients to make informed decisions about their health.
Our Experience Treating Pudendal Neuralgia
At Medicover, we provide compassionate and expert care to patients with pudendal neuralgia. Our multidisciplinary team uses advanced diagnostics, innovative treatments, and individual care plans to help patients manage pain and regain their comfort and confidence.
