Pudendal Neuralgia Symptoms and Causes

August 05, 2022 |
The Symptoms Of Vaginismus

Do you know what Pudendal Neuralgia is? Pelvic or genital pain, discomfort, and numbness are symptoms of Pudendal Neuralgia. It occurs when a significant nerve in the lower body is injured and irritated, making it difficult to use the restroom, engage in sexual activity, and sit down. You will feel discomfort continuously. The pudendal nerve originates in the back of the pelvis and extends to the area close to the root of your penis or vagina, where it divides into different nerves. It regulates the sphincter muscles that open and close during bathroom usage. Your genitalia, anus, and other surrounding body parts communicate with the brain. You can contact a professional specialist for Pudendal Neuralgia treatment. Although the actual number of persons suffering from this condition is unknown, specialists think it rare.

Below you will see the symptoms, causes, and treatment of Pudendal Neuralgia:

1. Symptoms of Pudendal Neuralgia

1. Pain in the anorectal area, penis, scrotum, labia, or perineum

2. Discomfort when wearing yoga pants and underwear that is too tight

3. Compared to bilateral pain, pain in the pelvic area is only felt on one side

4. Pain that ranges from slight to severe lancinating or burning

5. Sitting down makes the pain worse.

6. Bladder or bowel incontinence

7. Unpleasant ejaculation

8. Deep discomfort, tingling, numbness, and tingling in the skin

Pudendal neuralgia pain is normally unilateral, very rarely affecting both sides. Most persons with pain on both sides do not have pudendal neuralgia; instead, it is most likely caused by another condition. In this situation, it is best to approach a Women's pelvic floor physiotherapist to learn more about the symptoms and treatment.

2. Causes of pudendal neuralgia

If the pudendal nerve is injured, inflamed, or trapped, pudendal neuralgia may result. Probable causes include:

1. Pudendal nerve entrapment, also known as Alcock canal syndrome, is when the pudendal nerve is compressed by adjacent muscles or tissue.

2. Long-term sitting, cycling, horseback riding, or constipation, often for months or years, can result in repetitive, mild pelvic injury.

3. Operation on the pelvis

4. A pelvic bone fracture

5. Pudendal nerve injury during childbirth might become better in a few months.

6. A tumor pressing against the pudendal nerve that is either normal or abnormal

3. Treatment Options

Most patients with pudendal neuralgia undergo care using a combination of physical therapy, dietary changes, and medications. To relieve nerve pain, get up more frequently or sit up straight. This may relieve some of the pudendal nerve pressure. Do not cycle and perform squats. Some exercises can increase pudendal neuralgia. Consult a Women's health physiotherapist if it eases tension and stretches the pelvic floor muscles located at the base of the pelvis. Inflammatory pressure on the pudendal nerve may be reduced as a result. Physical therapy can also help if your bladder or bowels are challenging to control due to pudendal neuralgia.

Consider using prescription drugs. Drugs that relax the muscles may be used to treat pudendal neuralgia symptoms. Medicine prescribed to treat epilepsy and depression may also be helpful. Your doctor may give you injections of medicine to reduce inflammation, which lowers pressure if these do not relieve your symptoms. The full effects of these could not be felt for several weeks. In rare instances, your doctor might advise surgery to eliminate anything pressing on the nerve. A small electrical device may also be inserted under your skin to stimulate the nerve and prevent the pain signals from reaching your brain.

Bottom Line

The above listed are all the symptoms, causes, and treatments for Pudendal Neuralgia. If you face any of the symptoms listed above, you can approach Dr Leena Daware for the best treatment and care.

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