Pudendal Neuralgia is a condition, when the person experiences pain, discomfort, numbness in the perineum or genitals. This usually occurs when the pudendal nerve which supplies these areas is injured due to trauma, get trapped due to any surgical scar around this area or a daily activity of sitting for long periods due to excessive pressure. The pain is inconsistent and can come and go any.
Pudendal Neuralgia treatment is often taken from combined treatments of pelvic floor physiotherapy, lifestyle upgradation, and medicines. A good consultation is required from the pelvic floor physiotherapist for the pudendal neuralgia to be treated.
Your pelvic floor physiotherapist may also give you the checks and tests to be done within a certain period of time along with the treatment. A good revised treatment plan is generated with consistent sessions. Rare cases which don’t improve with pelvic floor physiotherapy require surgery.
Pudendal neuralgia treatment measures can help you feel better and live a more regular life. There are several things that you can do to reduce your stress levels and slow down the production of cortisol in your body, thereby relieving some of the pain that you may be feeling. Some examples include:
Seeking Counselling From A Psychologist: You may feel like you are unable to cope with the emotional issues that have led to your pudendal neuralgia symptom onset, but getting in touch with a counsellor who specializes in helping patients overcome emotional issues may help you to come to terms with what has happened.
Treatment for PN is based on relieving pressure on the pudendal nerve. This can be accomplished by decreasing inflammation of the nerve (rest), increasing blood flow to the area (exercise), improving posture and strengthening abdominal muscles (physical therapy), or delivering a local anesthetic to block pain signals (nerve block). Depending on the severity and duration of symptoms, treatment may include the surgical release of scar tissue around the nerve in cases of chronic or severe PN.
The goal of treatment is to relieve symptoms and prevent long-term damage from occurring. The most common treatment for PN is conservative management with physical therapy exercises, but medication or surgery may be recommended if conservative management fails to provide adequate relief from symptoms.
Treatment for pudendal neuralgia is not a one size fits all solution. It will depend on the source of the pain, whether it is a result of nerve damage or an infection. Physical therapy may be used in combination with pain management techniques such as nerve blocks and analgesics.
Some of the most common signs and symptoms are pain on sitting, relieved on standing and lying down, pain in genital and anal area, pain type including burning and shooting pain, pain refered to low back and abdomen and posterior thigh, frequent urination, pain on sexual activity, painful ejaculation, increased sensitivity in genital area. Diagnosis is on history with investigation like EMG, MRI PUDENDAL NERVE, DOPPLER US
If conservative treatment fails then surgery can be considered to decompress the nerve, simultaneously getting a skilled doctor for surgery is important.