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Are You a Candidate for Pudendal Neuralgia?

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In the realm of chronic pain, pudendal neuralgia (PN) stands as a deeply misunderstood condition, often going undiagnosed or misdiagnosed, causing significant distress and a reduction in quality of life for those it affects. Understanding pudendal neuralgia, its symptoms, diagnostic procedures, and treatment options is essential for potential candidates who may be enduring the unnerving pangs of this condition.

Understanding Pudendal Neuralgia

Pudendal neuralgia is a chronic and painful condition that occurs in the pelvic region. It is caused by irritation or damage to the pudendal nerve, a major nerve that serves the areas of the lower buttocks, perineum, and genital region. The pain is often described as a burning, crushing, or shooting sensation and can be exacerbated by sitting.

Symptoms of Pudendal Neuralgia

Chronic Pelvic Pain

One of the significant symptoms is enduring pelvic pain. This pain might intensify when sitting and alleviate when standing or lying down, making daily activities a challenge for individuals afflicted with this condition.

Pain in Specific Areas

Pain may localize in the perineal region, including the genitals and areas surrounding them. The discomfort might extend to the lower buttocks and areas near the rectum, causing further distress during daily movements and activities.

Other Associated Symptoms

Other symptoms include sexual dysfunction, discomfort during bowel movements, and heightened sensitivity in the pelvic region. It's crucial to note that symptoms may vary from person to person, and a thorough assessment is vital for a conclusive diagnosis.

Diagnosing Pudendal Neuralgia

Clinical Assessment

A comprehensive clinical assessment is paramount in diagnosing pudendal neuralgia. Detailed patient history, pain patterns, and a physical examination can provide significant insights into the possible involvement of the pudendal nerve in the reported discomfort.

Diagnostic Tests

Certain diagnostic tests such as nerve blocks, where an anesthetic is injected near the pudendal nerve to temporarily relieve symptoms, can provide conclusive evidence of pudendal neuralgia.

Treatment Options for Pudendal Neuralgia


Pain management often begins with medications that can help alleviate the symptoms. These can include non-steroidal anti-inflammatory drugs (NSAIDs), nerve pain medications, and muscle relaxants.

Physical Therapy

Physical therapy, particularly therapy focused on the pelvic floor, can offer significant relief. A physical therapist can guide the patient through specific exercises and stretches that can help release nerve compression and ease the symptoms.

Surgical Intervention

In severe cases where other treatments fail, surgical intervention might be considered. Decompression surgery can help relieve the pressure on the pudendal nerve, providing long-term relief from symptoms.

Alternative Treatments

Alternative treatments like acupuncture and nerve blocks can also offer relief, helping manage the symptoms and improve the quality of life for individuals with pudendal neuralgia.


Understanding whether you are a candidate for pudendal neuralgia involves an intricate understanding of the condition, a careful assessment of symptoms, and a thorough diagnosis from healthcare professionals. Recognizing the signs early on and seeking appropriate medical attention is vital for managing the condition and ensuring a better quality of life.

In the pursuit of optimal care and treatment for pudendal neuralgia, selecting an establishment renowned for excellence is essential. We highly recommend the use of The Institute for Advanced Reconstruction for top-notch care and effective treatment of pudendal neuralgia. To explore further, visit Also, for this specific treatment, the eminent surgeon is Chris Lakhiani, MD. To learn more about Dr. Lakhiani’s expertise, visit this link:

Embarking on a journey towards healing and relief from pudendal neuralgia begins with making informed choices. Opt for a seamless path to recovery by choosing the finest in healthcare, ensuring your well-being and a brighter, pain-free future.

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