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What is pudendal neuralgia?

Updated: Oct 11, 2023

Allow me to introduce you to the pudendal nerve before we proceed.

The pudendal nerve originates from the sacrum levels S2-4 and travels through the Alcock's canal along the pubic bone. It consists of sensory, motor, and autonomic fibers and has three branches that supply the rectum, clitoris, and perineum. When this nerve becomes irritated, which can happen anywhere along its entire length, it leads to a condition called Pudendal Neuralgia (PN).

What are the symptoms of pudendal neuralgia?

Pudendal neuralgia is characterized by various symptoms depending on the affected branch or fibers of the complex pudendal nerve. These symptoms may include:

  • Increased pain when sitting.

  • Altered sensation or sharp sensations in the area between the genitals and anus.

  • Prickling, itching, or swollen sensation in the vulva, rectum, or perineum.

  • Clitoral pain or sensitivity.

  • Feeling of recurrent bladder infections.

How did I get pudendal neuralgia?

Pudendal neuralgia can occur due to various reasons, including:

  • Vaginal birth and stretching of the nerve.

  • Excessive sitting that compresses the inner parts of the sit bones, such as when riding a bike.

  • Mechanical force or trauma to the area.

  • Hypertonic pelvic floor muscles that compress the nerve.

What is the treatment for pudendal neuralgia?

Our Osteopaths have extensive training in pelvic health and chronic pain conditions. Your treatment and management may include:

  • Internal pelvic floor myofascial release work to decompress the pudendal nerve

  • Whole-body treatment focusing on the fascial and biomechanical regions impacting the pelvis

  • Breathing education

  • Specific movement practices to release tension in the pelvis and spine.

  • Mindfulness and meditation techniques.

  • Lifestyle advice.

Will I recover from pudendal neuralgia?

Yes, with the appropriate treatment and management, you can expect to make a full recovery. The human body has an amazing capacity to heal, allowing you to return to living your life to the fullest potential.


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