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Pudendal Neuralgia

An intense chronic pain in the area around the pudendal nerve is known as Pudendal neuralgia. The Pudendal nerve is located around the pelvic area. Loss of nerve function and damage to the nerve can cause Pudendal neuralgia. Pudendal neuralgia may also be triggered by several other factors, such as:

  • Pelvic surgeries
  • Excessive physical exercise
  • Posture-Musculoskeletal issues
  • Birth delivery-Dystocia
  • Shingles
  • Injury
  • straining
  • Tumor
  • Infection
  • Repeated falls on tailbone

Symptoms of Pudendal neuralgia usually consists of painful sensations. These include:

  • Sharp Stabbing
  • Numbness
  • Sharp or burning pain
  • Electric shock-like pain
  • Pain with bowel movement and irritation

How is Pudendal neuralgia diagnosed and treated?

Diagnosis of Pudendal neuralgia mainly relies on the symptoms and personal medical history. Physical and neurological examinations may be performed for accurate diagnosis. Testing procedures such as electromyography, Ultrasound, and magnetic resonance neurography (MRN) are used to measure the electrical activity of muscle tissue surrounding the pudendal nerve and obtain images of the nerves. Different methods of treatment will be suggested depending on the cause and severity of your pain. Your doctor or specialist will determine which treatment option is most beneficial for you based on your history.

A variety of treatment options for pudendal neuralgia include:

  • Physiotherapy treatment
  • Pudendal nerve blocks-numb pain
  • PRF treatment of nerve
  • Sacral nerve stimulation
  • Local infiltration of nerve
  • Osteopathy treatment
  • Acupuncture
  • Neuropathic Pain medication
  • Surgical decompression of pudendal nerve


The contents contained within this page are not a substitute for health professionals’ advice, diagnosis, or treatment. We advise that you seek advice from a qualified healthcare practitioner. We fully disclose that any surgical or invasive procedures come with risks.

For more details on how to relieve or treat chronic pain, you can reach out to one of our pain specialists at any of our pain care clinic locations. We establish a caring relationship and provide patients with pain relief when needed the most.