Pudendal Neuralgia is akin to sciatica of the pelvis. The pudendal nerve innervates the pelvic region and helps with all things bowel, bladder and sexual function.
Pudendal neuralgia has also become like sciatica in the professional world in that many people with pelvic pain that has no cause that can be seen on x-ray is termed "pudendal neuralgia". I am seeing this diagnosis more in male clients than female clients.
It can present like pelvic region pain, burning, numbness, or sharp pain. The pain can radiate to the scrotum or tip of the penis in men or to the labia and vaginal canal in women.
Many of my male patients report feeling numb in their pelvis and perineum with occasional sharp pains to the penis or scrotum.
Female patients usually tell me it feels like burning or numbness in the pelvis and vaginal region.
Here's the good news: we can help you! There is hope and there is help. Be careful what you google because it will likely take you down a long, dark hole.
None of the patients I have seen who have a diagnosis of pudendal neuralgia actually had nerve damage. This is extremely rare to have a true entrapment of the nerve causing nerve damage. Often if we optimize how your muscles and joints move in the pelvis, hips and spine then the pudendal neuralgia symptoms will be relieved.
I can't say I've seen everything, but the majority of my clients come to me for complex pelvic pain issues, including pudendal neuralgia, and so far they have all gotten better. I promise you if you find a good therapist who has time to listen to your story and thoroughly assess you we will find the answer to the help you need.
What I have seen in my clientele is that most of the time it isn't something major requiring surgery, but rather it requires some detective work to find the root cause of your symptoms, which is what I love to do! I never want to just treat the site of the pain, but I want to figure out what originally caused this pain and fix that so you don't have to continually go to physical therapy, massage or chiropractic to feel good.
Depending on how long you have had symptoms this could take some time to heal, and for some of my clients, relief comes immediately. Everyone is different, but I believe there is relief for everyone.
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If you are not local a phone call or virtual session is a great place to start and figure out next steps for you.
We look forward to hearing from you and helping you find relief.