Pudendal Neuralgia is a pelvic pain syndrome that affects both men and women. Most simply defined, pudendal neuralgia causes nerve-like pain in the areas the pudendal nerve travels to.
The pudendal nerve innervates the skin of the vulva, labia, and clitoris in women and the scrotum and penis in men. It also innervates the perineum and anus in men and women as well as a portion of the urethra, and part of the rectum and vagina, and the majority of the pelvic floor muscles. It has a vast distribution and when problems arise, people may experience pain in any of those areas and have issues with urinary, bowel, and/or sexual function.
The exact prevalence of pudendal neuralgia is unknown at this time. Pelvic floor physical therapy is the 1st-line and effective treatment for this pelvic pain syndrome.
Table of Contents . What is Female Pelvic Pain? . How Does Pelvic Floor Dysfunction Cause Female Pelvic Pain? . What are the Symptoms of Female Pelvic Pain? . What are the Causes of Female Pelvic Pain? . What is the Treatment for Female Pelvic Pain? . What Conditions are Commonly Linked to Pelvic Pain? […]
By Elizabeth Akincilar, MPT, Cofounder, PHRC Merrimack If you’re experiencing sharp, burning, or shooting pain in your pelvis, genitals, or anal/rectal area—especially when sitting, or with urinary, bowel or sexual functioning—it may be due to a pelvic neuralgia. These nerve-related pain conditions are often underdiagnosed and misunderstood, even though they can severely impact daily life. […]
By Alexa Savitz, DPT, PHRC Pasadena SCHEDULE APPOINTMENT Cauda equina syndrome and pudendal neuralgia can present with similar alarming symptoms, which may complicate the diagnostic process. However, prompt and urgent referral is critical when cauda equina syndrome is suspected to prevent the progression of symptoms. In contrast, pudendal neuralgia is not an emergent condition though […]
By Jandra Mueller, DPT, PHRC Encinitas & Guest Author Julie Baron, DPT, CSCS, PCES Having been a pelvic floor physical and occupational therapists for over twelve years, I can count on one hand the amount of times I have seen this diagnosis; yet, some sources say it is the second leading cause of chronic pelvic […]
By PHRC Team Several different nerves that supply the pelvis can cause neuropathic pain (nerve pain). We’re going to review a bit of what is involved with neuropathic pain, how to treat neuropathic pain, and follow up with all the questions we received on the topic! The pudendal nerve is probably the most common […]
By Stephanie Prendergast, MPT, Cofounder PHRC Pasadena Many people experiencing burning in their pelvis or pain while sitting may google their symptoms and quickly arrive at a diagnosis of Pudendal Neuralgia. The pudendal nerve is an important pelvic nerve, however, the ilioinguinal nerve, the obturator nerve and the genitofemoral nerves can also cause pelvic […]
By Stephanie Prendergast, MPT, Cofounder, PHRC Los Angeles At PHRC we love anatomy! As physical and occupational therapistss we have advanced training in the neuromuscular systems of our body. Knowing where things come from and where things go help make us expert diagnosticians and treatment providers! Here is insight into which nerve roots are […]
By Stephanie A. Prendergast, DPT, MPT, Cofounder, PHRC Los Angeles The Obturator Internus (OI) muscle is an external rotator and an abductor of the hip. It is also a pelvic floor muscle, with half of the muscle belly sitting right next to our Levator Ani muscles. The muscle also forms part of Alcokc’s Canal, which […]
By Stephanie A. Prendergast, MPT, Cofounder, PHRC Los Angeles Ilioinguinal neuralgia is typically caused by a surgical procedure or an inguinal hernia. A hernia is when tissue pooches through the abdominal wall due to a weak point in the abdomen. An inguinal hernia, which is a hernia in the inguinal canal, can put […]
By Stephanie A. Prendergast, MPT, Cofounder, PHRC Los Angeles When considering neuropathic pain in the pelvis most people think of the pudendal nerve, but there are several other pelvic nerves that can also contribute to pelvic pain! The genitofemoral nerve supplies a portion of the genitals as well as the front of the thigh. This […]
By Elizabeth Akincilar, MPT, Cofounder, PHRC Merrimack Over the last couple of years PHRC has shared many YouTube videos and educational material on Instagram educating our viewers and readers about pelvic health. We have received an overwhelming response to several of our posts discussing pudendal neuralgia. Listed below are some of the most common questions […]
By Stephanie A. Prendergast, MPT, Cofounder, PHRC Los Angeles Why do my sitz bones hurt with sitting, but not when sitting on the toilet? Alexandria’s Success Story with Highs and Lows throughout the Healing Process The History of Alexandria’s Pain and How She Found PHRC Alexandria is a 62-year-old female who showed up […]
By Stephanie Prendergast, MPT, Cofounder, PHRC West Los Angeles Did you know that June is Men’s Health Awareness Month? To follow up that month, we wanted to update the resources we have for Pudendal Neuralgia. Below you will find the latest and greatest information both in blog and video format! We compiled information from guest […]
By Elizabeth Akincilar, MPT, Cofounder, PHRC Lexington In May we went live on Instagram with Mark Conway, MD, gynecologist and pelvic surgeon specializing in pelvic neuralgias. We compiled a list of questions from social media to answer during our live about your inquiries about Pudendal Neuralgia. So what is Pudendal Neuralgia? It is a […]
By Stephanie A. Prendergast, DPT, MPT, Cofounder, PHRC Los Angeles May is Pelvic Pain Awareness Month and at PHRC we want to do our part to help people better understand pelvic pain syndromes and more importantly, help people suffering with these diagnoses get the help they need to recover. Since knowledge is power we created […]
By: Stephanie Prendergast, PHRC Cofounder Pudendal neuralgia is a syndrome characterized by burning, stabbing pain in the territory of the pudendal nerve, which has a vast distribution in the pelvis. The symptoms can wreak havoc during ordinary daily activities such as sitting, exercising, going to the bathroom, and having sex. Nerves are physiologically different from […]
People recovering from pudendal neuralgia will tell you there is a lack of understanding about this diagnosis and treatment options in the medical community. Week after week, our blog, How do I know if I have PN or PNE, is one of our most read posts. Recently there has been discussion about cryotherapy treatment for […]
Happy New Year everyone! We are excited to announce that Liz and Stephanie’s book, Pelvic Pain Explained, is on sale here! If you are on the road to recovery from pelvic pain, or know someone who is, you need to read Pelvic Pain Explained. We wrote this book to help […]
By Stephanie Prendergast Pudendal Neuralgia seems to be a diagnosis that is more polarized and controversial than other pelvic pain diagnoses. Why? Over a series of posts we will look at the evolution of this diagnosis, and why we need the perspective of a pelvic floor physical and occupational therapists, pain management specialist […]
By Stephanie Prendergast, PHRC Cofounder Most people dealing with the symptoms of Pudendal Neuralgia (PN) will tell you reading about PN, mostly online, can be traumatizing. “Chronic” conditions often translate to gloomy situations for both patients and providers. In recent years, the knowledge of pain science and PN has advanced tremendously. In the medical community […]
Part I in the “Demystifying Pudendal Neuralgia” Series For so many the term “pudendal neuralgia” conveys a frightening and mysterious chronic pain diagnosis. And to be sure, at one time, receiving a diagnosis of pudendal neuralgia, or “PN” as it’s commonly called, was truly terrifying, especially considering that it was against the backdrop of a […]
