Pudendal nerve is one of the main nerves of the pelvis, with one nerve on each side. It runs from the lower back, along the pelvic floor to supply the genitals, lower part of rectum, and perineum (area between the sit bones). This nerve is closely involved with urinary and bowel functions.
Pudendal neuralgia is a condition related to irritation or damage of pudendal nerve, which presents as pain or altered sensation in the genital, rectal region or deep inside the pelvis. It is more common in women and is also addressed as cyclist syndrome, Alcock’s canal syndrome and pudendal nerve entrapment.
Despite the significant advances in the evaluation and management of chronic pelvic pain treatment in delhi, it often goes unrecognized. It can be associated with other conditions such as Chronic Pelvic Pain Syndrome, dysfunctional voiding, painful bladder syndrome, chronic prostatitis etc.
Management of this condition requires active patient participation and use of a combination of lifestyle changes, medical interventions. Treatment includes
• Lifestyle changes are aimed at reducing the irritation of the nerve. These include avoiding activities which increase pain such as cycling, prolonged sitting, constipation etc, using a special cushion while sitting.
• Neuropathic pain killers- these can help in reducing the pain
• Injections such as pudendal nerve block, pelvic flood muscle or tender point injections Often a series of injections are performed for maximal benefit.
