Pudendal neuralgia is a chronic pain condition that affects the pudendal nerve, which is located in the pelvic region. The pain is typically described as a burning, crushing, or stabbing sensation in the areas served by the pudendal nerve, including the genitals, perineum, rectum, and buttocks.
Causes of Pudendal Neuralgia:
Compression or Entrapment: The most common cause is the compression or entrapment of the pudendal nerve along its path, often from long periods of sitting, cycling, or other activities.
Trauma: Injury to the pelvic area through accidents, surgery, or childbirth can damage or irritate the pudendal nerve.
Muscle Spasms: Tightness or spasms in the pelvic floor muscles can also compress the pudendal nerve.
Inflammatory Conditions: Diseases such as diabetes or arthritis that cause swelling and inflammation can affect the pudendal nerve.
Impact on Life: Pudendal neuralgia can make everyday life extremely difficult due to the constant and severe pain it causes in sensitive areas. The pain can be exacerbated by sitting, making it challenging to maintain a seated position for work or driving, thus affecting employment and mobility. The sensitive nature of the symptoms can also make discussing the condition and seeking help difficult, often leading to delays in diagnosis and management. This condition is treated very successfully with a pudendal nerve block.