Pudendal neuralgia is a painful condition that occurs in both men and women. This happens when the pudendal nerve becomes compressed or irritated as it runs its course through the gluteal and pelvic floor muscles. Patients who suffer from pudendal neuralgia often describe their pain as burning, numbness, pins and needles, stabbing, stinging or cramping along the path of the pudendal nerve- often times in the genitals or the anal-rectal area. 

Common causes of Pudendal Neuralgia include:

  • Pelvic trauma from a fall or injury
  • Pelvic trauma from surgery
  • Childbirth
  • Prolonged sitting
  • Cycling
  • Chronic constipation

How can pelvic floor physical therapy help?

The mainstay treatment of pudendal neuralgia is conservative therapy. * Most patients suffering from pudendal neuralgia demonstrate significant muscle spasm and subsequent muscle shortening throughout the pelvic girdle. In patients with muscle spasms, pelvic floor physical therapy is the gold standard treatment. Therapy is administered as “hands-on” techniques, focusing on posture, range of motion, stretching, and education. Manual techniques to help release muscle spasm and lengthen the muscle include: myofascial release, soft tissue and connective tissue mobilization, trigger point release, and trigger point dry needling. I will provide education on lifestyle changes and work environment modifications in order to decrease pain and minimize relapse. 
In an effort to prevent this from recurring, I will give you the tools needed for success and develop a specialized exercise and safe strengthening program for you.

Contact and ask me about your symptoms and how physical therapy can help. I am committed to helping you achieve your goals.

*Benson JT, Griffis K. Pudendal neuralgia, a severe pain syndrome. Am J Obstet Gynecol 2005;192(5):1663-8

In patients with muscle spasms, pelvic floor physical therapy is the gold standard treatment.