Overview

Pudendal neuralgia is a painful condition caused by irritation or compression of the pudendal nerve. This condition may cause burning, stabbing, or aching pain in these areas, often worsened by sitting. It can occur after trauma, prolonged sitting, surgery, or childbirth and is frequently underdiagnosed.

Common Symptoms

• Burning or sharp pain in the perineum, genitals, rectum, or sit bones
• Pain that worsens with sitting and improves when standing or lying down
• Genital numbness, tingling, or hypersensitivity
• Painful urination, bowel movements, or sexual activity
• Feeling of “sitting on a golf ball” or pressure in the pelvis

Causes & Risk Factors

• Prolonged cycling or sitting on hard surfaces
• Pelvic trauma or fractures
• Childbirth injury or pelvic surgery
• Work-related prolonged sitting or repetitive strain
• Prior urologic, gynecologic, or colorectal procedures

How We Can Help

At Restore Spine and Pain, we perform a thorough evaluation to differentiate pudendal neuralgia from other pelvic or spinal causes. We offer a stepwise treatment plan including nerve blocks, medications, and advanced neuromodulation for long-term management.

Treatment Options Offered

1. Postural and ergonomic coaching for sitting tolerance
2. Pelvic floor physical therapy (co-managed with specialists)
3. Non-opioid medications such as nerve stabilizers
4. Pudendal nerve blocks under ultrasound or fluoroscopic guidance
5. Peripheral nerve stimulation (PNS) for chronic or refractory cases
6. Collaboration with urogynecology, PT, and other specialists as needed