At the Center for Pelvic Pain at Annapolis, Dr. Richard Marvel treats pudendal neuralgia through a combination of surgery, analgesic medication, lifestyle modification and physical therapy. Pain modifiers have limited and varied efficacy, with doctors reporting success rates of anywhere between 15 to 60 percent. Dr. Marvel recommends using sitting pads to transfer pressure away and undergoing physical therapy to prevent pudendal neuralgia from worsening.Continue Reading
Of the three surgical methods available, Dr. Marvel does not recommend one over the others because there has been no head-to-head study to evaluate them. All three work by decompressing the nerve trapped in the pelvic area that is causing the pain.
The pudendal nerve is located in the pelvic area. Pudendal neuralgia occurs when the nerve is compressed and restricts blood flow, causing pain. It is also caused by inflammation or trauma to the area. Symptoms include pain when sitting that typically increases throughout the day, sexual dysfunction and difficulty urinating or defecating.
When diagnosing pudendal neuralgia, Dr. Marvel recommends using a pudendal nerve block. If it works, it can provide pain relief from anywhere between a few hours to several weeks and is a strong indicator that at least some of the pain originates from the pudendal nerve.Learn more about Conditions & Diseases