Pudendal neuralgia is a condition that causes chronic pain in the pelvic area, often affecting the genitals, rectum, or perineum. This pain occurs due to injury, compression, or inflammation of the pudendal nerve. The condition may result from trauma, childbirth, pelvic surgery, prolonged sitting, or pressure on the nerve. Inflammation or entrapment of the nerve can also lead to symptoms, which can range from mild discomfort to severe pain.

Symptoms of pudendal neuralgia include aching, burning, stabbing pain, and a sensation of fullness in the pelvic region. Numbness or tingling may also occur in the genital or rectal areas. The pain often worsens with sitting or certain activities, making daily tasks difficult. Due to the sensitive nature of the symptoms, it can be challenging to diagnose, and many individuals endure pain before receiving proper treatment.

Treatment often begins with medications to manage pain and inflammation. Antidepressants, anticonvulsants, or nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly prescribed. Physical therapy, particularly pelvic floor therapy, can help reduce tension and improve nerve function. In more severe cases, nerve blocks or injections may be recommended to reduce pain and inflammation. If other treatments don’t work, surgery may be considered to relieve pressure on the pudendal nerve.

For those in New Jersey and New York, the University Pain and Spine Centers offer specialized care for pudendal neuralgia. Their team of pain management experts provides a range of treatments, including advanced diagnostics, nerve blocks, and minimally invasive procedures. The center’s goal is to develop personalized treatment plans to relieve pain and improve function, helping patients return to daily activities free from chronic pelvic pain.