Pudendal Neuralgia

Understanding the Condition and Effective Treatments

At Aubergine Physio, we specialise in providing comprehensive care for men’s health issues, including the treatment of Pudendal Neuralgia. Our team of dedicated experts is here to help you regain control of your life and find relief from the debilitating symptoms associated with this condition. In this section, we will explain what Pudendal Neuralgia is, its causes, the common symptoms experienced, and how our cutting-edge treatments such as focused shockwave therapy and physiotherapy can significantly improve your quality of life.

What is Pudendal Neuralgia?

Pudendal Neuralgia is a chronic pain condition that affects the pudendal nerve, which is located in the pelvic region. This nerve plays a crucial role in transmitting signals between the genitals, rectum, and brain. When the pudendal nerve becomes compressed, irritated, or damaged, it can result in persistent, sharp, or burning pain in the pelvic area, perineum, or genitals. Pudendal Neuralgia can significantly impact daily activities, sexual function, and overall well-being.

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Aubergine Physio - pudendal neuralgia

Causes of Pudendal Neuralgia

Pudendal Neuralgia can have various causes, including:

  • Nerve Entrapment: The nerve can become trapped or compressed due to anatomical abnormalities, such as tight muscles or ligaments in the pelvic area.
  • Trauma or Injury: Direct trauma to the pelvic region, such as falls, accidents, or surgery, can lead to nerve damage or irritation.
  • Inflammation: Conditions like infections, pelvic inflammatory disease, or surgeries in the pelvic area can cause inflammation that affects the pudendal nerve.
  • Chronic Pelvic Pain Syndrome (CPPS): Pudendal Neuralgia can be associated with chronic pelvic pain syndrome, which involves complex interactions between muscles, nerves, and psychological factors.
Pudendal nerve anatomy

Symptoms of Pudendal Neuralgia

The symptoms of Pudendal Neuralgia can vary from person to person, but common signs may include:

  • Chronic or intermittent pain in the perineum, genitals, anus, or rectum.
  • Burning, shooting, or electric shock-like sensations in the affected areas.
  • Increased pain during sitting, sexual activity, or bowel movements.
  • Numbness or tingling sensations.
  • Urinary or feacal incontinence.
  • Sexual dysfunction, including erectile dysfunction or pain during intercourse.

How Focused Shockwave Therapy Can Help

At Aubergine Physio, we offer focused shockwave therapy as a non-invasive and highly effective treatment option for Pudendal Neuralgia. This innovative therapy utilises low-intensity shockwaves to stimulate healing and tissue regeneration. Focused shockwave therapy can:

  • Reduce pain: The shockwaves help desensitise and create neurogenesis the affected nerves, providing relief from chronic pain. 
  • Improve blood flow: By enhancing blood circulation to the pelvic region, shockwave therapy promotes healing and tissue rejuvenation.
  • Break down scar tissue: Shockwaves can break down fibrous scar tissue, reducing nerve compression and promoting proper nerve function.

Our experienced practitioners will customise the treatment to target the specific areas of nerve irritation and work closely with you to ensure optimal outcomes.

Uro Storz CPPS
Stephanie Smith-Rowles of Aubergine Physio

How Physiotherapy Can Help

Physiotherapy plays a crucial role in managing Pudendal Neuralgia by addressing the underlying causes and helping to alleviate symptoms. At Aubergine Physio, our specialised physiotherapists will develop a personalised treatment plan tailored to your specific needs. Physiotherapy interventions may include:

  1. Pelvic Floor Rehabilitation: Our skilled therapists will guide you through exercises and techniques to strengthen and relax the pelvic floor muscles, improving their coordination and reducing nerve compression.
  2. Manual Therapy: Hands-on techniques such as myofascial release and trigger point therapy can help relieve muscle tension and improve pelvic pain.
  3. Education and Lifestyle Modifications: We will provide comprehensive education on pain management strategies, ergonomic modifications, and lifestyle adjustments to promote healing and prevent symptom recurrence.
  4. Behavioral Therapy: Our team may refer you to our recommended CBT counsellors. To address any psychological factors contributing to your pain, such as stress or anxiety.

By combining these physiotherapy approaches, we aim to help you regain optimal pelvic health, minimise pain, and restore your overall well-being.

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