Have you ever felt a sharp, burning pain in your pelvic area that makes sitting unbearable? Or perhaps tingling, numbness, or hypersensitivity that leaves you questioning what’s wrong? These symptoms, while common among those with pudendal neuralgia, often go undiagnosed or misunderstood, leaving sufferers searching for answers and relief.
At Bonneville Pelvic Health, we understand how challenging it can be to live with this condition. That’s why we’ve created this guide to help you better understand pudendal neuralgia—its causes, symptoms, and, most importantly, the steps you can take to manage and overcome it.

What is Pudendal Neuralgia?
Pudendal neuralgia is a chronic pain condition that stems from irritation, inflammation, or entrapment of the pudendal nerve. This nerve plays a vital role in the pelvic region, providing sensation to areas like the genitals, perineum, and anus, while also supporting bowel, bladder, and sexual function.
When the pudendal nerve becomes compressed or damaged, it can cause a wide range of uncomfortable and often debilitating symptoms. While it is not life-threatening, the impact on quality of life can be significant, affecting everything from physical activity to mental well-being.
Causes of Pudendal Neuralgia
Pudendal neuralgia can be caused by a variety of factors, including:
Trauma or Injury: A fall, accident, or surgery affecting the pelvic region can lead to nerve irritation.
Prolonged Sitting: Activities like cycling, desk jobs, or long commutes may compress the pudendal nerve over time.
Childbirth: Vaginal delivery can stretch or irritate the pudendal nerve.
Nerve Entrapment: Tight muscles or scar tissue in the pelvic floor can trap or compress the nerve.
Surgical Complications: Procedures in the pelvic area may inadvertently impact the pudendal nerve.
Understanding the underlying cause is key to developing an effective treatment plan.
Symptoms of Pudendal Neuralgia
Symptoms of pudendal neuralgia can vary from person to person, but common signs include:
Burning, stabbing, or aching pain in the pelvic area.
Pain that worsens with sitting and improves when standing or lying down.
Numbness, tingling, or hypersensitivity in the genitals, perineum, or rectal area.
Pain during sexual activity (also known as dyspareunia).
Difficulty with bowel movements or urination due to discomfort.
These symptoms may come and go or persist, making daily life challenging. If you’re experiencing these issues, it’s essential to seek help early.
Diagnosing Pudendal Neuralgia
Because pudendal neuralgia shares symptoms with other pelvic conditions, it can be challenging to diagnose. A thorough evaluation typically includes:
Detailed Medical History: Discussing symptoms, lifestyle, and medical background.
Physical Examination: Assessing the pelvic floor muscles and potential nerve irritation.
Diagnostic Tests: Imaging studies, nerve blocks, or other tests to rule out conditions like interstitial cystitis or endometriosis.
At Bonneville Pelvic Health, we take a comprehensive approach to diagnosis, ensuring you receive the clarity and care you deserve.
Treatment Options for Pudendal Neuralgia
The good news is that pudendal neuralgia is treatable, and many patients experience significant relief with the right interventions. Treatment options include:
1. Pelvic Floor Physical Therapy
Pelvic floor physical therapy is a cornerstone of treatment for pudendal neuralgia. At Bonneville Pelvic Health, we use techniques such as:
Manual Therapy: To release tight muscles and reduce nerve compression.
Relaxation Techniques: To alleviate tension in the pelvic floor.
Postural Education: To minimize strain on the pudendal nerve.
2. Lifestyle Modifications
Small changes can make a big difference, such as:
Using a specially designed cushion to reduce pressure when sitting.
Taking breaks from prolonged sitting or cycling.
Incorporating gentle stretches and movement into your routine.
3. Medications
Certain medications, such as nerve pain relievers or anti-inflammatory drugs, may help manage symptoms. A healthcare provider can recommend the best option based on your needs.
4. Interventional Procedures
For more severe cases, treatments like pudendal nerve blocks, steroid injections, or even surgical decompression may be considered.
How Bonneville Pelvic Health Can Help
At Bonneville Pelvic Health, we specialize in helping individuals manage and overcome conditions like pudendal neuralgia. Our expert pelvic floor physical therapists use personalized, evidence-based approaches to:
Relieve pain.
Restore function.
Empower you with the knowledge and tools needed for long-term management.
We believe in treating the whole person, not just the symptoms, to help you regain control of your health and quality of life.
When to Seek Help
If you’ve been living with persistent pelvic pain, tingling, or discomfort, don’t wait to seek help. Early intervention can prevent symptoms from worsening and set you on the path to recovery sooner. Whether you’re just beginning to explore your symptoms or looking for advanced care, Bonneville Pelvic Health is here to support you.
Conclusion
Pudendal neuralgia can feel like an overwhelming challenge, but with the right care and support, relief is possible. By understanding the condition, seeking an accurate diagnosis, and exploring effective treatments like pelvic floor physical therapy, you can take meaningful steps toward a pain-free life.
If you’re ready to take control of your pelvic health, contact Bonneville Pelvic Health today. Together, we’ll work to overcome the pain you can’t ignore.
Written by
Board-Certified Specialist in Women's Health Physical Therapy
Certified Pelvic Rehabilitation Practitioner
Owner of Bonneville Pelvic Health
As an expert in pelvic floor rehabilitation, Dr. Bailee Burningham brings extensive experience in treating complex pelvic floor disorders. She is dedicated to providing compassionate, patient-centered care.
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