Pudendal Neuralgia
Definition
Pudendal neuralgia is a chronic pelvic pain condition caused by irritation, compression, or injury to the pudendal nerve, which provides sensation and function to the genitals, anus, and perineum. Pudendal neuralgia often presents with nerve-related pain and sensitivity that can significantly affect comfort, mobility, and quality of life.
Symptoms
Burning, stabbing, or aching pain in the pelvic, genital, or anal region
Pain that worsens with sitting and eases when standing or lying down
Numbness, tingling, or a “pins and needles” sensation in the pudendal nerve area
Sensation of fullness or a “foreign body” in the vagina, rectum, or perineum
Pain with sexual activity or bowel and bladder dysfunction
Who is Most Affected?
Pudendal neuralgia affects both men and women and is often linked with prolonged sitting, pelvic trauma, childbirth, or high-impact activity. It can also co-exist with other pelvic pain conditions such as vulvodynia, endometriosis, or prostatitis.
Common Causes
Nerve compression from prolonged sitting, cycling, or pelvic trauma
Pelvic floor muscle tension or spasm compressing the pudendal nerve
Post-surgical or childbirth-related scarring
Central sensitisation of the nervous system
Management Approaches
Pelvic Floor Osteopathy can assist with pudendal neuralgia by addressing pelvic floor muscle tension, improving nerve mobility, and supporting posture and movement strategies. Manual therapy, education, breathing techniques, and lifestyle adjustments all play a key role. Multidisciplinary management may include pain specialists, physiotherapy, or surgical review if nerve entrapment is suspected.
Key Point
Pudendal neuralgia is treatable. With early assessment, targeted pelvic care, and collaborative management, many individuals experience significant relief and improved function.
