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Pudendal Nerve Issue
Could anyone here treat pudendal neuralgia??
I have seen urologist, gastroenterologist, neurologist but none has provided treatment.
Whenever i sit i get pin sharp and burning pain in underside shaft and in perenium
Answers (5)
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Your description—sharp/burning pain in the perineum and genital region that becomes worse while sitting—can be compatible with pudendal neuralgia, but the diagnosis should be confirmed clinically because several pelvic, spinal, muscular and urological conditions can produce similar symptoms. Pudendal neuralgia is usually diagnosed using the history and examination, often guided by the Nantes criteria; there is no single scan that confirms every case.
Next Steps
Consult a pain-management specialist or pelvic-pain specialist experienced with pudendal neuralgia/pudendal nerve blocks. Assessment may include a neurological and pelvic examination and, when indicated, imaging to exclude other causes. Treatment is generally stepwise and may include reducing activities that aggravate the nerve, medication for neuropathic pain, appropriately selected pelvic-floor rehabilitation, and an image-guided diagnostic/therapeutic pudendal nerve block. Surgery or neuromodulation is generally considered only for carefully selected patients with persistent symptoms despite conservative treatment.
Health Tips
Until evaluated, minimize prolonged sitting and activities that clearly worsen the pain, such as long periods of cycling; a pressure-relieving seat cushion may help some patients. Seek urgent medical assessment if you develop new leg weakness, numbness around the saddle area, difficulty passing urine, urinary retention/incontinence, or loss of bowel control, as these symptoms require evaluation for other neurological causes.
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Your symptoms, particularly the sharp burning pain in the perineum that becomes worse while sitting, can be seen with pudendal neuralgia. However, pelvic floor muscle spasm and other nerve related conditions can produce similar symptoms, so an examination is needed to confirm the cause.
Next Steps
Since you have already consulted a urologist, gastroenterologist and neurologist, I would suggest evaluation by a doctor experienced in pelvic floor disorders and pudendal neuralgia. Pelvic floor physiotherapy can be very helpful if muscle tightness or spasm is contributing to your symptoms.
Health Tips
Avoid prolonged sitting and consider using a cushion that reduces pressure on the perineum. Maintaining a healthy body weight can also help reduce pelvic pressure, particularly if you are overweight.
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Dr. Rahul Kumar Pandey
Orthopedic surgeon
10 yrs exp
Lucknow
Get personal consult with orthopedic specialist for better evaluation and management
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Dr. Rakesh Kumar
Orthopedic surgeon
6 yrs exp
Coimbatore
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Dr. Ravikumar Chandulal Makadia
Orthopedic surgeon
7 yrs exp
Ahmedabad
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.