Pudendal neuralgia is a chronic pain related to the pudendal nerve, that runs from the lower back, along the pelvic floor muscles, out to the perineum (the skin between your pubic bone and your tailbone).
The sensory symptoms could manifest as itching, burning, tingling, raw feeling in your clitoris, labia, vagina (penis in men), urethra, perineum, anus or rectum.
The main symptom of this problem is the difficulty to sit due to the pelvic pain.
Rehabilitation of the pelvic floor, abdominal, gluteal, lumbosacral and hip rotator muscles is a highly recommended option, as well as a combination of Trigger Point Injections or Pudendal Nerve Blocks.
We advise that you try physical therapy two to three times/week, including a home exercise program and relaxation techniques, for a minimum of 6 months before considering surgery.
Dr. Sammarone suggest surgery for pudendal nerve the last option, because it is an extensive surgery, with a long recovery.