burning, numbness, increased sensitivity, electric shock or stabbing pain, knife-like or aching pain, feeling of a lump or foreign body in the vagina or rectum, twisting or pinching,abnormal temperature sensations, hot poker sensation, constipation, pain and straining with bowel movements
Sharp, shocking pain in the perineal, rectal region and genitals can be felt along the path of the Pudendal nerve that runs from the lumbar spine to sacral region to the perineal region. The pain can be onset due to irritation or damage to the Pudendal nerve. Physical therapist can play a pivotal role in treating pudendal neuralgia by identified the source region of the pain and performing appropriate soft and trigger point release to alleviate symptoms. Not every person who has pudendal neuralgia will have success with soft tissue release. Pain can also originate from the nerve been irritated due to joint dysfunction causing irritation to the nerve. In that case, it become imperative to find this misalignment and resolve this issue and thus decrease irritation on the Pudendal nerve. We also educate our patients about possible cause i.e. sitting on a hard bicycle or motorcycle can aggravate symptoms. Our role is to make you aware of your surroundings and how to modify certain activities to manage symptoms and then slowly when to include it back into your routine.