What can mimic pudendal nerve pain?

Common conditions that could mimic pudendal neuralgia include coccygodynia, sacroiliac joint dysfunction, piriformis syndrome, ischial bursitis, interstitial cystitis, chronic or non-bacterial prostatitis, prostatodynia, vulvodynia, vulvar vestibulitis, chronic pelvic pain syndrome (CPPS), pelvic floor muscle …

What exercises make pudendal neuralgia worse?

Other activities that may contribute to pudendal neuralgia are trampoline jumping, bench pressing and excessive ‘core muscle’ exercises. Manage your sitting: the aim is to avoid pressure on the perineum, which is the area inside the ‘sit bones’, as this could lead to compression of the nerve.

Can pudendal neuralgia be misdiagnosed?

In the absence of pathognomonic imaging, laboratory, and electrophysiology criteria, the diagnosis of PN remains primarily clinical [1], and it is often delayed. Furthermore, this condition is frequently misdiagnosed and sometimes results in unnecessary surgery.

What are the symptoms of pudendal nerve neuralgia?

Pudendal nerve neuralgia can have some pretty erky symptoms that can be localised as well as feel like something more emotional. Symptoms can include: Pain in the genitals or perineum (sharp, stabbing, prickling or shooting sensations)

What does the pudendal nerve do for the pelvic floor?

It’s thanks to the autonomic fibers of the pudendal nerve (thanks) that our pelvic floor muscles keep a degree of tone. This keeps us from running to the toilet right after a lunch date. What are the symptoms of pudendal nerve neuralgia?

Is pudendal neuralgia the same as Alcock canal syndrome?

Although pudendal neuralgia has come to be used interchangeably with pudendal nerve entrapment and Alcock Canal Syndrome, a 2009 study found pudendal neuralgia to be a “rare event” and “no evidence to support equating the presence of this syndrome with a diagnosis of pudendal nerve entrapment”.

Why does the pudendal nerve get stuck in the lock?

It doesn’t stretch like our muscles. So when the muscles around it are tight, there’s joint dysfunction, or connective tissue issues, the pudendal nerve doesn’t like it. It gets irritated and stuck in the lock, rather than gliding through with ease.