Pudendal Neuralgia

Picture this: you’ve just trekked through the entire mall buying Christmas presents and all you want to do is sit down for a moment to rest and offload all the bags you’ve been carrying. You sit down and start to feel a pain building in the pelvic region and then you’re presented with a significant discomfort that is urging you to stand back up. Some break, right? Experiencing pain when sitting could be a sign of pudendal neuralgia.

Pudendal neuralgia is also commonly known as the ‘cyclist’s syndrome’, ‘pudendal canal syndrome’, or ‘Alcock’s syndrome.’ Pudendal neuralgia pain is caused by inflammation of the pudendal nerve. This inflammation may have been sparked by cycling, childbirth, surgery, constipation, trauma to the tailbone, or a musculoskeletal issue resulting in muscular imbalance and/or pelvic misalignment.  The pudendal nerve is located in the pelvis and has nerves branching to the genitals, urinary, and rectal regions. In severe cases these branches may be affected, resulting in genital numbness, fecal incontinence, or urinary incontinence. These are difficult topics to discuss and sometimes seeking help is the hardest step to returning to a pain free lifestyle. Physical therapy is an excellent way to start the healing process and we here at Sullivan Physical Therapy will make the recovery as comfortable as possible.


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