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Pudendal Neuralgia

Updated: Nov 19, 2022

pudendal neuralgia assessment in Manchester City Centre

What is pudendal neuralgia?

Pudendal neuralgia is a chronic pelvic pain that originates from damage or irritation of the pudendal nerve. Pudendal nerve is a very important nerve and is crucial for sensation and function on your pelvic area, including the genital and anus.

What Pudendal nerve does?

Pudendal nerve connects with S2-S4 sacral spinal nerve roots and runs through your pelvis and gluteal region and divides into smaller nerve branches. Those branches are

  • inferior rectal nerve

  • perineal nerve

  • dorsal nerve

Pudendal's nerve motor function controls the movement of your:

  • Anal sphincter muscles which helps you release or hold faces (poo)

  • Urethral sphincter muscles which help you hold in or release urine (pee)

The pudendal nerve also provides sensory information about touch, temperature, pain and pleasure to your:

  • Penis

  • Vagina

  • Perineum (region between your anus and your vagina or penis)

  • anal canal or anus

Pudendal neuralgia treatment in Manchester
Physiotherapist releasing the pelvic region - Pudendal Neuralgia

Symptoms of pudendal neuralgia

The main symptoms of pudendal neuralgia is:

  • a sharp or burning pain in your pelvic region , in your genitals or in the perineum

  • numbness and pins and needles on the perineum or close to your genitals

  • increased sensitivity on the above mentioned areas

  • a frequent need to go to the bathroom

  • problems getting an erection

  • pain and discomfort during intercourse

What causes pudendal nerve problems?

Causes of pudendal nerve damage include:

  • Injuries, accidents and trauma

  • Compressing the nerve for long period of time. Cycling and sitting in a hard surface can irritate the pudendal nerve.

  • Complications during operations like prostatectomy

  • Cysts and tumors

  • Diabetes-related neuropathy

  • Complication with pregnancy

How I can protect my pudendal nerve?

  • Take breaks when you cycle

  • Don't sit on a hard surface for long period of time

  • Treat or manage conditions like high blood pressure and diabetes

  • Follow a healthy nutrition and lifestyle

  • Try to reduce stress levels

Did you know?

  • The estimated prevalence of pudendal nerve is 1/100.000 people

  • Affecting women more than men

  • Pudendal neuralgia is diagnosed in 4% of patients undergoing treatment for chronic pelvis problems

  • 70% of patients are women who have pudendal neuralgia and chronic pelvic problems

  • The most characteristic symptom, found in over 50% of patients, is perineal pain exacerbated by sitting, which is relieved by standing or lying

Treatment for pudendal neuralgia

Your Physiotherapist at Physio Pattern Manchester will support and advice you through an individualised program tailored to your needs. At Physio Pattern Manchester, a treatment plan will be developed to ensure a speedy recovery with long term results and no recurrence.

Physio Pattern Manchester offers highly specialised treatment for pudendal neuralgia problems.

Below you can find the treatment options for pudendal neuralgia:

If you would like more information of how Physio Pattern Manchester can help with this condition, or to book an assessment please call


Leading Physiotherapy Provider in Manchester. Pudendal Neuralgia treatment in Manchester, Physiotherapy Treatment in Manchester city centre, Northern Quarter, Ancoats.Physio Manchester, Manchester Physio, Physio Manchester City Centre, Physiotherapy clinic in Manchester


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