Pudendal Nerve Entrapment (PNE)/Pudendal Neuralgia (PN) is the cause of chronic pain in which the pudendal nerve is entrapped or compressed. In this condition, the pudendal nerve becomes entrapped between the sacrotuberous and sacrospinous ligaments and a chronically tight piriformis muscle. Trauma, pregnancy, post surgical scarring, cycling, or any repetitive motion that affect these ligaments and the surrounding tissues can cause this condition.
In women (who suffer the majority of Pudendal Nerve issues), the PNE/PN pain is in the labia, vagina, perineum, or anorectal region.
In men, the pain is in his penis, scrotum, perineum, or anorectal region. The male symptoms from this type of nerve entrapment/impingement mimic symptoms of prostatitis, urinary obstruction, and sexual dysfunction.
Sitting for extended periods frequently aggravates PNE/PN pain in both women and men. The symptoms can include burning, numbness, prickling, and sometimes stabbing pain. Standing or sitting on a toilet seat often takes the pain away.
Gentle stretching of the pelvic muscles coupled with trigger point release work and relaxation techniques often help prevent symptoms.
The only way to successfully teat this is condition is through a multidisciplinary approach that includes various physical therapy modalities, acupuncture, joint mobilization/stabilization, joint and connective tissue injections, core muscle strengthening, and medications.