Just in case you haven't seen this article, it's excellent and explains and answers alot of questions. www.pudendal.info/node/pdf/JeromeWeiss
It's long but very informative. And for those looking for answers, it may help. Kara
Pudendal nerve entrapment (PNE) is a source of chronic pain, in which the pudendal nerve (located in the pelvis) is entrapped or compressed. Pain is worsened by sitting, and may be prickling, stabbing, burning, with numbness, and the sense of a foreign object in the urethra, vagina, or rectum. In addition to pain, symptoms may include anal and urinary incontinence. PNE can be caused by pregnancy or scarring due to surgery and accidents. Diagnosis of Pudendal nerve entrapment syndrome is mainly based on: History, Characteristic symptoms and aggravating or relieving factors and Typical location of symptoms. A “skin rolling test” can be a helpful clinical sign. In this test, a thick roll (or fold) of skin just below and lateral to the anus is pinched and then rolled forwards. If pain is elicited, then this suggests the pudendal nerve is compressed.
It is important to exclude lesions in the pelvis which might compress the nerve by a USG or CT scan. Sometimes electrophysiological studies can be helpful. Local anaesthetic nerve blocks of the pudendal nerve may be helpful to confirm the diagnosis in some cases if it demonstrates complete relief of symptoms after a nerve block.
Treatment includes physical therapy, Corticosteroids and surgery. Three types of surgery have been done to decompress the pudendal nerve: transperineal, transgluteal, and transichiorectal. The results on pain are similar. Impotence, anal and urinary incontinence can also be cured by these procedures. Please consult a neurologist for the diagnosis and management of the symptoms. Hope this helps you. Take care and regards!
I was suffering really badly with PNE and the doctors
couldn't help me. The only thing they suggested was
surgery or painkillers which I was really against, so
I took matters into my own hands.
I started a routine of exercises that I could do at home
which were really simple and over the past six months,
the discomfort has almost completely gone. I only feel
a slight twinge now and then, which compared to what
it was, is like a miracle.
I'm hoping just a few more months will completely rid
me of the curse of PNE. If you would like to have the routine
I've been doing, then please email me at Tevro@live. co.za.
Remember though, you should always ask your doctor
if it is safe for you to exercise before you start any workout.
I have trained in fitness and personal training, so I do know
what I'm doing.
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