Pudendal Neuralgia - Symptoms, Causes & TREATMENT 

This is literally the most complex and simplistic explanation I have ever come across. Spectacular presentation, thank you much!

I was in tears watching this - thank you for being so clear and thoughtful in your explanation. This is EXACTLY what I’m going through and I can share this with anyone who needs to know. I’m hoping the exercises and movements will help and hoping I can find some helpful treatment. THANK YOU again for this video. I need some hope to cling to and this helped.

One of theeee best simplification..

🙏thank God respond well with 100mg tramadol 3 times daily🙏

I have pain 24/7 if i not sleep it was not so often in beginning. No medications help. Is so bad pains lt have give me tics and psygogenic sezures. Is exhousted i have pain all the time but get worse if i stand up, walk and especelly if i sit. My pain came after surgery.

Does this go away??

Pudendal Neuralgia is TMS (Mind+Body Syndrome). AidPlan does not recognize this, and the effectiveness of the treatment is thereby limited.

Peace be upon you, Doctor, 14 months ago I had prostatitis and I went to a doctor who had an anal ultrasound. He began to apply pressure and I screamed in pain. Since then, strange symptoms appeared, and I began to suffer from pain in the anus and perineum. I cannot sit at all, and any wind or cold, even a slight one, increases the symptoms. Urinary tract and pain. Is there a cure for this problem? Is it possible that I have an infection in the pelvic nerve?

So you guys can help if the compression is muscle related, but what if it's compressed in Alcock's Canal or between the sacrotuberous and sacrospinous ligaments? In that case wouldn't it make most sense to get an ultrasound guided prp hydrodissection?

It also moves around making it so confusing 😢

I get this sporadically, I’ll feel it for a few seconds, then I won’t get it again for months, for me it usually happens when I sit down too long and then I stand up and stretch my abdomen, it’s like there’s a rope attached to the left side of my lower left pelvis and runs down to the tip of my penis and it’s getting pulled casing a burning stinging pain on my penis tip to my lower left pelvis. I’ve been trying to explain this to people for so long and I get laughed at, they think I got a std, or they don’t know what I’m talking about and find it weird.

I'm getting juddering from my penis and back side had the pain in my back side for years maybe it could be this ?

Hello sir i have got penile fracture ....what to do now ....it happened 5 6 years ago but didn't recover

please tell me, does this cause scrotal sagging and penis swelling?

I was finally diagnosed with this condition late last year. I think I've had it for a long time, but the symptoms have come and gone over the years. Of course I went through multiple courses of treatment for things like bacterial infections first, but I knew it wasn't any of that due to the symptoms and finally a urogynecologist suggested it was a neurologic issue. I started looking around myself and found pudendal neuralgia. It matches my symptoms almost perfectly. A burning pain - for me in the vagina in the urethra area and closer to the perineum with urinary urgency - all of which is made worse when sitting and eases or goes away when standing, lying down or sitting on the toilet. The pain is usually completely gone overnight and slowly comes back as I start my day. Basically everything he said. I went to a specialist for multiple nerve block treatments, I use muscle relaxing suppositories at night, take pregabalin and I'm doing pelvic floor PT - which has revealed a lot of tension in my pelvic floor. My therapist thinks all of the coughing and sneezing that I did when really sick made the pelvic floor very tense which irritated the nerve. I will say that all of these things have made an improvement. I'm still not pain free, but it's much better than it was before I started treatment so hopefully with time it will ease and I can feel normal again.

Wow why do I feel like this is me. I want to tell my doctor but I don’t want to annoy him

I am a 70 years old retired woman surgeon. I have had irritable bladder and detrosal muscle symptoms for a few years. About two months ago I started experiencing perineal pain and severe urethral irritation with frequency. I had no urinary/bladder infection or cystitis. I saw a urologist and a gynaecologist who found all is normal including abdominal and intra-vaginal ultrasound. Paracetamol eased the pain a little. I researched my symptoms and believe I had pudendal neuralgia which as you say is twice as common in women but frequently passes undiagnosed. I started exercising my pelvic muscles and continued with my stretching exercise routines. The pain subsided completely within a week and I have been pain free since then. Of course it may return. Thank you for shining a light on this distressing condition that is rarely considered particularly by general practitioners.

I’m in a FB support group for PN and in all of us there are so many differences in what aggravates it, what helps the pain (including meds) which areas are painful and which are pain free. However, in 100% of cases, upon waking the pain is entirely absent, for moments only. What happens in the brain during sleep (not relaxation since we’re still relaxed when the pain reappears just minutes after waking)? If we could answer this, that would be valuable intel on what is going on that so affects the nerves to cause such horrific pain.

Look up the sacrotuberous ligament. Chiropractor did a technique to release that ligament and it instantly gave me relief from the sacrum and groin pain from the pudendal nerve.

I developed this at age 16 after suffering chronic constipation for a long time and running excessively, stress plus a strong enema at the hospital to try and relieve acute constipation. Nobody could tell me what caused the condition. It made my life hell. I had to drop out of sixth form and give up on going to university. I found it so stressful that it lead to chronic fatigue syndrome. I now understand this condition and started to in early 20s thanks to the headache in the pelvis book.

I can not thank you enough for this. After years of being told by doctors this pain "is nothing, it's all in your head" I think I have found a great starting point. You are describing exactly my symptoms and with this I think I can start finding appropriate treatment. Thank you again!

When I was 7 or 8 years old I fell from the top of a tree all the way to the bottom. I hit the bottom branch in saddle position. Ever since then I've had immense pain that I don't know how to describe, i'm 20 now. Its like a constant uti and the left side always feel like my underwear is cutting off circulation but it isnt

Do you refund if no success….i already saw a lot of scam business about PN like DCT for example

Gabapentin might help but it robs me of my memory, balance and gives me peripheral oedema.

I was treated for fungal infection, yeast infection, herpes and clamydia and everything under the sun to find out why I was feeling this way. I thought I was crazy at first. I ended up not having any of them in the end, the doctors said I have this!! Its bad now but I’m just glad I don’t have any STIs. Thank you for your help :) I will be getting treatment.

One of the most intelligent explanation

Wearing heels helps too. It must take pressure off the nerves. What do they teach in med school anyway???

Äntligen en läkare som kan förklara det som jag har mistänkt. Har aldrig haft så ont och ingen som förstår Detta tillstånd. Behöver hjälp.

So grateful you explained this! Mine is constant, sharp. Worse than childbirth on BOTH sides. Everyone says they have pudendal neuralgia like I do but they’re symptoms are very mild and only occur during sitting. Mine are constant and torturous

Great explanation without mumbo jumbo. Down to earth and realistic

My pudendal seems to be compressed near the sitting bones Bilaterally but no one can explain this! How can this happen or what can compress it near sitting trochanter areas

My insurance company demanded an EMG before I could have a block. I went to the EMG specialist, and I had to show the dam doctor a picture of the nerve. He never heard from it. I was beyond pissed off. I live daily in extreme pain, waiting to have this block done.

Pn is a horrible thing for anyone to have

Martin Frank Lopez Dorothy Johnson Steven

What if there is no pain, but lack of erogenous sensations and erections?

Thank you. Mine isn't worse when sitting. It's worse when standing or laying on my back. Laying on my tummy feels best. It's been 2.5yrs and it started after rotator cuff surgery. I'm getting a diagnostic pudendal nerve block next week. I'm in perfect health other than this. I'm praying 🙏

Thank you for your videos. It is very informative 👍. I fall over my back 2 years ago and after three weeks of the accident I felt pain around my vulva and during urination and around urethra. My doctor told me I have descending perineal syndrom and rectocele and the descending caus a nerve stretching. And told me that the fall was only a trigger point for the prolapse to become systematic. My question is ? Is it the fall or the prolapse which caused this firing pain??? And does physics therapy can help with the enormous pain I have lived with the past two years.

Thankyou sir for your video on pudendal neuralgia I'm having a similar similar symptoms.

Pelvic floor therapy has helped me reduce most symptoms by 75%. I went 4 months with severe pain.All test came back showing good health from 3 different urologist. My 4th urologist suggested pain management and pelvic floor therapy. Starting my third month of treatment now. I have good weeks and bad weeks but no where near the pain before treatment started.

I'm a 26 year old man and not ashamed to admit but I've felt this condition on my right pelvic region, feeling a sharp, prickly pain or sensation emanating above and intermittently towards the right testes. Thank God the "ball" itself is fine but still the nerve pain persists, at least occasionally now thanks to more stretching. Any other recommendations would be helpful 🙂

What a wonderful content. I am a 39 year old woman, I have started with a pain in the hip area, but under the Gesäßmuskulatur. Any doctor can tell me what it is and for that reason I am trying to find out what it could be. this video is fantastic. So clearly and in detail everything explained. It is also amazing to understand and know more about the human body even if you are not a physiotherapist or a doctor

You people are high. He gives no cure.

This pain is truly a type of hell on earth. I have had it for 5 years, but it probably developed over a period of 30 years from intense mtn biking. I have had to become an expert on the subject, unfortunately. This is the sad reality: there is only pain management, no cure. Many providers promise cure, but the literature indicates cure is rare. Suggestions: nerve blocks, medications, lifestyle modifications, psychological treatments for pain management, PT, stretching, and avoiding hip flexion (like squatting, bending). I'd also recommend joining a support group because this condition raises risk for suicide, per existing research. Just don't give up seeking help- if you can cope with this, you can deal with anything else life throws at you ❤

I think this is what I’m experiencing. After two years of pain and research I feel that this moist describes what’s happening to me. I hope I can see a doctor soon and mention this. I’ve actually lost my physically active job and health insurance due to these complications.

But why does no one say if it can be healed naturally? Can it go away on its own within 6 months of injury?

Great explanation for this condition. I subbed because of this video.

Thank you for clarifying this unusual condition.

Have recently been diagnosed with this . I have s1 and s4 disc bulges , and the nerve has been affected somehow . I get the feeling in the end of the penis , and it seems to be worse in the morning . When I walk and move gets less . I have been diagnosed with prudential neuralgia; but still having issues helping it .

suffering from bilateral pudendal neuralgia right now as well as sacral neuralgia, waiting for infiltration first, but my doctors told me I need surgery and I am devastated. Its gonna be my 4th major surgery [not for pn but in total]

This a very tricky condition before you get there you are treated for many unending ailments and done many tests...may God add a lot of wisdom to our doctors..thanks alot doc I now understand whats my problem through your videos.

Is better try to walk every day with no effort, than stay put?, Just laying down? I have this condition for many years. I get cornered. Do you think it's better to keep moving, taking short walks every day?

Thank you very much. It hurts bad. But thank you for explaining

Excuse me the course of cure pudendal neuralgia can be in spanish?

Why Is nobody talking about the fact that sexual activity is a definite no go and non-existent and also having bowel movements are nearly impossible now?!?! Has nobody dealt with this as long as I have and nobody got into this point yet. And why is mine so bad and why is there nobody in my area that even knows what a prudential nerve is??!? Why have I been to 10 different specialists and nobody even knows what this is much less how to help me???! I am flat out telling these people what is wrong with me and they still can't. What open a book open Google??? I'm diagnosing myself For Fuck Sake!!! I did the hard part. I just do them to do the research on how to help me! I've been living with this for 20 years looking for answers!

Does this make your dorsal nerve stick out ? I’ve been having penile pain and my dorsal nerve recently starting sticking out while flaccid and also erect

Hello. Thank you for this video. Everything you have said here is how I'm feeling. I have gluteal minimus tendonopthay and para tendinitis bilateral. Can this cause pudendal neuralgia? Thank you.

Omg i have been waith burning pain for 9 weeks on my Pennil and rectum , first was told by urologist I have bacterial infection on my prostate 4 w on antibiotics and nothing second opinion says pelvic floor.. in the morning before getting out of bed is all ok after 30 minutes the burning pain starts sooner or later laying down gets better ..

I don't have pain. But get relapses of back pain and have chronic hip pain. When I get relapses of back pain I get a complete erectile dysfunction. The function comes back somewhat when the pain subsides. But I have to tilt my hip/pelvis sideways while trying to achieve an erection. If I don't do this, nothing happens. I also sometines get like static electrical impulses pulsating down into the left leg and/or the penis. Pretty subtile but during these periods I also get a complete ED. Since I at these periods doesn't get nightly erections either it has started to shrink in size when I have periods when I can get it up. I think I've lost 2 cm in a year. >.

Where’s the video to release this nerve??

So is this program designed to cure the condition or just manage it? Because I have had this for almost a year and I am fed up with it past my limit.

Thank you. This makes so much sense!

A can relate to the guy you mentioned at the end of the video 😔. Same symptoms. I told the Doctor this could be my problem but he doesn’t now much about it. Doctor keeps telling me all my exams came up good, but I know what I feel and it gets me depressed having this pain and nobody be able to help. How did the guy you mentioned heal of this terrible problem?. I need help 😔.

I have had this problem for 22 years, but the idiot doctors in the UK keep referring me to urologists and gastrointestinal consultants all these years. The British NHS can definitely kill you.

14 years of pn entrapment....floss & pelvic therapy

I only have pain when I sit on driver seat. It really drives me crazy. Any treatment?

Very nice! Mine was caused by my posture over the years.

What pressure technique specifically was done for the patient you were talking about? I’d like to know please thank you!

I have pins and needles.. Burning sensation in my pelvic area but it happens for 10-15 mins n goes away... It has been happening since last few days.

Can it cause significant muscle atrophy in the left side buttock and thigh?

After having a bartholin gland abcess for 3 weeks, two incisions and drainage that were unsuccessful and then it drained on its own a week later. 3 weeks after this I started experiencing all the symptoms that are explained in this nerve irritation. My gynecologist pressed on the nerve but no pain, but it comes and goes and is less in the morning and gets worse throughout the day. This is a tricky situation when nothing is felt at the gynecologist in the morning but is painful for the rest of the day.

A scan revealed that I have a bilateral fracture in my L5 which sits just above my pelvis. My doctor doesn’t think the fracture is significant enough to cause nerve issues. I beg to differ. Combined with internal haemorrhoids and bowel issues, I am convinced that something is definitely going on with my nerves. When I had a flare up, it was as though somebody was inserting a hundred hypodermic needles into my vagina and anus. My vagina was completely numb and I could feel pins and needles at different times running through my back. There was also a rash which covered the inside of my bum cheeks and spread onto my vagina which drove me insane - the itching and burning was horrible. I also suffered 2-3 UTI’s with my urine showing up with blood. Sleeping at night was difficult and I would resort to putting a bag of frozen peas between my legs and up against my vagina and anus which gave some relief. My doctor wants to treat me for herpes with antivirals but I know his diagnosis is wrong. I haven’t had sex in 5-6 years and a test done 12 months ago revealed I have no sexually transmitted diseases. It’s frustrating trying to get help.

Personally I have yet to find anyone who can even prescribe an MRN for pudendal neuralgia to find the places of compression

Hi sir, can indirect inguinal hernia affect pudendal nerve and cause pelvic pain and numbness? İ have one on my left side but it is not visible from outside.

I’m 78 and just now going through the process of figuring out why I’m in such pain like you described. Your video has helped me understand it. Thanks. 🙏🏻

Pudental nerve irritation can cause recurrent UTIs in both men & women. Urologists often diagnose this condition as Chronic pelvic pain syndrome (CPPS) in men. I have been suffering from cpps from last 13 years. I am 32 currently. Pain used to happen in my groin area & it was in vericose vein. Doctor classified it as vericocele but even he wasn't sure about pain because it was constant. Thankfully, I had the surgery in 2014 & pain never occurred again. I still have recurrent UTIs though. I would have a pelvic MRI & will look into this information that you have shared. Urologists across the world are stupid it seems.

I don't have any pain during sitting but only symptom is pain in penis during urination which get worse after cumming ,weak pee stream , symptoms comes and goes from last 5 months. Could this be pudendal neuralgia or CPPS?

Hello doctor, I fell of from stairs and got myself injured and sit bone near tailbone got injured, but after few years i started getting bladder spasms with frequent urination and stiffness near tailbone. It happens mostly with sitting and during night time i feel completely fine. And also my hip flexors are tight, I also use to sit with crossed leg all the time in the office.Is that pudendal nerve causing this stiffness?

Doctor, what is the relationship of Liorizal 10 to the pelvic nerves?

Is it this nerve if you have chronic burning just in the anus ?

I have similar extremely bad pain in my genital and started in year 2020 when i was sick may be due to corona and then i started cycling too much in weakness and everyday i come home with swelling in genital and soon i started having pain after sitting in morning in office for few hour and initally i thought its urology problem and was given too many strong antibiotics for year , then after 2 year of very bad pain everyday i realize myself that in night pain goes away on sleeping and its not antibiotic which is helping and no neurologist or urologist able to diagnose every report come good and doctor say i am perfect , this is my exact problem for 3 years and i am still suffering every day , please help me with any medicine or exercise as i am very depressed

I had my rectum anus and spinster muscle removed due to sepsis. The wound opened 11 days after surgery and took 10 months of nurses coming to my home every other day unpacking and packing the wound because of this I have severe adhesions entwined with not only the prudential nerve, but also all the nerves of my Pelvic floor and all the nerves that were left all those nerves that control the movement and the peristalsis my doctor did not dissect he cut through all of the nerves horrendous is that and I am left with crippling pain thank God I am an optimistic and positive person and I am working through this as best I can. I was 100% normal before this surgery, riding horses travel to see my kids and my grandchildren walking 10,000 steps a day taking care of the elderly volunteering so many things cooking going grocery shopping he took them for me and I am still going to win somehow I will win!!! Even my bladder is affected.

It ruined my life, started in 2015... but I continued my biking exercises. I just quit biking after 8 years.. so I will see what happens next... Thanks for this video ❤

Does neuralgia cause urinary symptoms. Like hardness of peeing?

I believe this is what’s causing my pelvic pain. I’ve tried to tell my doctor and ask to do a Pudendal nerve block - I have read that if indeed that’s the issue then the nerve block will help ease it/symptoms. But the doctors ( 2 specifically ) continuously tell me Pudendal Neuralgia is a WOMANS issue and not necessarily a man’s issue. That is INCORRECT! This can happen to anyone. I am in extreme pain. I have had urine checked - everything came back fine. I have had blood work done - everything came back fine - PSA levels are normal. Years ago ( maybe 7-8 years ago ) I had pelvic floor muscle pain - went to therapy for it and it got better. Me and my wife didn’t have a lot of sex ( been together for a long time ) I began to talk to her about it and then we started having almost to much sex and then all of this started. Bladder pain, testicle pain, lower back pain, difficulty to urinate ( like the muscles didn’t want to ease up and relax ) the bladder pain is almost UNBEARABLE! But my urine is clean - several doctors have checked multiple times, blood work and everything is fine.

Can Pudendal neuralgia cause pain in the sacrum??

i have pins in needle in my balls and dick tip what excersises should i do its not severe.

What a wonderfully clear and sensible explanation of the problem. Thank you.

Who treated this guy, im literally that guy early thirties and 4 years of this pain. Where is this guy i will go there

Hi doctor, can an ingunal hernia affect pudendal nerve?

Pregabalin works like a miracle for me the pain started when i used to do heavy gym especially the legs

That's a nice gentle cramping on his nerve. I got a serious injury.

Is it treatable??

Hi Doctor, I had a fall 3 months ago. After a couple of days, I had a fever which lasted a week. And I felt discomfort burning sensation on my testicles, inner thighs, and anus. I also noticed the vein on my head of penis is very obvious and feeling a little swollen. Now, the feeling just comes and goes. I also have a very sore back pain as well as knee pain. May I know what condition am I having? I'm feel very lost and depressed.. 😢

Excellent video! This is a great explanation of the condition we're dealing with.

Does this cause frequent urge to urinate

is it curable or not ???

Yes. I got this. Try Surgey. May 29 2020 Help me

Thank you for you. Mine isn't worse when sitting. It's worse when standing or laying on my back. Laying on my tummy feels best. It's been 2.5yrs and it started after rotator cuff surgery. I'm getting a diagnostic pudendal nerve block next week. I'm in perfect health other than hypermobile SI joints . I'm praying 🙏

I’m 32 y.o man who have been suffering from this condition since 5 years. I went to many doctors and they were thinking I have a psychological problems and there’s nothing with me until a good urologist told me it’s pudendal neuralgia 😢 what really make me sad that there’s no cause for my case I’m not a bicyclist, I had no surgery or accident. It just happened to me for no reason 😭 why! Why! 😩 will it become worse by the next years?! Nobody even my family believe me and think it’s psychological while I’m suffering everyday. I haven’t been in sexual relationships because of it and I’m afraid to get married. Anyone can tell me if it hardly affects sexually?

Will there be a follow up video of the exercises to do .