PHRC Pudendal Neuralgia Q&A | Pelvic Health & Rehabilitation Center

[@doowopbabyt]

I’m 78 and I’ve had this problem for a short while. I’m still unsure which direction to take for treatment and pain management. It started out as severe testicular pain. My urologist tried a cord block injection but that didn’t help. What you said about long term constipation is definitely involved as well as radiation treatments for prostate cancer. I also had a couple of falls to add into the mix. You have helped me understand what’s really going on. Thank you for explaining this so clearly and concisely. ❤

[@PelvicHealth]

We are so glad this video has been insightful for you!

[@HarryFenton6124]

Thanks for your help.

[@julielaifer5977]

Have you heard of pudendal neuralgia that can lead to burning in the feet? referred pain type of syndrome?

[@PelvicHealth]

Yes! If you look at the brain and map out where it feels each body part (known as the homunculus), the genitals and the feet are right next to each other. Sometimes the brain gets confused as to where the signal is coming from, so a message from the genitals creates a pain sensation in the feet. This is known as "smudging", and it means that you can feel foot pain because of something happening in your pelvis even if there is nothing wrong with your foot.

[@fuad6280]

Very informative and helpful content from you, as always. Thank you so much for educating us on this issue. I'd really appreciate it if you could make a video on rectal/perineum pain due to CPPS for men. Also, do you guys do online consultantions for international patients?

[@PelvicHealth]

Hello! We are glad to hear that our video has been helpful & education to you. We will pass along your video idea to our team. Make sure you are subscribed & you will get notified the next time we post a video about men's pelvic health! We do consultation via telehealth for anyone, anywhere. You can request an appointment here, pelvicpainrehab.com/telehealth/

[@fuad6280]

@@PelvicHealth Thank you so much!

[@loveloveloveme3667]

I have an appointment with your clinic in 2 weeks. I’ve suffered with this for years. I’m also scheduled for a pudendal nerve block and ganglion impar block. My dr just put me on LDN too. I’m scared. I spend 90% of my last 2-3 years in the bed and had to find a work from home job. It burns when I pee. Hurts to have a BM. So much pressure. Can only where loose pants, no jeans, no heels… life sucks. Can’t travel. I just want relief…. Exercise makes me swell. Even just walking. I feel neuropathy. I hope u guys can help

[@PelvicHealth]

We are sorry that you have gone through so much. Healing is often a challenging journey. We look forward to seeing you in clinic!

[@00886739]

Thank you for your excellent efforts.. I have a question please. I suffer from pelvic floor pain and I follow up with a physiotherapist and I also suffer from vitamin D deficiency. When I took vitamin D, I felt a great improvement in my pelvic muscles.. My question is is there a relationship between vitamin D and pelvic muscles

[@Priteshlodh]

Helli madam, does pudendal nerve has regenerative capacity? Thank you madam.

[@PelvicHealth]

The evidence suggests that it does. Certain medications like gabapentin have been known to help nerve healing, but there are many factors involved in the healing process which vary patient to patient. One of the aims of PT in a pudendal nerve injury is to create an optimal environment to help the nerves heal. In some cases, medications or surgery can be indicated. Any patient who has pudendal nerve pain should establish a good team of specialists including GYN, PT, and pain management to help them through their healing process.

[@saadalahmdy2331]

I have such symptoms what kind of examination do I do to confirm the correct diagnosis

[@PelvicHealth]

You can see a pelvic floor physical therapist and or see a pudendal neuralgia expert.

[@olena2667]

Thank you for the video. Have you seen women who are cured and can have sexual intercorce, sit in airplane for 12 hours without pain?

[@PelvicHealth]

Yes, with the correct treatment, absolutely.

[@olena2667]

My pudendal neuralgia started with bladder issues (frequency and urgency, urinating at night, pain after 30 secs after urination) caused by medication. I’ve never seen this cause mentioned on Internet. Have you heard about such cases?

[@PelvicHealth]

I'm sorry, I'm not aware of a medication that can cause pudendal neuralgia.

[@MdnightWnd]

What medication do you think might have caused yours? At first I thought maybe antibiotics and all the things the doctors had me on caused mine, but now I believe it was caused by a very tight pelvic floor (which was caused by severe coughing spasms for almost two months).

[@Olive-cy3rk]

I had a UTI which caused mine, maybe yours was a similar cause

[@Theoatob]

Are you an angel?

[@chetantalpe4238]

Can pudendal nerve cause burning sensation in anus and penis....?

[@Delmarksman]

Yes and it's been horrible. 2.5 years of supernova's. 😢