Pudendal neuralgia is a chronic pain condition caused by irritation or entrapment of the pudendal nerve, which carries sensation from the pelvic floor, perineum, genitals, and anus. When the nerve becomes compressed or inflamed, it can lead to persistent pelvic or perineal pain that is often difficult to localise.
Typical symptoms include:
Pudendal neuralgia can result from nerve entrapment between pelvic ligaments, childbirth trauma, cycling, pelvic surgery, or chronic pelvic muscle spasm. Because the symptoms can overlap with gynaecological, urological, or colorectal conditions, expert multidisciplinary assessment is essential for accurate diagnosis and tailored treatment.
At Wessex Pain Clinic, we take a comprehensive, sensitive, and expert approach to diagnosis.
Our consultants begin with a detailed history, exploring symptom patterns, triggers, and any relevant surgical or obstetric history.
A focused examination, if appropriate, assesses areas of tenderness and nerve distribution.
Where necessary, we use MRI or ultrasound imaging to rule out structural issues and to guide further treatment.
Because pudendal neuralgia often involves both nerve irritation and muscle dysfunction, we work with specialist pelvic physiotherapists.
Our pain psychology and rehabilitation specialists support patients in managing the emotional and practical challenges of chronic pelvic pain, using pacing, mindfulness, and cognitive behavioural techniques.
This integrated, consultant-led model ensures physical, psychological, and functional recovery are addressed together.
At Wessex Pain Clinic, we work as a team and meet regularly to discuss complex, treatment resistant or unusual cases. As such you will often receive the expertise of several pain consultants. We believe that we are one of very few pain clinics to offer this.
We may prescribe:
All medication is reviewed regularly to ensure optimal relief and tolerability.
Our friendly team is on hand to support you every step of the way. Please get in touch at any time.
