Medical Questions? Ask a Doctor Online!
Is the pain worse with sitting? No you have normal urinary and sexual function?
It sounds like you migh have pudendal neuritis. Have you discussed this with your doctor? Pudendal neuritis is an unusual problem with the pudendal nerve that can affect both men and women. The pudendal nerve runs through your pelvic region, including your genitals. The condition is also known as pudendal neuropathy, pudendal nerve entrapment, cyclist's syndrome, pudendal canal syndrome, or Alcock's syndrome. The cause of PN is unclear. The pudendal nerve can be compressed or entrapped. Numerous potential nerve compression zones exist.
MRI allows for PN to be classified, based on the entrapment site: type I, in the sciatic notch; type II, the ischial spine and sacrosciatic ligament; type IIIa, the obturator internus muscle; type IIIb, the obturator internus and piriformis muscles, and type IV, the distal branches of the pudendal nerve. Normal imaging findings do not exclude a diagnosis of PN.
Management includes the treatment of neuropathic pain (with gabapentin, pregabalin, duloxetine, amitriptyline), percutaneous posterior tibial nerve stimulation, physiotherapy, osteopathy and short-term psychotherapy. The effect of anesthetic infiltration of the pudendal nerve is limited. In refractory forms, transgluteal decompression of the pudendal nerve has been effective. In those where surgery has been ineffective, an implantable neurostimulator at the level of the terminal cone can be proposed.
PN greatly affects quality of life, but has no effect on life expectancy.
You're welcome. Hope all works out for the best.