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Pudendal neuralgia.
Michael Hibner1, Nita Desai, Loretta J Robertson
1Department of Obstetrics and Gynecology, St. Joseph's Hospital and Medical Center, Phoenix, Arizona 85013, USA. Michael.Hibner@chw.edu
Journal of Minimally Invasive Gynecology
|January 15, 2010
Summary
Pudendal neuralgia, a neuropathic condition, is often underdiagnosed. This paper reviews evidence-based treatments, including medical, surgical, and physical therapy, for this painful nerve condition.
Area of Science:
- Neurology
- Pain Medicine
- Pelvic Health
Background:
- Pudendal neuralgia is a neuropathic condition affecting the pudendal nerve's dermatome.
- It is often underrecognized by medical practitioners, with an estimated incidence potentially higher than 1/100,000.
- Limited medical literature exists on its diagnosis and treatment.
Purpose of the Study:
- To present evidence-based information and clinical experience on treating pudendal neuralgia.
- To highlight diagnostic criteria and treatment modalities for this condition.
Main Methods:
- Diagnosis based on Nantes Criteria, clinical history, and physical findings.
- Utilized CT-scan guided nerve blocks for diagnostic information.
- Reviewed treatment approaches including medical, surgical, and physical therapy.
Main Results:
- Discusses the application of Nantes Criteria and CT-guided nerve blocks in diagnosis.
- Outlines comprehensive treatment strategies incorporating medical, surgical, and physical therapy.
- Presents clinical experience from treating approximately 200 patients.
Conclusions:
- Pudendal neuralgia requires recognition and a multimodal treatment approach.
- Physical therapy is a crucial component of managing pudendal neuralgia.
- Further research is needed to expand the evidence base for diagnosis and treatment.
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