[Pudendal nerve entrapment syndrome]
Fernando Itza-Santos1, Daniel Zarza-Luciáñez, Jesús Salinas
1Clínica del Dolor, Hospital NISA, Madrid, Espana.
Revista De Neurologia
|February 11, 2010
Summary
Pudendal nerve entrapment syndrome causes neuropathic pain in the perineal area. Diagnosis relies on clinical history, physical exam, and neurophysiologic tests for this often-overlooked condition.
Area of Science:
- Neurology
- Pain Medicine
- Pelvic Health
Context:
- Pudendal nerve entrapment syndrome (PNES) is infrequently diagnosed due to its complex and varied presentation.
- Symptoms can mimic other conditions, notably pelvic floor myofascial syndrome, complicating differential diagnoses.
Purpose:
- To highlight the key diagnostic features of pudendal nerve entrapment syndrome.
- To emphasize the importance of considering PNES in patients with perineal neuropathic pain.
Summary:
- The primary symptom of PNES is neuropathic pain localized to the perineal region.
- A definitive diagnosis is established through a combination of thorough clinical history, targeted physical examination, and confirmatory neurophysiologic testing.
Impact:
- Improved recognition and diagnosis of pudendal nerve entrapment syndrome.
- Enhanced understanding of neuropathic pain management in the pelvic region.
- Facilitation of earlier and more accurate patient treatment pathways.
Related Concept Videos
01:21Spinal Nerves: Plexus II
The plexuses of the lower body include the lumbar, sacral, and coccygeal plexuses, which innervate the abdomen, pelvis, legs, and coccygeal region. These plexuses control the transmission of sensory information and coordinate motor functions of the lower body.
The Lumbar Plexus
The lumbar plexus is situated within the lumbar region of the back and is primarily formed by the first four lumbar spinal nerves (L1 to L4). This plexus extends its branches into several nerves, including the...
The Lumbar Plexus
The lumbar plexus is situated within the lumbar region of the back and is primarily formed by the first four lumbar spinal nerves (L1 to L4). This plexus extends its branches into several nerves, including the...
01:21Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
01:29Herniated Intervertebral Disc l: Introduction
Intervertebral disc herniation refers to the displacement of the nucleus pulposus (the gel-like inner core of the disc) through a tear or weakened area in the annulus fibrosus (the outer fibrous ring). The displaced disc material extends beyond the normal boundaries of the disc space and may compress or irritate nearby spinal nerve roots or, less commonly, the spinal cord.Etiology and Risk FactorsHerniation commonly results from degeneration, in which aging reduces disc hydration and...
01:30Peripheral Artery Disease I: Introduction
Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
01:22Spinal Nerves: Plexus I
Nerve plexuses are networks of interlacing nerves that serve as communication hubs to distribute and organize nerve action across various body regions. The nerve plexuses are organized into the cervical plexus located in the neck region, brachial plexus in the shoulder area, lumbar plexus found in the lower back, sacral plexus situated in the pelvis, and coccygeal plexus located in the coccygeal region.
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
01:26Nursing Assessment of the Genitourinary System II: Inspection and Palpation
The nursing assessment of the genitourinary (GU) system involves a systematic inspection and palpation to identify abnormalities in the kidneys, bladder, and surrounding structures.InspectionMouth: Inspect for signs of kidney dysfunction, such as stomatitis (inflammation of the mouth) and ammonia breath, which may occur in advanced kidney disease due to the buildup of urea, breaking down into ammonia.Skin: Check for pallor, which could indicate anemia caused by kidney disease. Look for...