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pudendal nerve block

Pudendal Neuralgia is a chronic pain condition caused by irritation or compression of the pudendal nerve, which supplies sensation to the pelvic area. This condition can lead to sharp, burning pain in the perineum, genital area, or rectum, often worsening with sitting or specific movements. At RAD Clinics, we provide pudendal nerve block injections, an effective treatment to alleviate pain, improve function, and enhance quality of life.

Causes of Pudendal Neuralgia

Pudendal neuralgia can develop due to several factors, such as:

Prolonged sitting: Extended periods on hard surfaces or cycling can place pressure on the pudendal nerve.
Trauma or injury: Pelvic fractures, surgery, or childbirth can irritate or damage the nerve.
Pelvic floor dysfunction: Tight or spasming pelvic muscles may compress the nerve.
Nerve entrapment: Scar tissue, cysts, or other structural abnormalities can trap the nerve.
Inflammation: Conditions such as infections or autoimmune diseases can irritate the nerve.

Symptoms of Pudendal Neuralgia

Common symptoms include:

Pain: Burning, stabbing, or aching pain in the perineum, genital area, anus, or rectum.
Numbness or tingling: A “pins and needles” sensation in the pelvic region.
Pain with sitting: Discomfort that improves when standing or lying down.
Urinary or bowel symptoms: Difficulty urinating, constipation, or pain during bowel movements.
Sexual dysfunction: Pain during intercourse or reduced sensation.

Anatomy of the Pudendal Nerve

The pudendal nerve originates in the lower spine (S2-S4) and travels through the pelvis, supplying sensation and motor control to the perineum, anus, and genital area. Compression or irritation along its pathway can cause significant pain and dysfunction.

Diagnosis of Pudendal Neuralgia

Diagnosing pudendal neuralgia involves:

Physical examination: A clinician will assess the pelvic region for tenderness and perform tests to pinpoint the source of pain.
Nerve conduction studies: These tests measure the function of the pudendal nerve to confirm compression or irritation.
Imaging tests: MRI or ultrasound may be used to identify structural abnormalities affecting the nerve.
Diagnostic injections: A local anaesthetic injection near the pudendal nerve can confirm its involvement if symptoms are temporarily relieved.

Ultrasound-Guided Pudendal Nerve Block

At RAD Clinics, we use ultrasound-guided pudendal nerve block injections to treat pudendal neuralgia. This minimally invasive procedure delivers anaesthetics and corticosteroids to the nerve, providing pudendal nerve pain relief, reducing inflammation, and improving overall function.

Benefits of Ultrasound-Guided Pudendal Nerve Block

Precision: Real-time ultrasound ensures accurate placement of the injection around the pudendal nerve.
Minimally invasive: The procedure avoids surgical intervention and uses a fine needle.
Pain relief: Immediate and lasting relief from nerve-related pelvic pain.
Reduced inflammation: Corticosteroids help decrease swelling and irritation of the nerve.
Improved function: Alleviating nerve pain can improve mobility, sexual function, and quality of life.
Quick recovery: Most patients can return to normal activities shortly after the procedure.

What to Expect During the Procedure

Preparation: The treatment area is cleaned, and a local anaesthetic may be applied to ensure comfort.
Injection: Using ultrasound guidance, the clinician places a fine needle near the pudendal nerve to deliver the medication.
Post-procedure care: Mild soreness at the injection site is normal and typically resolves within a few days.

When to Seek Treatment

You should consider a pudendal injection if:

Pain persists despite physiotherapy, lifestyle changes, or over-the-counter remedies.
Sitting becomes unbearable, affecting work, travel, or daily activities.
Sexual dysfunction or bowel and bladder symptoms worsen due to nerve irritation.
Chronic discomfort impacts quality of life and emotional well-being.

At RAD Clinics, our personalised approach to treating pudendal neuralgia ensures effective pain relief and restoration of pelvic function, helping you regain comfort and confidence.

Exceptional Efficient Service Recommended By Google

Exceptional professional service, highly recommended for quick, efficient, and friendly ultrasound scans and injections. Instant relief, thorough analysis, and personalized treatment at reasonable prices.

DISCLAIMER

We do not accept insurance coverage. If you wish to reimburse your fees, then please kindly check with your insurance provider prior to booking as we cannot be held responsible for any non-payments.