Pudendal nerve block
Pudendal neuralgia is a condition characterized by chronic pain in the pelvic region, specifically in the pudendal nerve distribution. Several factors may contribute to pudendal neuralgia, including trauma, inflammation, compression, or damage to the pudendal nerve. Causes may include prolonged sitting on hard surfaces, childbirth, pelvic surgery, infections, or conditions such as pelvic floor dysfunction.
The symptoms of pudendal neuropathy can vary among individuals, but common signs may include:
- Pelvic pain: This is the most common symptom, often described as a sharp, burning, or stabbing pain in the pelvic region. The pain may be persistent or intermittent and can be aggravated by sitting for long periods.
- Genital numbness or tingling: Some individuals may experience a loss of sensation in the genital and perineal area. This can affect both men and women.
- Pain during or after sexual activity: Pain during intercourse, ejaculation, or orgasm is a common symptom. The pain may be deep and intense.
- Urinary symptoms: Pudendal neuropathy can lead to difficulty with bladder function, including urinary frequency, urgency, or hesitancy. Some people may also experience pain during urination.
- Bowel symptoms: Problems with bowel function, such as constipation or difficulty controlling bowel movements, may occur.
- Sensory disturbances: Numbness, tingling, or a pins-and-needles sensation in the pelvic region or genital area can be indicative of pudendal neuropathy.
- Increased pain with sitting: Sitting for extended periods can exacerbate symptoms, leading to increased discomfort.
Therapeutic pudendal nerve block involves injecting a local anaesthetic and corticosteroid around the pudendal nerve to reduce or block its signals. This procedure is often used for diagnostic purposes to confirm whether the pudendal nerve is a source of the pain and can also serve as a therapeutic measure to provide relief.
At RAD Clinics, we specialise in highly complex pain management procedures, unlike any other musculoskeletal service in the country. Our highly trained specialists still work in many NHS and private hospitals, performing more than 3000 guided pain relief injections that can range from simple soft tissue injections to very complex nerve block procedures.
Our “one-stop MSK appointment” includes consultation, diagnostic scan, and ultrasound-guided injection, if appropriate, in just one appointment. Our highly trained and skilled clinical team can help you by treating your condition swiftly and accurately through our “One-Stop MSK Appointments.”
If you are still unsure and would like to discuss this with our specialist team prior to your booking, then you can email email@example.com for more information or ring 07742986561 for a free telephone consultation with our Musculoskeletal Specialist.
Frequently Asked Questions
Nerve blocks are relatively safe procedures with minimal side effects. There is a small risk of allergy and infection or slight flare up of pain that can occur immediately or within few days following the procedure. Our Musculoskeletal Specialist team will perform a complete screening prior to your procedure to ensure safety.
Short period of rest is recommended following the nerve blocks. Our Musculoskeletal Specialist will advise you regarding rest, during your appointment, according to your condition and lifestyle.
You should not drive immediately after the injection. Please organise a pick-up or arrange a taxi to return home.
Your appointment will be a “one stop shop” in which our Musculoskeletal Specialist will carry out a physical examination and ultrasound scanning to diagnose your problem. You will have plenty of opportunity to discuss your care with our specialist prior to proceeding with your injection.
Results obtained from the nerve block procedure is usually long term or permanent, however, this will depend on your specific condition.
There is no recommended limit for nerve blocks, however, this will depend on your condition and to the discretion of our Musculoskeletal Specialist prior to performing each procedure.
Corticosteroid injection is known to be safe from 2nd trimester of pregnancy. If you are aware of being pregnant at the time of booking then notify us for pre-injection screening. Nerve blocks are safe if breastfeeding.