PUDENDAL NERVE ENTRAPMENT
As the pudendal nerve travels on its journey from the lower back nerve root through the pelvis, the pudendal nerve can easily become entrapped and squeezed by fascia, muscles, and ligaments. Furthermore, a woman's puden-dal nerve can become injured during childbirth, excessive bike riding, falls, accidents, etc., and once the nerve becomes entrapped or injured it can create horrific, deep and agonizing pain that refers directly to the pelvic floor. An injured pudendal nerve can cause pain with sitting, pain in the labia, or pain in the clitoris. Some of my patients with pudendal nerve entrapment have even reported a feeling like their pubic hair is being pulled or yanked out. To resolve this condition, you need to work with a team that includes a physical therapist with pelvic floor specialty and a urogynecologist or urologist who specializes in pudendal nerve neuralgias. Typically, the medical doctor might inject the area to calm down the pain, and then you would come to see me and I would get to work to reduce the muscle spasms and release the nerve. Many times, but only as a last resort, surgery is the only option for many women suffering from pudendal nerve entrapment.
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