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Can PN or PNE cause pain in this area?
Posted: Wed Sep 11, 2024 12:30 am
by novacalucas
Hi,
47 male, have been feeling strong pain in the perineum when sitting for 2 and 1/2 years.
The pain does not extend to the penis, scrotum or anus. Just the area between them and my glutes.
I also feel a strong pain right on this area. Can it be related to the pudendal nerve?
Re: Can PN or PNE cause pain in this area?
Posted: Mon Sep 16, 2024 5:27 am
by Violet M
novacalucas wrote: ↑Wed Sep 11, 2024 12:30 am
Hi,
47 male, have been feeling strong pain in the perineum when sitting for 2 and 1/2 years.
The pain does not extend to the penis, scrotum or anus. Just the area between them and my glutes.
I also feel a strong pain right on this area. Can it be related to the pudendal nerve?
Based on my own experience, I think it is possible that your pain is related to the pudendal nerve but you may need more diagnostics to know that for certain. My pain was primarily perineal also. I had upper/inner thigh pain as a result of the obturator internus muscle going into spasm. The pudendal nerve runs alongside the obturator internus muscle through the Alcock's canal so it can be affected.
Violet
Re: Can PN or PNE cause pain in this area?
Posted: Wed Nov 13, 2024 6:59 am
by asbrown123
Can anyone tell me if they have had excruciating leg pain with a flare? Burning pain all the way down to bottom of feet. So depressed. All I can do is lay in bed and cry from the pain.
Re: Can PN or PNE cause pain in this area?
Posted: Thu Nov 14, 2024 5:39 am
by Violet M
Hello asbrown,
What you are experiencing sounds extremely distressing. I have heard several people mention some foot pain on this forum, but what you are describing is not a typical complaint of people with pudendal neuralgia. So it would make sense to ask your doctor about it, as they may want to consider that there is more going on than just pudendal neuralgia. Is there anything that helps it, like heat or ice? What about medications such as pregabalin (lyrica) or duloxetine (cymbalta)?
Violet
Re: Can PN or PNE cause pain in this area?
Posted: Thu Nov 21, 2024 8:17 pm
by stephanies
Asbrown,
A very knowledgeable PT I consulted with years ago advised me that when there are both PN-type issues and leg and foot symptoms, it is likely there is something else going on. One possibility you can ask your doctor about is an issue in the lumbar spine or sacrum. The pudendal nerve and sciatic nerve share the S2 nerve root so it's worth considering if there is an issue there cause you symptom of both conditions. I am sorry you are dealing with such severe pain right now.
Stephanies