What is Pudendal Neuralgia?

Pudendal Neuralgia is a chronic pain condition that affects the pudendal nerve, which runs through the pelvis and is responsible for sensation in the genital area, perineum, and anus. In men, this condition can cause significant discomfort and pain, particularly during activities that place pressure on the pelvic region.

How common is Pudendal Neuralgia?

Pudendal Neuralgia is relatively rare but can be debilitating when it occurs. It is more commonly seen in men who engage in activities that involve prolonged sitting, cycling, or repetitive stress on the pelvic area. Due to its complex nature, it is often underdiagnosed or misdiagnosed.

Symptoms of Pudendal Neuralgia

  • Pelvic Pain: Sharp, burning, or aching pain in the genital area, perineum, or rectum.
  • Numbness or Tingling: Sensations of numbness, tingling, or pins and needles in the pelvic region.
  • Pain with Sitting: Increased pain or discomfort when sitting, particularly on hard surfaces.
  • Sexual Dysfunction: Pain during or after sexual activity, erectile dysfunction, or reduced sensation.
  • Urinary Symptoms: Painful urination or a frequent need to urinate.

Sports at Risk for Pudendal Neuralgia

  • Cycling: Prolonged pressure on the perineum from cycling can compress the pudendal nerve, leading to irritation.
  • Rowing: The repetitive motion and pressure on the pelvic floor during rowing can contribute to nerve compression.
  • Horseback Riding: Extended periods of sitting in a saddle can place stress on the pudendal nerve.
  • Weightlifting: Heavy lifting, particularly exercises that involve straining the pelvic area, can exacerbate symptoms.

Causes and Risk Factors for Athletes

The following factors can contribute to the development of Pudendal Neuralgia:

  • Prolonged Sitting: Extended periods of sitting, particularly on hard surfaces, can compress the pudendal nerve.
  • Repetitive Strain: Sports that involve repetitive movements or pressure on the pelvis can irritate the nerve.
  • Previous Pelvic Injuries: A history of pelvic trauma or surgery can increase the risk of developing Pudendal Neuralgia.
  • Poor Posture: Improper posture during activities can place additional stress on the pelvic region.

Treatment

1. Exercise Modifications

  • Postural Adjustments: Focus on maintaining proper posture during sports and daily activities to reduce pressure on the pudendal nerve.
  • Core Strengthening: Strengthening the core muscles, including the pelvic floor, can help support the pelvis and reduce nerve irritation. Exercises like pelvic tilts, planks, and deep abdominal breathing are recommended.
  • Stretching: Gentle stretching of the hip flexors, glutes, and lower back can alleviate tension in the pelvic area and reduce pressure on the nerve.

2. Manual Therapy Techniques

  • Pelvic Floor Massage: Targeting the muscles around the pelvic floor can help release tension and improve blood circulation. A qualified sports massage therapist can perform this type of massage to alleviate symptoms.
  • Soft Tissue Manipulation: Techniques such as myofascial release and trigger point therapy can reduce muscle tightness and nerve irritation. These should be conducted by a professional trained in treating pelvic pain conditions.
  • Perineal Massage: Gentle massage of the perineum can help reduce discomfort and alleviate pressure on the pudendal nerve. This technique should be performed by a trained therapist.

3. Professional Therapy

  • Consult a Sports Massage Therapist: A qualified sports massage therapist can offer specialised treatments to relieve pain and support recovery.
  • Seek Advice from a Physiotherapist: A physiotherapist experienced in treating pelvic pain and nerve conditions can provide targeted exercises and manual therapy to aid in recovery.

Resources and Support

These trusted information partners have more on this topic:

– [Better Health Channel – Pelvic Pain in Men]
– [Pudendal Neuralgia Support Australia]

Conclusion

Pudendal Neuralgia in men can be managed with the right approach. By making postural adjustments, incorporating targeted exercises, and seeking professional manual therapy, you can alleviate symptoms and regain comfort during your sports and daily activities.

For personalised advice and treatment, call Coffs Coast Sports Physiotherapy to book with sports massage therapist Trent Renshaw today and start your journey to pain-free living.