We recognize that while this condition is a very painful and debilitating one, patients should pursue and exhaust all non-surgical therapies prior to making a decision to have surgery. For some, conservative therapies like nerve blocks and physical therapy can virtually eliminate symptoms. Even if 100% recovery is not achieved, they are certainly very beneficial for all, not to mention a critical component of determining the exact cause of your pudendal neuralgia (e.g., muscle spasms? nerve entrapment?). If the cause of your pudendal neuralgia is not identified, then an effective treatment plan for you, as an individual, cannot be developed.
Because of this belief, we are currently developing a standard treatment protocol that we hope to have endorsed by multiple medical disciplines. The medical professionals on our Board of Directors are in the process of developing a treatment protocol that includes tests that need to be performed, medications that are useful, the type of physical therapy one should receive as well as guidelines for what combinations of medications are critical for nerve blocks and, finally, when surgery is appropriate. Once we have finalized this plan, it will be posted in this area of our site so feel free to check back frequently.
In the meantime, if you are a medical professional seeking information on how to treat a patient with this condition, please review the Treatment chapter in our PN: Physicians’ Perspective section of this web site. If this still does not provide adequate answers to your clinical questions, please feel free to contact us via e-mail (addresses are available on our Resources page). Someone will respond to you as soon as possible. Please be specific with the type of information you are looking for so that we can adequately respond.