Hvad er symptomerne på pudendal neuralgi / pudendus-nerven?

Hvis du har pudendal neuralgi, kan du opleve smerter eller ubehag i de områder, hvor nerven løber i bækkenbunden. Det kan oftes føles som prikken, stikken, jag, brænden eller en dyb, dunkende smerte i området. Smerter og symptomer kan komme i både penis, testikler, vulva, klitoris, mellemkødet, endetarmen eller i forbindelse med vandladning og afføring. For nogle klienter, så kan det også mærkes i baller, lår, omkring halebenet eller i lænden.

Kan pudendus-smerter forveksles med andre tilstande?

Grundet en genereal manglende viden, forveksles det med blærebetændelse, prostatitis eller muskulære spændinger. En præcis diagnosticering er derfor afgørende for effektiv behandling og for at undgå fejlbehandling.

Hvordan diagnosticeres pudendal neuralgi / problemer med pudendus-nerven?

I det offentlige system, er der tit en manglende forståelse omkring pudendal neuralgi/pudendus nerven. Hos MS Insight bruger vi de 5 ”Nanteskriterier” til at sikre at behandlingen måles korrekt. De 5 kriterier er følgende Du har smerter i pudendusnervens dækningsområde (bækkenbunden) Du kan sove om natten uden smerter. Du får smerter når du sidder ned. Pudendus nerve blokade fjerner kortvarigt smerten Smerte uden objektive føleforstyrrelser. https://ugeskriftet.dk/videnskab/pudendusneuralgi-pavist-ved-elektrofysiologisk-undersogelse

Hvordan behandles pudendal neuralgi / problemer med pudendus-nerven?

Hos MS Insight behandles pudendus nerven med fokuseret shockwave og Magnetolith EMTT, som går ind og stimulere og genopbygger nervesystemet. Det gør at vi arbejder både med de perifære dele af pudendus nerven i bækkenbunden, samt nervens udspring i rygsøjlen. Nerve udspringet på pudendal nerven kan være en del af en central sensibilisering af smertesignalerne, og bør derved også behandles.

Pudendal nerves

Pudendal nerve pain, shockwave and EMTT treatment

Michael Strøm

Expert in shockwave for men's health & international speaker.

Get quality of life back for pudendal nerve pain

The pudendal nerve is one of the most important nerves in the pelvis and has sensory, motor and autonomic functions, all of which affect different functions in the area. Problems with the pudendal nerve can result in pain and discomfort, decreased sensation, incontinence and sexual dysfunction for both men and women.

As the symptoms often relate to genitals and very intimate functions and situations, it can be a taboo subject. As a result, problems with the pudendal nerve are often misdiagnosed or overlooked as it can also be difficult to talk about. This can often lead to a long and frustrating process without effective solutions, where your quality of life is greatly reduced.

At MS Insight, I work daily with clients who experience pain and functional issues of various kinds, all related to the pudendal nerve.

I offer you specialized treatment that reduces your pain quickly and effectively with non-invasive methods like shockwave, EMTT and NESA X, giving you back the quality of life you deserve. Spend just 5 minutes on this page and see how you can get help without surgery and medication.

Anatomy of the pudendal nerve

Anatomy and the pudendal nerve

The pudendal nerve is a central nerve in the pelvis that plays a crucial role in both sensation and muscle control in the abdomen/pelvic floor. It originates from the lower spine (S2-S4) and runs through the pelvis, sending signals to the pelvic floor muscles, rectum and genitals.

The nerve has a twisted course where it first leaves the pelvis via an opening in the hip socket, passes close to the sciatic nerve and then returns to the pelvis. Along the way, it runs through a narrow channel called the pudendal canal, where it can be particularly susceptible to pressure and irritation.

When the nerve reaches its endpoint, it branches out and sends signals to three main areas:

Around the rectum – Controls the sphincter and sensation in the area.

Perineum – Supplies the skin and muscles here, which is important for both urinary and sexual function.

Genitals – Sends sensory signals to the penis or clitoris, which is essential for sexual pleasure and function.

Due to its narrow passage through the pelvis, the pudendal nerve can become pinched or irritated, which can lead to pain and functional problems. This is called pudendal neuralgia and can have a major impact on quality of life, but there are good treatment options that do not include surgery.

Book a free call

You can always contact me for a free, no-obligation conversation about your situation.

Book here

Facts about the pudendal nerve:

Anatomy: Runs from the sacrum through the pelvis and supplies the genitals and pelvic floor.
Typical symptoms: Pain, sensory disturbances, agitation, burning and sexual dysfunctions.
Treatment: Shockwave, EMTT and NESA neuromodulation targeting the course and origin of the nerve: Shockwave, EMTT and NESA neuromodulation targeting the course and origin of the nerve.
Treatment course: Usually 6-12 treatments over 6-9 weeks.
Individual plan: Based on your symptom picture and lifestyle.

Pudendal nerve symptoms

Pain in the pelvic floor
– This is often the most pronounced and annoying discomfort when there is a problem with the pudendal nerve. The pain can be constant or occur in certain situations, such as after sitting down for a long period of time. The pain can range from a deep ache to a burning or stabbing sensation and can spread to the rest of the abdomen, groin, pubic bone and even the inner thighs.

Incontinence and urinary problems
– Due to the pudendal nerve’s control over the muscles around the urethra, irritation or pinching of the pudendal nerve can lead to problems controlling urination. Some experience a sudden, uncontrollable urge to urinate, while others have difficulty starting the urine stream (which can also feel weak) or emptying the bladder completely.

Genital pain
– Burning, stinging or shooting pain in the penis, clitoris, perineum, anus or urethra are common symptoms of pudendal nerve problems. The pain can vary in intensity and can be aggravated by pressure on the area, for example by sitting on a hard surface, or in severe cases, just by wearing clothes. Some people also experience a sensation of swelling or pressure from inside the body.

Pain during sex
– Many men and women experience pain during or after intercourse, which can be caused by the action of the pudendal nerve on the pelvic floor muscles and its sensory function in the genitals. In men, this can result in painful erections or premature ejaculation. Women will often experience pain on penetration and decreased sexual sensitivity in the genitals. For both genders, this can result in decreased sex drive and fear of intimacy as the pain overshadows the intimacy and positivity normally experienced during sexual activity.

Several common symptoms of pudendal nerve pain

Symptoms of pudendal nerve pain can vary in intensity from person to person and in some cases can be very debilitating, making it crucial to get the right treatment and guidance from the start.

Constipation and bowel problems – The pudendal nerve plays a crucial role in regulating the rectum. It can lead to constipation and difficulty pushing out stool. It can also be a feeling of not being able to empty the bowel completely. Conversely, some may experience rectal incontinence, where it becomes difficult to hold in stools.

Sensory disturbances – Many men and women experience sensory disturbances in the area that the pudendal nerve controls. This can include tingling, buzzing, cold/heat sensations or outright numbness in the pelvic floor and genitals. Symptoms can be constant or more sporadic. Hypersensitivity of the skin in the affected areas is also a frequent nuisance, threading directly into the nervous system.

Pelvic floor pain during and after pregnancy – Increased pressure on the pudendal nerve during pregnancy can lead to prolonged and uncomfortable pain after childbirth. Many women experience a feeling of weakness in the pelvic floor, which is not only due to the impact of the muscles, but also the functional status of the pudendal nerve.

Physical activity pain – Both general and high intensity movements can make symptoms worse. Especially activities that put pressure on the pelvis, such as cycling, running or heavy lifting. This is because the pudendal nerve can become pinched or irritated with repetitive strain.

Aggravated symptoms due to stress – The cushion nerve is closely linked to the autonomic nervous system, which means that stress and prolonged tension in the body can worsen pain. An increased state of tension can make the body more sensitive to pain impulses, creating a negative downward spiral with pain.

Pudendal nerve psychological effects, sex drive and self-esteem

Problems with the pudendal nerve aren’t just about physical pain and loss of function – they can also have profound psychological consequences and impact self-esteem.

Pelvic floor pain, decreased sensation in the genitals and sexual challenges can lead to frustration, anxiety and a sense of isolation as the symptoms can keep you at home in a safe environment. When intimacy and sexual function are negatively affected, it can result in low self-esteem and a sense of losing an important part of your identity and quality of life.

Unfortunately, many people experience a vicious cycle where pain or sensory disturbances lead to decreased sex drive, which can cause further worry and stress, and worsening symptoms.

Recognizing the psychological consequences is an important part of treatment. I help you with a holistic approach, addressing both the physical and emotional aspects to restore balance in your life.

Pudendus nerve treatment course and options

At MS Insight, I investigate the cause of the pudendal nerve symptoms and customize the treatment to your situation. My approach is non-invasive, which means the treatment is done from the outside without the need for penetration or internal techniques. This is due to the high-tech solutions with shockwave and EMTT. The different types of sound waves and magnetic pulses are sent deep into the tissue to treat the nerves and surrounding structures, reducing pain and improving function in the area.

I use a combination of the following methods:

Manual treatment/radiating shockwave
Targeted techniques to release tension in muscles and especially connective tissue that can negatively affect the pudendal nerve.

Focused Shockwave therapy
Sound waves that stimulate tissue, increase blood flow and reduce pain by acting on nerve receptors. It also helps to release growth factors to heal the area and restart communication between cells. This can help loosen tight muscles and break down scar tissue around the pudendal nerve.

EMTT (Electromagnetic Transduction Therapy)
An advanced technology that uses pulsed electromagnetic fields to stimulate cell regeneration and reduce inflammation in the tissue around the cushioning nerve. It also helps normalize electrical voltages in the nervous system, giving you less pain and more control. EMTT treatment is particularly effective for chronic pain and deep nerve damage.

NESA X-therapy
Mild electrical stimulation that helps restore balance to the nervous system via the Vagus nerve, reducing hypersensitivity and improving the function of the pudendal nerve. This is especially useful for patients experiencing chronic pain and sensory disturbances in general.

Advice on stress management and your situation in general
I help you set the strategy for a better everyday life, so you can live more independently of your situation, while we talk about how you can be intimate, despite the pain.

The importance of working with the nervous system as a whole for pudendal nerve problems

When treating problems related to the pudendal nerve, it is crucial to look at the nervous system as a whole. The nervous system is not just local, but is about the interaction between the brain, spine and the rest of the body. If there is an imbalance or overactivity in one part of the system, it can affect other areas without you realizing it.

Prolonged pain can result in a condition called central sensitization, where the nervous system becomes hypersensitive and reacts more strongly to different inputs. Therefore, it’s important to work on calming the nervous system and not just focus on the localized area of pain. Treatments such as NESA therapy and EMTT can help regulate the nervous system, reduce hypersensitivity and promote healing.

Initial examination and treatment for Pudendal nerve problems costs DKK 2,400.

FAQ

What are the symptoms of pudendal neuralgia / pudendal nerve?

If you have pudendal neuralgia, you may experience pain or discomfort in the areas where the nerve runs in the pelvic floor. It can often feel like tingling, pins and needles, pins and needles, burning or a deep, throbbing pain in the area. Pain and symptoms can occur in the penis, testicles, vulva, clitoris, perineum, rectum or during urination and defecation. For some clients, it can also be felt in the buttocks, thighs, around the tailbone or in the lower back.

Can pudendus pain be confused with other conditions?

Due to a general lack of knowledge, it is confused with cystitis, prostatitis or muscular tension. Accurate diagnosis is therefore crucial for effective treatment and to avoid misdiagnosis.

How is pudendal neuralgia / pudendal nerve problems diagnosed?

In the public system, there is often a lack of understanding about pudendal neuralgia/pudendal nerve. At MS Insight we use the 5 “Nantes Criteria” to ensure that treatment is measured correctly. The 5 criteria are the following

You have pain in the area covered by the pudendal nerve (pelvic floor)
You can sleep at night without pain.
You get pain when you sit down.
Pudendal nerve block briefly removes the pain
Pain without objective sensory disturbances.
https://ugeskriftet.dk/videnskab/pudendusneuralgi-pavist-ved-elektrofysiologisk-undersogelse

How is pudendal neuralgia / pudendal nerve problems treated?

At MS Insight, the pudendal nerve is treated with focused shockwave and Magnetolith EMTT, which stimulates and rebuilds the nervous system. This means that we work with both the peripheral parts of the pudendal nerve in the pelvic floor and the nerve’s origin in the spine. The pudendal nerve origin can be part of a central sensitization of the pain signals and should therefore also be treated.

Where do you see the greatest success with EMTT treatment

Get a no-obligation conversation today

If you are interested in hearing more about how we can help you, you are always welcome to contact us by phone: 41 40 08 58 or email: michael@msinsight.dk. Otherwise, you can fill out the contact form with your details and a brief description of your problem. I’ll get back to you quickly with a customized proposal for a solution so we can find the best way forward together.