Treatments for pudendal neuralgia

Treatments for pudendal neuralgia include: avoiding things that make the pain worse, such as cycling, constipation or prolonged sitting it may help to use a special ring-shaped cushion when sitting and try constipation treatments medications to alter the pain these will normally be special medications for nerve pain, rather than ordinary painkillers like paracetamol physiotherapy a physiotherapist can teach you exercises to relax your pelvic floor muscles (muscles used to control urination) and other muscles that can irritate the pudendal nerve painkilling injections injections of local anaesthetic and steroid medication may relieve the pain fora few months at a time decompression surgery if something is pressing on the pudendal nerve, such as a piece of tissue, surgery to reposition it away from the nerve may help improve your pain nerve stimulation a special device is surgically implanted under the skin to deliver mild electrical impulses to the nerve and interrupt pain signals sent to the brain You may be referred to a specialist NHS pain management team or pain management programme for support and advice about treatment.