Pudendal neuralgia refers to chronic pelvic pain involving the sensory distribution of the pudendal nerve. This can be a painful and disabling neuropathic condition.
No causative factors have yet been identified, but bicycle riding (spinning), vaginal childbirth, episiotomy, trauma to the coccyx (tailbone), trauma to the pelvis, pelvic surgery, and vaginal surgery can all result in injury to the pudendal nerve or one of its branches.
Treatment for pudendal neuralgia typically involves a combination of physical therapy, lifestyle changes, and medicines. This may include pudendal nerve blocks, ablations and avoiding certain types of exercise.