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Pudendal Nerve Neuralgia/Entrapment

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Posterior Hip Disorders

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Abstract

Pudendal neuralgia is a very disabling form of posterior hip and perineal pain. Neuropathic pain in the distribution of the pudendal nerve with sensations of burning, tearing, stabbing lightning-like, electrical, sharp shooting, and/or foreign body sensation is usually described. Pain is made worse with sitting, reduced with standing, and absence upon awakening and progressing through the day. The common historical etiologies that include childbirth, prolonged sitting, trauma, and cycling exercises have been thought as causative. The etiology of pudendal nerve entrapment requires further definition. However, suspicion of this pathology can be validated through a comprehensive history, physical examination, and appropriate ancillary tests, including injections. Surgical decompression has shown good outcomes in patients that fail to get relief after conservative measures.

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Author information

Authors and Affiliations

  1. Chonbuk National University Hospital, Department of Orthopedic Surgery, Jeonju, South Korea

    Sung-Jung Yoon MD, PhD

  2. International Consultant, Hip Preservation Center / Baylor Scott and White Research Institute, Baylor University Medical Center, Dallas, TX, USA

    Juan Gómez-Hoyos MD

  3. Department of Orthopaedic Surgery - Health Provider, Clínica Las Américas / Clínica del Campestre, Medellin, Antioquia, Colombia

    Juan Gómez-Hoyos MD

  4. Professor - School of Medicine - Sports Medicine Program, Universidad de Antioquia, Medellín, Antioquia, Colombia

    Juan Gómez-Hoyos MD

  5. Clínica Las Americas, Orthopedic Surgery, Medellin, Antioquia, Colombia

    William Henry Márquez-Arabia MD

  6. Sports Medicine Program, School of Medicine, Medellin, Antioquia, Colombia

    William Henry Márquez-Arabia MD

  7. Medical and Research Director, Hip Preservation Center, Baylor University Medical Center, Dallas, TX, USA

    Hal D. Martin DO

Authors
  1. Sung-Jung Yoon MD, PhD
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  2. Juan Gómez-Hoyos MD
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  3. William Henry Márquez-Arabia MD
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  4. Hal D. Martin DO
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Editor information

Editors and Affiliations

  1. Medical and Research Director, Hip Preservation Center, Baylor University Medical Center, Dallas, TX, USA

    Hal D. Martin

  2. International Consultant, Hip Preservation Center / Baylor Scott and White Research Institute, Baylor University Medical Center, Dallas, TX, USA

    Juan Gómez-Hoyos

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Yoon, SJ., Gómez-Hoyos, J., Márquez-Arabia, W.H., Martin, H.D. (2019). Pudendal Nerve Neuralgia/Entrapment. In: Martin, H., Gómez-Hoyos, J. (eds) Posterior Hip Disorders. Springer, Cham. https://doi.org/10.1007/978-3-319-78040-5_9

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  • DOI: https://doi.org/10.1007/978-3-319-78040-5_9

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-78038-2

  • Online ISBN: 978-3-319-78040-5

  • eBook Packages: MedicineMedicine (R0)

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