Pudendal Nerve Neuralgia/Entrapment

  • Sung-Jung Yoon
  • Juan Gómez-Hoyos
  • William Henry Márquez-Arabia
  • Hal D. Martin


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.


Pudendal nerve Neuralgia Entrapment Guided injections Nerve decompression 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Sung-Jung Yoon
    • 1
  • Juan Gómez-Hoyos
    • 2
    • 3
    • 4
  • William Henry Márquez-Arabia
    • 5
    • 6
  • Hal D. Martin
    • 7
  1. 1.Chonbuk National University Hospital, Department of Orthopedic SurgeryJeonjuSouth Korea
  2. 2.International Consultant, Hip Preservation Center / Baylor Scott and White Research InstituteBaylor University Medical CenterDallasUSA
  3. 3.Department of Orthopaedic Surgery - Health ProviderClínica Las Américas / Clínica del CampestreMedellinColombia
  4. 4.Professor - School of Medicine - Sports Medicine Program, Universidad de AntioquiaMedellínColombia
  5. 5.Clínica Las Americas, Orthopedic SurgeryMedellinColombia
  6. 6.Sports Medicine ProgramSchool of MedicineMedellinColombia
  7. 7.Medical and Research Director, Hip Preservation Center, Baylor University Medical CenterDallasUSA

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