Pudendal Neuralgia
Specialist osteopathic support for pudendal neuralgia, pelvic nerve pain, sitting pain and male pelvic dysfunction in London.
Pudendal neuralgia is a chronic pelvic pain condition linked to irritation or increased sensitivity of the pudendal nerve. In men, it may affect the perineum, genitals, rectal area and wider pelvic region, and can be particularly distressing when symptoms persist despite normal scans or tests.
Common Symptoms
- burning, sharp or aching pelvic pain
- pain that is worse when sitting
- discomfort during or after ejaculation
- numbness or altered sensation
- urinary urgency or difficulty emptying
- erectile difficulties
- low mood or emotional strain linked to persistent pain
Why It Can Happen
Pudendal neuralgia rarely comes from one single cause. It may involve pelvic floor overactivity, nerve irritation, reduced pelvic or spinal movement, prolonged sitting, postural strain, stress responses or symptoms that have developed after pelvic or prostate procedures.
How Osteopathy May Help
Treatment takes a whole-person view of nerve pain. Assessment may consider pelvic floor function, mechanical loading, joint restriction, nervous system sensitivity and the relationship between movement, stress and symptoms. The aim is to support better function, reduce aggravating factors and improve comfort over time.