Professional Documents
Culture Documents
Shafik(1999),Bautrant(2003),Schraffordt(2004),Beco(2004)
• Congenital Syndrome ?
Sites of Pudendal Nerve Injury
Pudendal Neuralgia
TREATMENT:
Non-surgical medical management and Physical Therapy
SACRAL NERVE ROOT NOXIOUS INPUT PUDENDAL NERVE
COMPRESION/TRAUMA ENTRAPMENT
•Myofascial Dysfunction
(+) sacral reflex testing
•Viscerosomatic interaction
•Recurrent cystitis/vaginitis
•endometriosis TREATMENT:
Decompression surgery
and Physical Therapy
PUDENDAL NEURALGIA
TREATMENT:
Non-surgical medical management and Physical Therapy
Conservative Treatment
• Medical Management
• Physical Therapy
• Lifestyle Modifications
Medical Management
• Pudendal Nerve Blocks
• Pharmaceutical Management
• Diet modifications
• Limit/cease menses
SACRAL NERVE ROOT NOXIOUS INPUT PUDENDAL NERVE
COMPRESSION/TRAUMA ENTRAPMENT
•Myofascial Dysfunction
(+) sacral reflex testing
•Viscerosomatic interaction
•Recurrent cystitis/vaginitis
•endometriosis TREATMENT:
Decompression surgery
and Physical Therapy
PUDENDAL NEURALGIA
TREATMENT:
Non-surgical medical management and Physical Therapy
Electro-Physiological tests
Both : 38%
Alcock canal : 8%
Requirements for Pudendal Surgery in 2005
1
1
3 1
2
3 0ms 20 µV
3
4 20 µV
3 0ms
3 0ms 20 µV
11
5
1
3
O 1 transfusion
Outcome : Valuation of the results
Pudendal Neuralgia
TREATMENT:
Non-surgical medical management and Physical Therapy
Conclusion
• Management of Pudendal Neuralgia requires a
multi-diciplinary approach: