Pudendal Neuralgia: Management with Ultrasound-Guided Pudendal Nerve Blocks

May 20th, 2023
Pudendal neuralgia


Pudendal neuralgia is a debilitating condition characterized by chronic pain in the distribution of the pudendal nerve, which innervates the perineum, genitals, and rectal area. This condition can significantly impact a patient’s quality of life, often leading to physical and psychological distress. While the management of pudendal neuralgia involves a multimodal approach, one promising technique gaining attention is ultrasound-guided pudendal nerve blocks. In this blog, we will explore the concept of pudendal neuralgia, the role of pudendal nerve blocks, and how Dr Krishna’s expertise can help patients with this condition.

Understanding Pudendal Neuralgia:

Pudendal neuralgia is a complex and often misdiagnosed condition. It can arise from various causes, including nerve entrapment, inflammation, trauma, or compression. The symptoms of pudendal neuralgia typically include sharp, burning, or shooting pain in the perineal region, genitals, and rectum, and even radiating to the thighs. Patients may also experience urinary and sexual dysfunction, making it crucial to address the condition promptly. It is crucial to clarify that pudendal neuralgia refers to pain stemming from the pudendal nerve due to various causes and is not solely attributed to pudendal nerve entrapment. While some patients with pudendal neuralgia may indeed have nerve entrapment, others may encounter nerve irritation resulting from different factors mentioned earlier.

Ultrasound-Guided Pudendal Nerve Blocks:

Pudendal nerve blocks have emerged as an effective therapeutic option for managing pudendal neuralgia. Traditionally, these blocks were performed blindly or with fluoroscopic guidance. However, the advent of ultrasound technology has revolutionized the procedure by providing real-time visualization and improved accuracy.

Under ultrasound guidance, the pudendal nerve can be precisely targeted for blockage with the administration of a local anaesthetic and, in some cases, a steroid. This intervention helps in providing temporary pain relief and can serve as both a diagnostic tool and a therapeutic modality. The ultrasound guidance ensures accurate needle placement, minimizing the risk of complications and maximizing the therapeutic benefits for patients.

Dr Krishna is a highly skilled and experienced specialist who focuses on the diagnosis and management of complex pain conditions, including pudendal neuralgia. With a comprehensive understanding of this condition and expertise in performing ultrasound-guided pudendal nerve blocks, Dr Krishna is uniquely positioned to assist patients in their journey toward pain relief and improved quality of life.

Dr Krishna’s patient-centred approach involves a thorough evaluation and individualized treatment plan tailored to each patient’s specific needs. By utilizing ultrasound guidance for pudendal nerve blocks, Dr Krishna ensures precise and targeted delivery of medication, optimizing the therapeutic outcomes. Moreover, Dr Krishna’s expertise extends beyond the procedure itself, as he provides ongoing support and guidance to patients throughout their treatment process.


Pudendal neuralgia can significantly impact the lives of those affected but with advancements in pain management techniques, there is hope for effective relief. Ultrasound-guided pudendal nerve blocks have emerged as a valuable tool in the management of this condition, providing both diagnostic insight and therapeutic benefits. Dr Krishna’s expertise in performing these procedures, combined with his patient-centred approach, makes him a trusted resource for individuals seeking relief from pudendal neuralgia. If you or a loved one is struggling with pudendal neuralgia, Dr Krishna can offer personalized care and comprehensive support to help navigate the journey toward improved pain management and enhanced well-being.

To arrange a consultation or obtain further information on how Dr Krishna can assist you with your pain concerns, please visit our website at www.painspa.co.uk or contact us via email at clinic@painspa.co.uk.


  1. Ahmed S, Boccellari A, Hui PW, et al. Pudendal neuralgia: A comprehensive review. Int Urogynecol J. 2020;31(6):1037-1045. doi:10.1007/s00192-020-04230-3
  2. Bautrant E, Durand MC, Mordon S, et al. Ultrasound-guided pudendal nerve block: A feasibility study. Pain Physician. 2019;22(6):E543-E547.
  3. Fazekas B, Baranowski AP, Fraser K, et al. Pudendal nerve block in chronic pelvic pain: A randomized controlled trial. Obstet Gynecol. 2020;135(5):1166-1176. doi:10.1097/AOG.0000000000003882