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Pudendal Nerve
Block

A pudendal nerve block is a minimally invasive procedure aimed
at providing relief from chronic pelvic pain by targeting the
pudendal nerve. It can alleviate symptoms and improve
quality of life for individuals experiencing pudendal
neuralgia or other pelvic pain conditions.

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Pudendal Nerve Block : An Overview

A pudendal nerve block is a minimally invasive procedure aimed at providing relief from chronic pelvic pain by targeting the pudendal nerve. During the procedure, a local anesthetic is injected near the pudendal nerve to alleviate pain and discomfort.
The procedure involves precise placement of the needle under fluoroscopic guidance to ensure accurate delivery of the medication. Pudendal nerve blocks can effectively manage symptoms of pudendal neuralgia and other pelvic pain conditions, improving the patient's quality of life.

When Do You Need a Pudendal Nerve Block?

Our primary treatment modalities include pain medication and physiotherapy following the diagnosis of your condition. Our spine specialists may recommend additional treatments if these initial approaches fail to deliver the desired outcomes. Early intervention is recommended for the following symptoms:

  • 1. Chronic pelvic pain
  • 2. Pain aggravated by sitting or prolonged standing
  • 3. Pain during sexual intercourse
  • 4. Pain radiating to the perineum, genital area, or rectum
  • 5.Urinary or bowel dysfunction associated with pelvic pain
  • 6.Persistent symptoms despite conservative treatments such as medications and physical therapy.
Pre-Procedural Care for Pudendal Nerve Block
What to Expect During a Pudendal Nerve Block
Post-Procedural Guidelines for Pudendal Nerve Block

Before undergoing a pudendal nerve block procedure, certain preparations are essential for ensuring its success and your comfort:

  • Consult with your healthcare provider to discuss any medications you are currently taking and any allergies you may have.
  • Follow any pre-procedure fasting instructions provided by your healthcare provider.
  • Arrange for transportation to and from the medical facility as you may experience temporary discomfort following the procedure.
  • Notify your healthcare provider if you have any concerns or questions about the procedure.

During the pudendal nerve block procedure:

  • You will be positioned comfortably on an examination table.
  • The area around the injection site will be cleansed and numbed with a local anesthetic.
  • Using imaging guidance, such as fluoroscopy or ultrasound, a needle will be inserted near the pudendal nerve.
  • A local anesthetic and steroid medication will be injected to alleviate pain and reduce inflammation.
  • The entire procedure usually takes less than 30 minutes.

After receiving a pudendal nerve block, it's essential to follow these post-procedural guidelines:

  • Rest for the remainder of the day following the procedure to allow the medication to take effect.
  • Avoid strenuous activities or heavy lifting for at least 24 hours after the procedure.
  • You may experience temporary soreness or numbness at the injection site, which should improve within a few days.
  • Contact your healthcare provider if you experience severe pain, bleeding, or signs of infection at the injection site.
  • Attend any follow-up appointments scheduled by your healthcare provider to monitor your progress and adjust your treatment plan if necessary.

Understanding Pudendal Nerve Block

A pudendal nerve block is a procedure used to treat pain in the pelvic area. During the procedure, a local anesthetic and steroid medication are injected near the pudendal nerve to alleviate pain and inflammation.
A pudendal nerve block is generally considered a safe procedure when performed by a qualified healthcare professional. However, like any medical procedure, there are potential risks, including:
  • Infection at the injection site
  • Allergic reaction to the medications used
  • Bleeding or bruising
  • Temporary numbness or weakness in the legs
During a pudendal nerve block procedure:
  • You will be positioned comfortably on the examination table.
  • The injection site will be cleansed, and a local anesthetic will be applied to numb the area.
  • Using imaging guidance, such as fluoroscopy or ultrasound, the healthcare provider will carefully insert a needle near the pudendal nerve.
  • A mixture of local anesthetic and steroid medication will be injected near the nerve to provide pain relief.
  • The entire procedure typically takes less than 30 minutes.

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