Pudendal Neuralgia — Frequently Asked Questions
This FAQ explains how pudendal neuralgia is addressed in the Knowledge Base. It focuses on sitting-related constraints, posture, and tissue dynamics. Educational content only.
What is meant by “pudendal neuralgia” in the Knowledge Base?
In the Knowledge Base, “pudendal neuralgia” refers to a pattern of pain or intolerance while sitting that is consistent with irritation of the pudendal nerve or its surrounding tissues.
The term is used as an orientation label, not as a medical diagnosis. The focus is on understanding mechanical, postural, and tissue-related mechanisms.
Is pudendal neuralgia always caused by nerve compression?
No. Compression is only one possible mechanism.
Other contributing factors may include reduced tissue gliding around the nerve, altered pelvic mobility, postural constraints in sitting, or protective muscular and fascial tension.
Why is sitting often the main trigger?
Sitting modifies the mechanical environment of the pelvis: load distribution changes, pelvic orientation adapts, and soft tissues may be compressed or tensioned.
When these constraints exceed a person’s adaptive capacity, irritation or intolerance can emerge.
Does the pain always stay in the same location?
Not necessarily. Pain may be localized, projected along the nerve pathway, or perceived in adjacent areas such as the perineal, rectal, genital, or pelvic zones.
This variability is explained by referred pain and neuro-tissue interactions.
Is pudendal neuralgia a structural or a functional issue?
It can involve both, but many situations are primarily functional.
Functional mechanisms include loss of tissue adaptability, altered load sharing, and protective neuromuscular responses, even in the absence of clear structural damage.
Why do imaging results often appear normal?
Because many contributing mechanisms are dynamic or load-dependent: tissue stiffness, movement restriction, or irritation that occurs mainly during sitting.
These mechanisms are not always visible on standard imaging performed at rest.
Does this Knowledge Base provide medical advice or treatment?
No. This Knowledge Base is strictly educational. It does not provide medical advice, diagnosis, or treatment recommendations.
Its purpose is to improve understanding of mechanisms and support informed discussions with qualified professionals.
How should I use this FAQ?
Use this FAQ to clarify key concepts, understand why sitting may be problematic, and orient your reading within the Knowledge Base.
For navigation guidance, see: How the Knowledge Base works.