Pudendal Neuralgia

Receive expert treatment and relief for symptoms with pelvic floor physical therapy.

Pelvic Skeleton
Pudendal neuralgia is a condition that causes recurring pain along the pudendal nerve, which runs through your pelvic floor muscles. This nerve is important because it carries information from your genital and anal areas to your brain. When this nerve gets irritated or squeezed, it can lead to severe discomfort that affects your daily life and overall well-being.

However, with our specialized physical therapy that targets the specific issues of the pelvic floor, many patients find significant relief and start feeling better again.

Symptoms of Pudendal Neuralgia

Pudendal neuralgia symptoms can vary in severity and include:
  • Persistent pelvic pain
  • Burning sensation along the nerve path
  • Increased pain when sitting
  • Pain during sexual activity
  • Tingling or numbness in the genital area
  • Difficulty with urination or bowel movements
  • Severe pain that can radiate to the legs
  • Discomfort that worsens towards the end of the day
  • Sudden, sharp nerve pain
  • Aching or throbbing in the pelvic floor
Man in pain scaled

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Woman exercising yoga

The Role of the Pelvic Floor in Pudendal Neuralgia

The pelvic floor not only supports your pelvic organs, it also plays a role in your bowel, bladder, and sexual function. But when muscles aren’t working optimally or when someone experiences an injury to this part of their body, it can lead to pudendal neuralgia, causing quite a bit of discomfort.

Here’s how your pelvic floor can contribute to this condition:

  • Tension and Tightness: Sometimes, the pelvic muscles can get really tight due to stress, overactivity, or after an injury. This tightness can put pressure on the pudendal nerve, causing a lot of pain that might be felt during activities such as sitting or sexual activity, or even when going to the bathroom.
  • Weak Muscles: On the flip side, if these muscles are weak, they don’t do a great job at supporting the pelvic organs. This can cause the pelvic structure to become less stable, putting extra pressure on the pudendal nerve and increasing the pain.
  • Muscle Spasms: Imagine sudden, unexpected muscle contractions in this area—it’s as uncomfortable as it sounds. These spasms can cause sharp, intense pain.
  • Nerve Compression: If the pelvic floor muscles aren’t functioning optimally, they can press on the pudendal nerve. Over time, this pressure not only hurts but reduces the nerve’s ability to function correctly.
  • Reduced Blood Flow: Good blood flow keeps the pelvic area healthy. If the pelvic floor muscles aren’t working right, they can impact blood circulation, leading to pain from not getting enough oxygen and nutrients to the tissues.

How Pelvic Floor Physical Therapy Can Help

At Beyond Basics, our pelvic floor physical therapy offers a specialized approach to treating pudendal neuralgia by addressing the underlying muscle and nerve issues. Our trained therapists use techniques designed to relax tight muscles, strengthen weak pelvic muscles, improve blood flow, and alleviate nerve compression. This therapy not only helps reduce pain but also restores function and improves your overall quality of life.
Man receiving treatment

What to Expect During Your Sessions

During Your Initial Appointment

Your initial appointment starts with a comprehensive evaluation. We discuss your symptoms in detail, asking questions so that we can learn more about you and any pain you are experiencing. We’ll then conduct a thorough physical assessment, focusing on the areas causing discomfort. This is a hands-on evaluation from head to toe. It will most likely involve evaluating external and internal pelvic floor muscles, with the purpose being to trace your issue to its source(s) in order to reduce your pain and discomfort.

These internal manual techniques are applied to the structures of the pelvis. This includes the pelvic floor muscles, nerves, and bones. We also want you to be as comfortable as possible during the session – you have the right to refuse any treatment at any time without explanation.

During Your Additional Appointments

Each session is customized to meet your specific needs, combining hands-on therapy (with your full consent) and personalized exercises aimed at strengthening and/or relaxing your pelvic muscles. This approach helps alleviate pain and enhance pelvic function by directly addressing the root causes of your symptoms. Our therapists focus on strengthening weak pelvic muscles to provide better support and loosening tight muscles to relieve pressure on nerves. Additionally, we will provide you with at-home exercises to continue your progress between sessions, ensuring that you achieve long-lasting relief and a sustainable recovery.

Client Testimonials

Amber Wolfe
2 weeks ago
Juhi is warm, thoughtful, and knowledgeable. She made me feel comfortable from the beginning and tailored each session to what I needed. I’m very grateful for her care and highly recommend Beyond Basics.
Lourdes Calero
3 weeks ago
My health issue has improved tremendously in a short time, thanks to my amazing therapist,Kiko!
Marina Alton
4 weeks ago
It was a very amazing experience with my therapist, and it helps me a lot
Devin Williams
1 month ago
After a life changing surgery back in 2013, I dealt with chronic pelvic and lower back pain that had impacted and hindered me for years. At one point, I lost all hope that I would ever be able to be rid of it. Then, I had the fortune of coming across Beyond Basics and meeting a wonderful physical therapist in the form of Kiko. After nearly 13 yrs of dealing with this pain, I am happy to say that it is completely gone after my treatment with Kiko. Because of her and Beyond Basics, I am now able to enjoy life so much more and for that, I am eternally gratefully. Coming here was truly a life changing experience.
Audrey Symes
2 months ago
Melanie has been wonderful! Compassionate, kind, a great listener, and I have made so much progress in a few sessions
Tom Powell
2 months ago
I never thought that pelvic floor therapy would be so effective or a worthwhile experience...and then I was lucky enough to find Cory Hazama. She is truly skilled and knowledgable.
Louise Decatrel
6 months ago
I am very happy with this choice for my therapy. My Therapist, Molly, is so fantastic. I feel very much at ease and comfortable with her.
Carol J. Weiss
7 months ago
Melanie is amazing. So knowledgeable, comforting, and enthusiastic.
Barry Gurvitch
7 months ago
Beyond Basics provides sensitive and professional care in a comfortable environment. I was skeptical at first if they could help but now, I am a believer.
Barbara Friedman
8 months ago
A wonderful introduction to pelvic floor therapy. Eliza's engaged, intelligent approach made me feel surprisingly hopeful. She's clearly a great person to work with.
Marian
9 months ago
Courteous and helpful staff. Excellent facilities. My PT is the best I found after months of searching around Manhattan.
Nell De Martini
9 months ago
I had a great experience working with Emily Moore for pre-op PT. She created an incredibly warm and inclusive environment and helped me feel comfortable from the start. In just a few sessions, she really helped me have a better understanding of my symptoms and how to best manage them. She gave me helpful tips to integrate into my daily routine and I noticed results almost immediately. I am looking forward to resuming sessions with her again after surgical recovery. The front desk and administrative staff were wonderful as well. I highly recommend working with Emily!
Elena Golub
11 months ago
Absolutely adored working with Melanie Rocchio. She's truly an expert at her craft and immediately puts you at ease. It's hard to make PFPT a comfortable process but she did. If you need PFPT, go see Melanie--I'll definitely be a returning client if I need further treatment.
Kat M.
11 months ago
I recently saw Kiko for regular PT sessions following a c-section delivery and HIGHLY recommend her, she's the best!! We worked on regaining both pelvic floor and core strength, and while I'm happy both have improved significantly in the months since my delivery, I was sad to have 'graduated' PT as I really enjoyed my sessions with Kiko - she's a pleasure to work with and learn from! I also had a good experience with Beyond Basics as a practice - Veronica at the front desk is very sweet!
Savannah Carlin
11 months ago
I cannot recommend Sonali highly enough, she’s truly incredible!
Sudais Haider
12 months ago
Nice
Lily Zoraster
12 months ago
Had a great experience here, front desk person Veronica is very nice and helpful. It was a delight to have Kiko as my therapist. She is very knowledgeable, easy to talk to/work with, and very thorough. She helped me find the perfect exercises that were very doable to help me progress and I progressed so fast in ways that I couldn’t imagine before. Thank you so much 😊
Mike Honcharik
12 months ago
Went to Beyond Basics for treatment of abdominal pain ,as recommended by my doctor . Kiko treated me , she was very professional and a listened to all my concerns ,and made me feel much better as to my condition . She was very knowledgeable and very helpfull . I highly recommend her.
Garland Horwitz
1 year ago
Emily Moore was fantastic! Great bedside manner and helpful. The whole team was very friendly
Samatha Nemana
1 year ago
So appreciative of the staff at Beyond Basics, especially Emily Moore! Emily was immensely helpful as I navigate my endometriosis journey. During our sessions I feel like I got some real answers around my pain - I so, so appreciate her. Our visits and the exercises she recommended have resulted in noticeable improvement over just a few short months. Highly recommend!
Michele Caplan
1 year ago
I have worked with Beyond Basics for over 15 years. I have an underlying chronic problem that I will have to manage for the rest of my life. With their multitude of skills, Beyond Basics has given me the therapy and strategies to go from acute pelvic pain, severe back, and postural problems to being able to manage my underlying problems with resilience and support. And, with their help and guidance I have avoided back surgery. The therapy and commitment at BB are on an entirely different level from therapy available any other Physical Therapy clinic I have ever encountered. It is entirely unique.
Allie Hemmings
1 year ago
Staff is friendly and efficient. Kiko is so easy to talk to, super informative, genuinely caring & kind, very knowledgeable about the pelvic floor as well as how other areas of the body work with it, and she also gave a great referral when my condition seemed to need treatment outside of her scope of practice. I highly recommend Kiko!
Ava Anderson
1 year ago
My son has autism and struggles with motor coordination. His physiotherapy sessions are tailored to his needs, full of playful yet purposeful activities. He looks forward to every visit and we’ve noticed significant improvements in his balance, posture, and ability to focus during tasks.
Ronlee Ben-Gal
1 year ago
Sonali Patel at Beyond Basis is an incredibly smart, kind, and effective pelvic floor PT. She was great during our sessions and also gave me the tools to continue healing on my own, without ever pushing unnecessary visits. I’d absolutely recommend her and will definitely come back to her if anything ever comes up again.
Kiko is exactly what you want in a PT… Attentive and clearly loves what she does, all with a sense of humor. You’ll be lucky if you get her..
Image of Pelvic region

Beyond Basics: We Can Help

At Beyond Basics, we are committed to treating pelvic floor issues with sensitivity to each individual’s needs, regardless of sex, race, identity, age, or orientation – we treat the whole person with a comprehensive, caring biopsychosocial approach.

Since 2003, Beyond Basics has been a place of hope and healing for our patients. We believe skilled and compassionate healing can restore your body’s harmony and balance. Founder, Amy Stein, and co-founder, Corey Hazama are renowned experts and leaders in pelvic floor PT.

The skilled physical therapists at Beyond Basics receive extensive training to qualify them to be the world’s leaders in pelvic floor rehabilitation. All of our therapists have been carefully selected to work at Beyond Basics because they possess the right expertise, kindness, and empathy to allow them to excel at our practice. Our therapists have completed hundreds of additional hours outside of their doctorates both internally and externally through institutes such as Herman and Wallace and the American Physical Therapy Association, to help hone their practice and provide exceptional treatment efficiently and compassionately. In addition to being the world’s first and foremost experts in pelvic floor dysfunction, our individual therapists have cultivated additional skills unique to their own personal interests. Read more about each one of our therapists here LINK TO BIO

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Pudendal Neuralgia Services

— Beyond Basics PT | Pelvic Floor Therapy NYC.

Frequently Asked Questions

How can pelvic floor physical therapy help with pudendal neuralgia?
Our therapy focuses on relieving nerve compression, strengthening pelvic floor muscles, and reducing muscle tension, which can eliminate the symptoms of pudendal neuralgia.
How long does it typically take to see improvement from pelvic floor physical therapy treatment?
Improvement can vary, but many patients experience relief after a few sessions of targeted physical therapy, with continued improvement over time.
Does a pudendal nerve block treat pudendal neuralgia?
A pudendal nerve block is a procedure where a local anesthetic is injected near the pudendal nerve to temporarily relieve pain. While it can provide immediate pain relief, especially from severe and burning pain associated with pudendal neuralgia, it doesn’t address the underlying causes such as pudendal nerve compression or pelvic floor muscle dysfunction. Therefore, while helpful for diagnostic purposes and managing symptoms in the short term, it’s not a long-term treatment solution.
What are the long-term treatment options for chronic pudendal neuralgia?
Long-term treatment for chronic pudendal neuralgia (pain lasting for more than three months) primarily centers around pelvic floor physical therapy, which is often the most effective approach. As mentioned, this type of therapy focuses on alleviating pudendal nerve pain by addressing key issues causing the condition and symptoms, such as muscle tension and nerve compression.

With consistent and specialized therapy, many patients experience substantial improvements and regain their quality of life.