At first I had a lot of itching in the vagina, the area around it and the seat lumps. Went to several gynecologists and then they came across pudendal nerve (on both sides). I then took ibuprofen before a long car ride – where sitting would be difficult or painful – three times for the first five days and then twice for another five days. With that, the pain was almost gone. Because of this, I also didn’t do the scheduled CT scan with infiltration, as it was diagnostic. Since the pain is much less now, I would postpone it until the pain comes back or not, if it stays as it is now.
I used to cycle a lot and now I can’t sit on a bike without pain. What could a physiotherapist do about this?
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Mark Chen, physiotherapist:
What an annoying complaint! I can imagine how difficult and frustrating that must be!
I think it’s wise to understand that painkillers only treat the symptoms, not the actual problem. You could consider taking painkillers for a long time, but that doesn’t seem like a healthy option to me.
The best option, in my opinion, is to see a physical therapist with a pelvic specialty. They have undergone a significant deepening, so that they may be able to give you better insight into what the mechanisms are through which you experience your complaints and how you can best deal with them.
Surgical procedures are also possible (as far as I know) but whether they are indicated will vary from person to person and I don’t know (to be honest) what the results are in general. As I mentioned, this is quite a specific condition that requires expertise.
Good luck and I hope you get a better grip on your complaints soon.
Do you also have a question? Then ask one of our experts. Always go to your doctor with urgent questions, the experts are not the right person for that. They also do not diagnose. You can find the other conditions here.
Mark Chen is a physiotherapist and NASM trained personal trainer. Since August 2014 he has been working in Phnom Penh, Cambodia. His expertise lies in analyzing and optimizing movement patterns. Dry needling and medical taping are an important part of his vision and training predominates.
