Some tests can be used to help diagnose pudendal neuropathy; however, a large part of diagnosis also relies on a methodical study of the symptoms and personal medical history.
You will be asked your history, such as if you were exercising intensely, sitting long hours, or if you had been in an accident, vaginal delivery, or pelvic surgery. You will also be asked to pinpoint your pain, to determine if it is in the area innervated by the pudendal nerve.
In addition to a physical exam, testing may be used, such as electromyography to measure the electrical activity of muscle tissue surrounding the pudendal nerve and magnetic resonance neurography (MRN) to image the relevant nerves.
Image-guided pudendal nerve block, an injection with a local anesthetic performed by our experts, is the most important diagnostic test to determine if the condition is present. The final diagnosis of pudendal neuralgia is based on a person having several or all of these criteria:
- Typical PN symptoms
- An abnormal electrophysiological test (MRN, MRI)
- Pain elicited upon pressing along the anatomy of the nerve
- Elimination of other diseases or conditions as the cause
- A positive response to the pudendal nerve block