A pudendal nerve block is a medical procedure used to help manage chronic pelvic pain that originates from irritation or inflammation of the pudendal nerve, which supplies sensation to the genital and pelvic floor regions. The procedure involves injecting a local anesthetic, sometimes combined with a steroid medication, near the pudendal nerve to interrupt pain signals traveling to the brain. It is often considered when pelvic pain is associated with nerve-related conditions, muscle tension, or pain that affects sitting, sexual activity, or daily movement.
The relief from a pudendal nerve block can be temporary or longer lasting depending on the individual and underlying cause of pain. Some patients experience immediate reduction in discomfort, while others may require repeat injections or additional therapies as part of a comprehensive pain management plan. The procedure is typically performed using imaging guidance to improve accuracy and reduce risks. When combined with physical therapy, lifestyle adjustments, and ongoing medical evaluation, a pudendal nerve block can help improve mobility, comfort, and quality of life for individuals living with pelvic pain.
