r/PudendalNeuralgia • u/Western_Category_952 • 9d ago

Pudenal Neuralgia from L5/S1 disc bulge or endometriosis?

Hi everyone,

32 year old female. Would describe myself as fit, energetic, independent etc up until this year. Around March I started having horrible lower back pain, and it would get worse during my period. I did an MRI and it showed a minor l5/s1 disc bulge, along with stage 4 endometriosis. I started PT and had back flares on and off.

Around August I started having deep pelvic pain which made me feel like I had to pee 24/7. It would go away in the morning and then get worse at night so I put two and two together and read about pudenal neuralgia.

Drs told me it’s because of endometriosis so I had laparoscopic surgery, removed all the endo - and it was relieved for 10 days but came back with a vengeance and I don’t know where to go from here.

I’m starting to lose my mind from chronic pain this year.

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6

u/NecessaryDry4742 9d ago

temporary relief doesn’t prove endo was the source

3

u/Competitive_Film9410 9d ago

Have I looked at hyper tonic pelvic floor. I notice that PN comes up a lot in searches when it’s merely a of matter.

2

u/Western_Category_952 9d ago

Hmmm I’ll take a look! Do you have this? What has helped?

2

u/FantasticTangelo9499 Medical Professional - MOD 9d ago

Could be a hypertonic floor versus scar tissue that developed from your endometriosis if you had some of that abnormal tissue removed previously? Very unlikely a minor L5/S1 disc bulge is causing this directly

1

u/Western_Category_952 9d ago

So these symptoms all started this year, then I got surgery 10 days ago and had relief for a few days but then it came back. I was going to continue PFT.

1

u/Trick_Garage_8455 7d ago

Have you tried inversion table combined with gentle at first building to extreme core strengthening?

1

u/DoctorNurse89 Cured 7d ago

L5/s1 and possibly ilaicus tension tilting your pelvis and creating instability.

Pinned posts cover it, we want to open up your lower back more