Pudendus Neuropathy and Treatment of Pelvic Pain


 

Pudendus neuropathy and treatment of pelvic pain – From www.neuropathy.nl an explanation by prof. dr. Jan M. Keppel Hesselink from the institute for neuropathic pain, treatment of perineum pain by supplements, such as Normast. Normast is in the Netherlands freely available as a foodsupplement and the internet organization Ergomax exports Normast to some of our patients abroad without problems. Case: A 55-year-old male patient visited our clinic with complaints of chronic pain, numbness and tingling in the pelvic area and thighs since 3 years. It started with cold sensations in the medial thighs, and later on affecting also the perineum. The pain was more severe when sitting, but sleep was undisturbed, and pain was not noticeable lying down or walking. The urologist did not find any objective cause, and based on the symptoms the diagnosis was: pudendal neuropathy. When the patient visited our clinic, his pain scored 8 on an 11-points Numeric Rating Scale (NRS). We treated this patient topically, administrating 5% amitriptyline cream once daily. The pain severity decreased more than 50% after the first application (NRS 3-4). Adding topical capsaicine 0025% after 4 weeks, helped to decrease the pain even more..

 

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