SavedAdd your journal

Journals / Turkish journal of physical medicine and rehabilitation / 2019 / Cilt: 65 - Sayı: 1

A rare and late presentation of pudendal neuralgia in a patient with fibromyalgia after pilates exercises

Mustafa Aziz YILDIRIM
Gökşen GÖKŞENOĞLU
Pages
80–83
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In conclusion, pudendal neuralgia should be considered in the differential diagnosisin patients with pelvic pain and burning sensation or following compelling exercises.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:A 32-year-old female patient was admitted to our clinic about two years ago with complaints of widespread pain, tiredness, fatigue, andinsomnia for six months.
📊
Key Findings & Data:She was diagnosed with fibromyalgia and initiated medical treatment with the recommendation of aerobicexercises.
💡
Conclusion & Impact:In conclusion, pudendal neuralgia should be considered in the differential diagnosisin patients with pelvic pain and burning sensation or following compelling exercises.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

A 32-year-old female patient was admitted to our clinic about two years ago with complaints of widespread pain, tiredness, fatigue, andinsomnia for six months. She was diagnosed with fibromyalgia and initiated medical treatment with the recommendation of aerobicexercises. Her medical history revealed widespread pain disappeared one month after exercising with localized pelvic pain. She had alsopain and burning sensation while sitting and lying down. She suffered from severe pain during defecation. Based on her medical historyand physical examination findings, the patient was diagnosed with pudendal neuralgia. The patient was put on medical treatment and, then,referred to the anesthesia department due to persistent pain. Computed tomography-guided transgluteal pudendal nerve block was appliedby the anesthesiologist. Subsequently, pain disappeared. In conclusion, pudendal neuralgia should be considered in the differential diagnosisin patients with pelvic pain and burning sensation or following compelling exercises.

🔖

Cite This Article

YILDIRIM, M. A., GÖKŞENOĞLU, G. (2019). A rare and late presentation of pudendal neuralgia in a patient with fibromyalgia after pilates exercises. Turkish journal of physical medicine and rehabilitation, Cilt: 65 - Sayı: 1, 80–83. https://ajindex.com/articles/375172

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (14)

  1. Robert R, Prat-Pradal D, Labat JJ, Bensignor M, Raoul S, Rebai R, et al. Anatomic basis of chronic perineal pain: role of the pudendal nerve. Surg Radiol Anat 1998;20:93-8
  2. Amarenco G, Lanoe Y, Perrigot M, Goudal H. A new canal syndrome: compression of the pudendal nerve in Alcock’s canal or perinal paralysis of cyclists. Presse Med 1987;16:399. [Abstract] 3. Labat JJ, Riant T, Robert R, Amarenco G, Lefaucheur JP, Rigaud J. Diagnostic criteria for pudendal neuralgia by pudendal nerve entrapment (Nantes criteria). Neurourol Urodyn 2008;27:306-10
  3. Waldinger MD, Venema PL, van Gils AP, Schweitzer DH. New insights into restless genital syndrome: static mechanical hyperesthesia and neuropathy of the nervus dorsalis clitoridis. J Sex Med 2009;6:2778-87
  4. Ramsden CE, McDaniel MC, Harmon RL, Renney KM, Faure A. Pudendal nerve entrapment as source of intractable perineal pain. Am J Phys Med Rehabil 2003;82:479-84
  5. Hough DM, Wittenberg KH, Pawlina W, Maus TP, King BF, Vrtiska TJ, et al. Chronic perineal pain caused by pudendal nerve entrapment: anatomy and CT-guided perineural injection technique. AJR Am J Roentgenol 2003;181:561-7
  6. Shafik A, el-Sherif M, Youssef A, Olfat ES. Surgical anatomy of the pudendal nerve and its clinical implications. Clin Anat 1995;8:110-5
  7. Campbell JN, Meyer RA. Mechanisms of neuropathic pain. Neuron 2006;52:77-92
  8. Shafik A. Pudendal canal syndrome: a cause of chronic pelvic pain. Urology 2002;60:199
  9. Delmas V. Anatomical risks of transobturator suburethral tape in the treatment of female stress urinary incontinence. Eur Urol 2005;48:793-8
  10. Antolak SJ Jr, Hough DM, Pawlina W, Spinner RJ. Anatomical basis of chronic pelvic pain syndrome: the ischial spine and pudendal nerve entrapment. Med Hypotheses 2002;59:349-53
  11. Berker E. Physiopathologic mechanisms in fibromyalgia syndrome. Turk J Phys Med Rehab 2007;53 Suppl 2:36-40
  12. Khoder W, Hale D. Pudendal neuralgia. Obstet Gynecol Clin North Am 2014;41:443-52
  13. Ploteau S, Cardaillac C, Perrouin-Verbe MA, Riant T, Labat JJ. Pudendal neuralgia due to pudendal nerve entrapment: warning signs observed in two cases and review of the literature. Pain Physician 2016;19:E449-54
  14. Spinosa JP, de Bisschop E, Laurençon J, Kuhn G, Dubuisson JB, Riederer BM. Sacral staged reflexes to localize the pudendal compression: an anatomical validation of the concept. Rev Med Suisse 2006;2:2416-8. [Abstract] 16. Insola A, Granata G, Padua L. Alcock canal syndrome due to ob