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

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.