Pudendal Nerve Palsy
PNP is a severe pain on one side of the perineum, which is typically increased during sitting and reduced on a toilet seat. It is also associated with increased latency of the pudendal nerve following vaginal delivery.
Causes/Risk Factors
Signs and Symptoms
PT Implications and Treatments
References
Causes/Risk Factors
- Hypertonic OI muscles (restricting space in Alcock's canal)
- Compression of the deep dorsal vein of the clitoris
- Vaginal delivery associated with a heavy fetus or a prolonged second stage of labor
Signs and Symptoms
- Persistent and unwanted genital arousal
- Pelvic engorgement
- Pelvic and vulvar area heaviness and pressure after standing
- Hypertonus pelvic floor musculature
- Multiple trigger points
- Urinary and/or anal incontinence
- Pudendal latency
PT Implications and Treatments
- STM
- Persistent Genital Arousal Disorder PGAD
- V-brace (designed to support the vulva in a manner similar to a male athletic belt)
- Avoid prolonged standing
- Perform daily pelvic floor exercise of 20-30 5 second contractions
- Regular swimming - to improve LE circulation
References
- Henry, M.M. The Role of Pudendal Nerve Innervation in the Female Pelvic Floor Function. Obstetrics and Gynecology 6:324-325, 1994.
- Rosenbaum, T.Y. Physical Therapy Treatment of Persistent Genital Arousal Disorder During Pregnancy: A Case Report. J Sex Med 7:1306-1310, 2010.
pudendal_nerve_palsy.pptx | |
File Size: | 94 kb |
File Type: | pptx |