Pudendal Neuralgia: Specialized Treatment in Palm Beach
Pudendal neuralgia is a chronic, often debilitating pain condition caused by irritation or compression of the pudendal nerve, which runs through the pelvis and supplies sensation to the perineum, genitals, and lower pelvic floor. It is often misdiagnosed or underdiagnosed, and patients frequently endure years of symptoms before receiving an accurate diagnosis.
Dr. Ghattas’s specialized training in interventional pain management and nerve procedures positions Palm Beach Regenerative to offer a precise, image-guided approach to pudendal neuralgia that many standard pain practices do not provide. Schedule your appointment with Dr. Ghattas today.
What Is Pudendal Neuralgia?
The pudendal nerve can become compressed or irritated at several points along its course through the pelvis, most commonly at the Alcock’s canal. Irritation or inflammation of this nerve produces pain in the perineum, genitals, anus, and inner thighs that is characteristically worsened by sitting and relieved by standing or lying down.
Signs and Symptoms
- Burning, stabbing, or aching pain in the perineum, genitals, or rectum
- Pain that is worsened by sitting and relieved by standing
- Sensitivity to clothing or touch in the pelvic region
- Urinary urgency or frequency
- Pain with sexual activity
- Constipation or pain with bowel movements in some cases
Common Causes and Risk Factors
- Compression from prolonged cycling or narrow bicycle seat use
- Pelvic floor muscle tightness compressing the nerve
- Prior pelvic surgery or childbirth injury
- Sacral or coccyx trauma
- Inflammatory conditions in the pelvic region
How It Is Diagnosed
Pudendal neuralgia is a clinical diagnosis supported by the characteristic symptom pattern, physical examination findings, and response to a diagnostic pudendal nerve block performed under CT or fluoroscopic guidance.
Dr. Ghattas performs the diagnostic block with real-time imaging guidance to accurately place anesthetic adjacent to the pudendal nerve at the ischial spine.
Conventional Treatment Options
- Pelvic floor physical therapy
- Oral medications including tricyclic antidepressants and nerve pain agents
- Image-guided pudendal nerve blocks with local anesthetic and steroid
- Nerve hydrodissection to release perineural adhesions
- Surgical decompression in confirmed entrapment cases
The Palm Beach Regenerative Approach
Dr. Ghattas performs image-guided pudendal nerve hydrodissection using fluoroscopic guidance, delivering precise platelet and anesthetic preparations around the pudendal nerve at the site of compression to reduce perineural inflammation and free the nerve from adhesions.
This is delivered as part of a compassionate, comprehensive care plan that coordinates with pelvic floor physical therapy and appropriate oral medications. Patients with pudendal neuralgia deserve the same precision and thoroughness as any other complex pain condition.
The BioMod Advantage: MLS Robotic Laser Therapy applied to the sacral and pelvic region reduces neurogenic inflammation in the pudendal nerve distribution. Xymogen nerve support and anti-inflammatory protocols provide systemic support for nerve recovery, complementing the precision injection treatment.
Like all medical procedures, interventional orthobiologics have potential risks and benefits. Results vary by individual. Not all patients are candidates. Dr. Ghattas will discuss your specific situation, realistic expectations, and all treatment options, including when surgery or other interventions may be more appropriate.
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●PATIENT OUTCOMES
Real Patients. Real Results.
No medical procedure can guarantee an outcome. What you should expect is an honest discussion of the evidence, a careful assessment of candidacy, and a recommendation based on your condition.
"Honestly one of the best experiences, I’ve had a really stiff neck for a couple weeks I tried seeing a chiropractor for and it helped marginally but the real jump in relief was coming to see Dr. Ghattas! He has been incredible, wonderful staff, and minimally invasive technique for my pain relief which was super important to me! Thank you Dr. Ghattas recommending to anyone with pain!"Monica A
"Ghattas was instrumental in helping my torn rotator cuff. I did Barbotage for the stone, and then PRP. Great experience. Been about a month or 2 since and I feel great."Ahmet B
"I had severe knee pain and was looking for proper knee pain treatment, which is how I found Dr. Ghattas on Instagram. I was a bit hesitant at first, but it turned out to be one of the best decisions I’ve made for my health. Francia was amazing at coordinating all my consultations and making the whole process easy and stress-free. If you’re dealing with knee pain and looking for a reliable doctor and team, I highly recommend them."Roger L
"Over a year ago, both my daughter and I underwent PRP treatment with Dr. Ghattas—PRP for my left knee and PRP for my daughter’s L4-L5 and sacral region. We wanted to wait long enough to truly evaluate the results before sharing our experience. I am pleased to say that the outcomes have been outstanding. My daughter’s improvement has been remarkable, and the treatment has made a significant difference in her quality of life. I have also experienced excellent results with my knee. Dr. Ghattas is an exceptional physician who combines expertise, professionalism, and genuine care for his patients. We are incredibly grateful for the treatment we received and the positive impact it has had on our lives. Thank you, Dr. Ghattas. We are truly grateful for everything you have done. You are simply the best."Dr Jorge A
"Dr. Ghattas is very knowledgable and a sympathetic doctor. Hard to find in America. All questions answered, my procedure went very smoothly, very little pain. Follow up is excellent, I highly recommend his practice."Luciana D
“ I had severe knee pain and was looking for proper knee pain treatment, which is how I found Dr. Ghattas on Instagram. I was a bit hesitant at first, but it turned out to be one of the best decisions I’ve made for my health. Francia was amazing at coordinating all my consultations and making the whole process easy and stress-free. If you’re dealing with knee pain and looking for a reliable doctor and team, I highly recommend them. ”Roger L
“Dr. Ghattas was terrific today. He spent a good amount of time examining me and explaining the regenerative process which I intend to have done next month. More to come after the procedure.”Louie R
“I found Dr Ghattas and his staff very welcoming and informative. The process was well explained and gave me encouragement about the potential for fully restoring my knee joint integrity.”Eric C
“I received two treatments from Dr. Ghattas With excellent results, he takes great care in his assessment and in his treatment you couldn’t be in better hands. I highly recommend his work.”Gisela S
“Apart from the exemplary personal service by the reception and the staff that makes us feel we're at home at the clinic, I have experienced remarkable healing in several episodes from shoulder issue to knee injuries and hip pain. The doctor is so thorough in the diagnosis phase that he administered exactly what was needed, no more no less! Thank you folks for a wonderful experience.”RG G
“Went to Dr. Ghattas for chronic knee and neck issue. I’ve already had multiple procedures done on my neck and multiple epidurals with minimal success. My knee I was told needed surgery to fix. I already had surgery in the past with minimal difference. I ended up getting stem cells in my knee and neck and could t be happier with the outcome. Anyone considering surgery I recommend checking out Regenex first. Next I’m doing the ganglion block and look forward to the results.”Logan H
“Dr. James Ghattas and his team are truly top-notch. His office is equipped with state-of-the-art technology and a staff that's exceptional in their fields. I've referred several clients to him, and they've all been incredibly satisfied. Dr. Ghattas is absolutely ahead of the curve, and I wholeheartedly endorse his work.”Ron H
“I am quite active and go to pilates 3-4 times per week. I was having left knee pain and which was treated with PRP. It took about 3 months for me to feel better but then the pain completely subsided. I now am able to exercise without the fear that I will tear a ligament and am pain free.”Ellipsis P
“Transparency, thoroughness, attention to detail, immediate, high quality, follow ups and follow through are just a few words that come to mind throughout my experiences with Palm Beach Regenerative Sport and Spine.”Milton L
