Pelvic floor condition
Pudendal Neuralgia
Years of searching for answers ends here.
Pudendal neuralgia — pelvic nerve pain that impacts sitting, intimacy, and daily life — is often misunderstood and misdiagnosed. If you’ve been told your imaging looks “normal,” you are not alone.
“Pelvic pain is common but it is not normal — and it absolutely can improve with the right care.”
What is pudendal neuralgia?
Pain that can be incredibly disruptive — and rarely well understood.
Pudendal neuralgia is a condition that refers to pain involving the pudendal nerve — a major nerve that supplies sensation to the vulva, perineum, rectum, and in some cases the clitoris and anus. This pain can significantly impact sitting, intimacy, bowel and bladder function, and overall quality of life.
Many people with pudendal neuralgia spend months or even years searching for answers. If you’ve been told your imaging is “normal,” your exams look “fine,” or you’ve been left wondering why you hurt — you’re not alone. And importantly, there is help.
The pelvic floor connection
Tight muscles that keep the nerve irritated.
In many individuals with pudendal neuralgia, the pelvic floor muscles are tight, overactive, and protective. These muscles surround the path of the pudendal nerve. When they remain contracted for long periods of time, they can increase pressure on the nerve, reduce blood flow, and contribute to ongoing irritation.
Many people assume nerve pain must mean nerve damage. But more often, this is a mechanical and nervous system issue — not permanent injury. Tight muscles don’t just cause local discomfort; they can amplify nerve sensitivity and keep the pain cycle going.
“The nervous system is adaptable. With the right input, it can calm down.”
How pelvic floor PT helps
Guided, gradual — and always at your pace.
When pain worsens with sitting or activity, many people try to rest as much as possible. While modifying aggravating activities is important, complete avoidance often isn’t the solution. Muscles that are already tight don’t improve with inactivity alone, and the nervous system can become even more sensitive when movement is feared.
What treatment may include
- Manual techniques to reduce pelvic floor muscle tension
- Gentle nerve-friendly mobilisation strategies
- Breathing techniques to decrease nervous system overactivity
- Education on pain science and pacing
- Postural and sitting modifications
- Hip and core exercises to improve pelvic support
- Gradual return to activities that have been avoided
Progress is not always linear — and that’s okay. Symptoms often fluctuate, and improvement may come in small, meaningful steps. This is not about “pushing through pain.” It’s about creating safety for the nervous system and restoring balance to the pelvic floor.
Related conditions
You might also be dealing with…
Pelvic floor conditions rarely show up alone. Here are some commonly related conditions we also treat at WildHer.
Ready to start moving
without fear?
Start with a free 15-minute virtual consultation —
no referral needed, no commitment required.