Pudendal neuralgia is a chronic pelvic and perineal pain syndrome originating from damage, injury, inflammation, or irritation of the pudendal nerve. The condition is primarily a clinical diagnosis that is suggested by characteristic features, sometimes referred to as the “Nantes” criteria. Treatment is analogous to carpal tunnel syndrome, including initial conservative nerve protection measures, physical therapy, pharmacologic therapy, pudendal nerve blocks, sacral neuromodulation, and surgical decompression of the pudendal nerves. Few clinicians examine patients specifically for pudendal neuralgia or focus on common morphologic or infectious causes, resulting in delayed diagnosis and treatment. This delay often leads to negative consequences, such as inadequate pain control with subsequent patient frustration and depression. Adverse effects on cognitive, behavioral, sexual, emotional, and psychosocial health may also occur. Patients with chronic pelvic or perineal pain who are initially diagnosed with other conditions but fail to respond to standard therapy should be reevaluated for possible pudendal neuralgia, as the treatment protocol is generally completely different. This activity outlines the proper diagnostic evaluation and management of pudendal neuralgia, as well as reviewing the role of the interprofessional team in improving care and outcomes for patients with this uncommon but potentially debilitating disorder.
- Provider:StatPearls, LLC
- Activity Link: https://www.statpearls.com/ArticleLibrary/viewarticle/40740
- Start Date: 2023-09-01 05:00:00
- End Date: 2023-09-01 05:00:00
- Credit Details: AMA PRA Category 1 Credit™️: 1.5 hours
Nursing: 1.5 hours
Pharmacy: 1.5 hours - MOC Credit Details: ABS - 1.5 Point; Credit Type(s): Accredited CME (ABS)
ABOS - 1.5 Point; Credit Type(s): Accredited CME (ABOS)
ABPATH - 1.5 Point; Credit Type(s): Lifelong Learning (ABPATH)
ABA - 1.5 Point; Credit Type(s): Lifelong Learning (ABA)
ABTS - 1.5 Point; Credit Type(s): Accredited CME (ABTS)
ABIM - 1.5 Point; Credit Type(s): Medical Knowledge (ABIM)
ABS - 1.5 Point; Credit Type(s): Self-Assessment (ABS)
ABP - 1.5 Point; Credit Type(s): Lifelong Learning and Self-Assessment (ABP)
ABTS - 1.5 Point; Credit Type(s): Self-Assessment (ABTS) - Commercial Support: No
- Activity Type: Enduring Material
- CME Finder Type: Online Learning
- Fee to Participate: Variable
- Measured Outcome: Learner Knowledge, Learner/Team Competence
- Provider Ship: Directly Provided
- Registration: Open to all
- Specialty: Adolescent Medicine, General Pediatrics, General Surgery, Internal Medicine, Neuropathology (incl. Neuromuscular), Non-Thoracic Surgery, Orthopaedic Sports Medicine, Pain Medicine, Pediatric Neurology, Regional Anesthesia/Acute Pain, Sports Medicine