(646) 355-8777

Pudendal Neuralgia Treatment

pamela downey

This blog contains excerpts from an interview with Pamela A. Downey, PT, DPT, WCS, BCB-PMD, PRPC, Pamela is a Board Certified Clinical Specialist in Women’s Health Physical Therapy and Board Certified in Biofeedback for Pelvic Muscle Dysfunction. She is the owner of Partnership in Therapy, private practice in Coral Gables, Florida. Dr. Downey's treatment focuses are pelvic floor dysfunction, urogynecological and colorectal issues, spine dysfunction, osteoporosis, and complaints associated with pregnancy and postpartum. Her mission is to educate and integrate healthy lifestyles for patients on the road to wellness.

Physical therapists often require special training to treat pudendal neuralgia. Pamela A. Downey is partnering with H&W to teach the Pudendal Neuralgia and Nerve Entrapment Remote Course, scheduled for June 19-20, 2021. This course teaches pudendal neuralgia diagnostic skills for practitioners to have an improved impact in treating patients with pudendal nerve/pelvic floor muscle dysfunctions.

Pudendal neuralgia is also known as Alcock’s syndrome, pudendal canal syndrome, or cyclist syndrome. This condition is caused by tension, compression, or entrapment of the pudendal nerve, and leads to pelvic pain, sexual dysfunction, difficulty with urination and defecation, among other issues.

Pudendal neuralgia is often unrecognized by physicians, including gynecologists, urologists, and neurologists. Dr. Downey observes that “Organizing your clinical decision-making process is key in determining the source of seated pain. Pudendal neuralgia can be a chicken and egg clinical phenomenon. My success comes from relying on a solid anatomy background in helping solve the pudendal puzzle.”

Successful treatments can include connective tissue mobilization, neural mobilization, and a home exercise program. Poor movement patterns can contribute to the symptoms of pudendal neuralgia. Physical therapy evaluation in these cases can include movement assessment and a gentle internal assessment of the patient's pelvic muscles. This provides information about the muscles’ ability to contract and relax. Exercises recommended to relax the pudendal nerve and provide temporary relief include cobra pose, side-lying hip abduction and extension, and wide-leg bridges. 

Dr. Downey shares that she loves teaching the Pudendal Neuralgia and Nerve Entrapment Remote Course. “We teach the participants, in real-time, how to use evidence-based criteria to see if pudendal neuralgia makes sense as the driving diagnosis. Then we develop this confidence by careful dissection of case studies of real patients treated out over multiple visits, just like you do in the clinic." 

Hone your decision-making process and gain confidence in the Pudendal Neuralgia and Nerve Entrapment Remote Course to treat pelvic pain with Pamela Downey on June 19-20, 2021.

Pain is in the Brain
Interview with Allyson Shrikhande on Physiatry

By accepting you will be accessing a service provided by a third-party external to https://hermanwallace.com/

Upcoming Continuing Education Courses

Mobilization of Visceral Fascia: The Gastrointestinal System - Self-Hosted

Jun 25, 2021 - Jun 27, 2021
Location: Self-Hosted Course

Mobilization of Visceral Fascia: The Gastrointestinal System - Medford, OR Satellite Lab Course

Jun 25, 2021 - Jun 27, 2021
Location: Asante Rogue Valley Medical Center

Mobilization of Visceral Fascia: The Gastrointestinal System - Chicago IL Satellite Location

Jun 25, 2021 - Jun 27, 2021
Location: Athletico Physical Therapy

Mobilization of Visceral Fascia: The Gastrointestinal System - Athens, GA Satellite Location

Jun 25, 2021 - Jun 27, 2021
Location: Thrive Integrated Medicine

Pelvic Floor Capstone - Satellite Lab Course

Jun 26, 2021 - Jun 27, 2021
Location: Replacement Remote Course

Pelvic Floor Level 2A - Self-Hosted

Jun 26, 2021 - Jun 27, 2021
Location: Self-Hosted Course

Pelvic Floor Capstone - Garden City, NY Satellite Location (CANCELLED)

Jun 26, 2021 - Jun 27, 2021
Location: Metro Physical & Aquatic Therapy

Pelvic Floor Capstone - Mequon, WI Satellite Location

Jun 26, 2021 - Jun 27, 2021
Location: Health In Balance Physical Therapy

Pelvic Floor Capstone - Self-Hosted (SOLD OUT)

Jun 26, 2021 - Jun 27, 2021
Location: Self-Hosted Course

Pelvic Floor Capstone - Torrance, CA Satellite Location

Jun 26, 2021 - Jun 27, 2021
Location: Women's Advantage Inc

Pelvic Floor Level 2A - Charlotte, NC Satellite Location (SOLD OUT)

Jun 26, 2021 - Jun 27, 2021
Location: Ivy Rehab Physical Therapy

Pregnancy Rehabilitation - Remote (SOLD OUT) Course

Jun 26, 2021 - Jun 27, 2021
Location: Replacement Remote Course

Pelvic Floor Capstone - Bozeman, MT Satellite Location (SOLD OUT)

Jun 26, 2021 - Jun 27, 2021
Location: Great Northern Physical Therapy

Pelvic Floor Level 2A - Virginia Beach, VA Satellite Location (SOLD OUT)

Jun 26, 2021 - Jun 27, 2021
Location: Southeastern Physical Therapy

Pelvic Floor Capstone - Decatur,GA Satellite Location

Jun 26, 2021 - Jun 27, 2021
Location: Emory Healthcare

Pelvic Floor Capstone - Chamblee, GA Satellite Location

Jun 26, 2021 - Jun 27, 2021
Location: Revelle Physical Therapy Atlanta

Pelvic Floor Level 2A - Belle Chasse, LA Satellite Location (CANCELLED)

Jun 26, 2021 - Jun 27, 2021
Location: Rehab Access Belle Chasse

Pelvic Floor Level 2A - Hebron, NE Satellite Location

Jun 26, 2021 - Jun 27, 2021
Location: Thayer County Health Services

Pelvic Floor Level 2A - Chicago, IL Satellite Location

Jun 26, 2021 - Jun 27, 2021
Location: Advocate Condell Medical Center

Sacroiliac Joint Current Concepts - Remote Course (SOLD OUT)

Jun 26, 2021
Location: Short Form Remote Course

Coccydynia and Painful Sitting - Remote Course

Jun 27, 2021
Location: Short Form Remote Course

Working with Physiatry for Pelvic Pain - Remote Course

Jun 27, 2021
Location: Short Form Remote Course

Mobilization of the Myofascial Layer - Self-Hosted

Jul 9, 2021 - Jul 11, 2021
Location: Self-Hosted Course