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Can acupuncture help pudendal neuralgia?

Q:  I have suffered from pudendal neuralgia for 2 years. I would like to know if acunpuncture can be used to treat this condition? Also, details of practices that can treat this condition. I live in Newcastle-upon-Tyne

A:  Pudendal nerve problems can be a source of immense discomfort and can often lead to severe depression, especially if entrapment of the nerve not only causes the neuralgia but also affects functions in the lower abdomen.

We would first want to ask a great many questions about what brought the problem on, or if there was no obvious cause what was happening at the time of onset. We would also probably want to know whether the onset was sudden or gradual, whether you had found anything which seemed to relieve the problem, and what tended to exacerbate it. These questions would be standard fare for any doctor, but the underlying theory of Chinese medicine can often make sense of symptoms and how they present within an entirely different framework.

The bottom line, though, is that quite often pudendal nerve problems result from physical changes in the lower spine or in the internal musculature, and these can often be difficult to reverse. Occasionally there is a level of entrapment brought on by a hobby like cycling or working for long hours in a fixed position, but these are easily identified and easily remedied. The majority of cases are more treatment resistant, and it would be unfair to give you unrealistic expectations of what was possible. We have trawled through the research databases and found very few studies which even look at the problem, let alone indicate that it might be amenable to treatment.

However we must not sell ourselves short! Acupuncture treatment is often the last resort for intractable problems, and occasionally generates results in the most unexpected cases. If a practitioner can make sense of the presentation you have from a Chinese medicine perspective then there may be some cause for hope that the symptom can be reduced in severity or even removed. The best way to establish this would be to see a BAcC member local to you for a chat and brief face to face assessment.  The only caution we ever offer is that where we are not sure whether treatment will work it makes sense to try to find measurable outcomes and to review progress regularly, and certainly after the first four or five sessions. If there has been no change of any kind then it may be wise to call it a day early rather than run up a large bill going nowhere.

As generalists all of our members are capable of treating this problem, and using the postcode search facility on our home page will generate a list of members geographically closest to you. 


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