Pudendal Neuralgia: A Missing Piece

Pudendal neuralgia is one of the most intimidating diagnoses we treat.

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It’s complex, frustrating, and often misunderstood—even among pelvic health providers.

In this Missing Piece episode from the Rising Vault, we’re breaking down a key factor that’s often overlooked in pudendal neuralgia treatment:

💡 The posterior cutaneous femoral nerve.

It’s easy to hyperfocus on the pudendal nerve itself, but the reality is:

👉 It’s almost impossible for pudendal neuralgia to only involve the pudendal nerve.

👉 This is why nerve blocks often fail to relieve all symptoms.

👉 This is why symptoms frequently extend beyond the pudendal nerve’s pathway.

If we don’t consider the posterior cutaneous femoral nerve, we may be missing a major driver of symptoms—and limiting our ability to help these complex patients.

Tune in to hear why broadening your focus beyond the pudendal nerve is key to successful pudendal neuralgia treatment!

🎧 Click here to listen now!

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Nicole Cozean, PT, DPT, WCS

Founder of Pelvic PT Rising and PelvicSanity Physical Therapy in Southern California.

Dedicated to forever changing pelvic health with online clinical courses to help you be more confident in your practice and business resources to help start and grow pelvic health businesses.

Jesse Cozean, MBA

Co-founder of the Pelvic PT Rising and the Rising Podcast.

Jesse uses his business experience to help pelvic health business owners start and grow their practices so they can build a practice that truly works for them. From website design, SEO, conversions, marketing, finance and money mindset, he wants to make the process of owning your own practice easier and fun.