Anatomical basis of chronic pelvic pain syndrome: the ischial spine and pudendal nerve entrapment

Med Hypotheses. 2002 Sep;59(3):349-53. doi: 10.1016/s0306-9877(02)00218-9.

Abstract

Chronic pelvic pain syndrome is a conundrum that may be explained partly by pudendal nerve entrapment (PNE), which causes neuropathic pain. In men with PNE, aberrant development and subsequent malpositioning of the ischial spine appear to be associated with athletic activities during their youth. The changes occur during the period of development and ossification of the spinous process of the ischium.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Anthropometry
  • Bone Remodeling
  • Chronic Disease
  • Cumulative Trauma Disorders / etiology
  • Cumulative Trauma Disorders / pathology
  • Female
  • Humans
  • Hypertrophy
  • Ischium / pathology*
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Nerve Compression Syndromes / diagnosis
  • Nerve Compression Syndromes / etiology
  • Nerve Compression Syndromes / pathology*
  • Nerve Compression Syndromes / surgery
  • Pelvic Floor / pathology
  • Pelvic Pain / diagnosis
  • Pelvic Pain / etiology
  • Pelvic Pain / pathology*
  • Pelvic Pain / surgery
  • Pressure
  • Prostatitis / complications
  • Sports