Neurogenic Pelvic Pain

Phys Med Rehabil Clin N Am. 2017 Aug;28(3):551-569. doi: 10.1016/j.pmr.2017.03.007. Epub 2017 May 12.


Pelvic neuralgias frequently cause severe pain and may have associated bladder, bowel, or sexual dysfunctions which also impact quality of life. This article explores the etiology, epidemiology, presentation and treatment of common causes of neurogenic pelvic pain, including neuralgia of the border nerves (ilioinguinal, iliohypogastric, and genitofemoral), pudendal neuralgia, clunealgia, sacral radiculopathies caused by Tarlov cysts, and cauda equina syndrome. Treatment of pelvic neuralgia includes conservative measures such as pelvic physical therapy, lifestyle modification, and medications with escalation to more invasive and novel treatments such as nerve blocks, radiofrequency ablation, cryoablation, neuromodulation and neurectomy/neurolysis if conservative treatments are ineffective.

Keywords: Genitofemoral; Iliohypogastric; Ilioinguinal; Pelvic pain; Pudendal; Tarlov cyst.

Publication types

  • Review

MeSH terms

  • Humans
  • Nerve Block*
  • Neuralgia
  • Neurosurgical Procedures
  • Pelvic Floor / innervation*
  • Pelvic Pain / therapy*
  • Quality of Life