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Pudendal Neuralgia
femina atlanta

The best kept SECRET in Pasadena

Our dedicated team fully understands the unique challenges that women face throughout their lives, be they not just physical, but also emotional or social. We see ourselves as supportive partners in our patients' journey toward achieving better health and overall wellness. Our main goal is to empower women with personalized care that not only meets their specific needs but also feels like a comforting hug from a knowledgeable friend who is genuinely invested in their pelvic health and well-being.

Come see us

350 S. Lake Avenue #220
Pasadena, Ca 91101

Telephone: (818) 873-1403

Hours:

Monday  7am-1pm
Tuesday 8am-1pm
Wednesday By Appointment Only 
Thursday 7am-4pm
Friday-Sunday By Appointment Only

Our Pasadena location is convenient to Glendale, Montrose, Burbank, Silver Lake, Los Feliz, Atwater Village, and Eagle Rock.

Symptoms of a Pudendal Neuralgia Diagnosis:

A Pudendal Neuralgia diagnosis has been described as throbbing or severe stabbing pain along the pathway of the pudendal nerve that runs through the gluteal, pudendal canal and perineal region. This pain typically increases during sitting and is reduced or relieved by sitting on a toilet seat.

There are five essential criteria for a pudendal neuralgia diagnosis:

  • Pain in the anatomical territory of the pudendal nerve
  • Worsened by sitting
  • The patient is not woken at night by the pain
  • No objective sensory loss on clinical examination
  • Positive anesthetic pudendal nerve block.

Other criteria that are considered complimentary include: burning, shooting, stabbing pain or numbness, allodynia, sensation of a rectal or vaginal foreign body (sympathalgia), worsening of the pain during the day, pain predominantly on one side, pain triggered by bowel movements, and tenderness to palpation along the ischial spine (on clinical exam). Associated signs and symptoms that may also be present are: buttock pain on sitting, referred sciatic pain, pain referred to the medial aspect of the thigh, suprapubic pain (pain above the pubic bone), frequent urination, pain with a full bladder, pain ocurring after ejaculation,pain during or after intercourse (dyspareunia), erectile dysfunction.

There is no sensory loss on clinical examination and an anesthetic pudendal nerve block is positive. Patients are not woken at night by pain, but do have pain during waking hours. Other clinical criteria can provide additional arguments in favor of the diagnosis of pudendal neuralgia, such as painful bowel movements or a feeling of fullness in the vaginal canal or rectum. This has also been termed Cyclists' Syndrome when it occurs in long-distance cyclists.

Contact us with any questions you may have about your Pudendal Neuralgia diagnosis. We have a number of treatment options available!

Get The Book

Sex Without Pain: A Self-Treatment Guide To The Sex Life You Deserve

Haga clic aquí para la versión española Sex Without Pain: A Self-Treatment Guide To The Sex Life You Deserve was written by Heather Jeffcoat, DPT, a physical therapist with countless successes in treating pain of this type. Women with vaginismus, overactive pelvic floor, painful intercourse, vulvodynia, vulvar vestibulitis, vestibulodynia, dyspareunia, interstitial cystitis have all benefited from her unique program. Heather uses her orthopedic background to approach treatment of these muscles like they are....muscles! She utilizes a self-treatment tool called a dilator to provide massage and other muscle relaxation and stretching techniques in a gentle fashion to return a women's muscles back to a resting, rather than guarded, state.


• To order "Sex Without Pain" in paperback from Amazon for $24.99, click here.

• To order an electronic read-only non-printable PDF copy of the book for instant download at $19.99, use the button below:

• To schedule an appointment at one of the Femina PT offices, click here.

• For a list of other trusted health care providers, click here.

Our Pasadena Team

Meet Heather Jeffcoat, DPT

Meet Heather Jeffcoat

Femina PT Founder

Heather Jeffcoat (she/her/hers) is the author of Sex Without Pain: A Self-Treatment Guide To The Sex Life You Deserve and a recognized expert in the field of Pelvic Health Physical Therapy. She is also former President of the Academy of Pelvic Health Physical Therapy from 2021-2024, and she is on the Advisory Board of the International Pelvic Pain Society. After receiving many emails from people around world, she noticed there was a gap in access to quality pelvic floor physical therapy providers, and women deserved answers and a treatment plan for the painful sex they were experiencing. She developed her book as a way to get her proven techniques to all who needed it.

Read more: Meet Heather Jeffcoat, DPT

What Our Patients Say About Their Journey

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