Spinal pathologies

Perineal Pain

Perineal pain is a complex and frequently disabling condition characterized by pain located in the perineal, genital, anal or deep pelvic region, with possible radiation to the buttocks, pelvis or lower extremities.

This type of pain can significantly affect the patient’s quality of life, rest, work activity, mobility, and emotional and sexual well-being.

Perineal pain can have a neuropathic, muscular, musculoskeletal, urological, gynecological or post-surgical origin, and the coexistence of several pain mechanisms simultaneously is common.

Due to the anatomical and neurological complexity of the perineal region, diagnosis and treatment require a highly specialized multidisciplinary assessment.

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What structures can cause perineal pain?

The perineal region contains a complex network of nerve, muscle, and ligamentous structures responsible for fundamental sensory, motor, and visceral functions.

Among the most frequent causes are:

Pudendal nerve neuralgia
Pelvic nerve entrapments
Myofascial syndrome of the pelvic floor
Pelvic neuropathic pain
Coccygeal and sacroiliac pathology
Fibrosis and post-surgical adhesions
Chronic prostatitis and male pelvic pain
Endometriosis and gynecological pathology
Pelvic or perineal trauma
Pelvic floor muscle spasm
Postpartum or post-surgical pain

Many patients experience chronic nerve sensitization and persistent neuropathic pain.

What are the most common symptoms?

The symptoms may vary depending on the affected structure and the degree of nerve sensitization.

The most common symptoms include:

Persistent perineal pain
Genital or anal pain
A burning sensation, electric shock, or pressure
Pain when sitting
Perineal hypersensitivity
Pain during sexual intercourse
Urinary or intestinal disorders
Pain radiating to the pelvis, buttocks, or lower extremities
Pelvic floor muscle spasm
Sensation of a foreign body or pelvic pressure

The pain usually worsens with prolonged sitting and partially improves when standing up or walking.

Specialized diagnosis

Diagnosing perineal pain requires a comprehensive and highly specialized evaluation aimed at accurately identifying the structures responsible for the pain.

Advanced treatment of perineal pain

At VERTEBRA SpinePain & Regenerative SURGERY CENTERS we take a comprehensive and multidisciplinary approach using advanced medical, rehabilitative, interventional and regenerative treatments.

Among the available therapeutic options, the following stand out:

Specialized pharmacological treatment for neuropathic pain
Advanced pelvic floor physiotherapy
Pulsed radiofrequency and neuromodulation
Treatment of the pudendal nerve and pelvic nerves
High-precision muscular and perineal infiltrative treatments
Regenerative medicine and biological therapies
Advanced neuromodulation and nerve stimulation
Image-guided minimally invasive techniques

Neuromodulation and radiofrequency techniques can offer significant improvement in pain and functionality in patients with refractory chronic perineal pain.

At VERTEBRA SpinePain & Regenerative SURGERY CENTERS we have advanced experience in the diagnosis and interventional treatment specializing in perineal pain, complex neuropathies and advanced image-guided interventions, offering personalized treatments using techniques of maximum precision.

Our goal is to relieve pain, restore functionality, and significantly improve the patient’s quality of life through a comprehensive and highly specialized approach.