Date of Presentation
5-2-2024 12:00 AM
College
Rowan-Virtua School of Osteopathic Medicine
Poster Abstract
Context: Pudendal neuralgia is a chronic neuropathic pain syndrome worsening throughout daily activities. Although temporarily relieved when standing or lying down, it is often misdiagnosed, improperly treated, and/or refractory to treatment leading to a negative impact on quality of life. The lack of research in proper diagnosis and interventional management (such as dorsal root ganglion stimulation (DRGS) and pudendal nerve block) further contributes to the delay in relief from the chronic pain. Objective: The goal of this scoping review is to assess if research exists on benefits and risks of pudendal nerve block and dorsal root ganglion and their effectiveness both individually and in comparison to each other in the management of pudendal neuralgia. Methods: An organized review of current literature evaluated the benefits of pudendal nerve block and dorsal root ganglion in treatment of pudendal neuralgia. The search was performed using the database Pubmed. The following search terms were utilized: “pudendal neuralgia”, “pudendal neuralgia dorsal root ganglion stimulation”, “pudendal neuralgia and pudendal nerve block”, “pudendal neuralgia and pudendal nerve block benefits”, “pudendal neuralgia treatment”. Systemic reviews, case reports, clinical trials, and review trials were included in our analysis. Articles that did not focus on either pudendal neuralgia or the use of pudendal nerve blocks or DRGS were excluded. Results: There were limited studies that focused on the use of DRGS for pudendal neuralgia compared to pudendal nerve blocks. Conclusion: Though the benefits and disadvantages of each treatment were assessed in the studies, there is no research directly comparing the two treatment options leading to lack of current recommendations or guidelines based on treatment efficacies. Future directions: Further research needs to be conducted on use of DRGS as well as a comparison study to acknowledge its effectiveness compared to pudendal nerve blocks.
Keywords
DRG Stimulation, Dorsal Root Ganglion Stimulation, Dorsal Root Ganglia, Pudendal Neuralgia, Nerve Block, Pain, Pain Management, Chronic Pain
Disciplines
Medicine and Health Sciences | Nervous System | Other Analytical, Diagnostic and Therapeutic Techniques and Equipment | Pain Management | Pathological Conditions, Signs and Symptoms | Therapeutics
Document Type
Poster
DOI
10.31986/issn.2689-0690_rdw.stratford_research_day.207_2024
Included in
Nervous System Commons, Other Analytical, Diagnostic and Therapeutic Techniques and Equipment Commons, Pain Management Commons, Pathological Conditions, Signs and Symptoms Commons, Therapeutics Commons
The Benefits and Risks of Pudendal Nerve Block and Dorsal Root Ganglion Stimulation in Pudendal Neuralgia
Context: Pudendal neuralgia is a chronic neuropathic pain syndrome worsening throughout daily activities. Although temporarily relieved when standing or lying down, it is often misdiagnosed, improperly treated, and/or refractory to treatment leading to a negative impact on quality of life. The lack of research in proper diagnosis and interventional management (such as dorsal root ganglion stimulation (DRGS) and pudendal nerve block) further contributes to the delay in relief from the chronic pain. Objective: The goal of this scoping review is to assess if research exists on benefits and risks of pudendal nerve block and dorsal root ganglion and their effectiveness both individually and in comparison to each other in the management of pudendal neuralgia. Methods: An organized review of current literature evaluated the benefits of pudendal nerve block and dorsal root ganglion in treatment of pudendal neuralgia. The search was performed using the database Pubmed. The following search terms were utilized: “pudendal neuralgia”, “pudendal neuralgia dorsal root ganglion stimulation”, “pudendal neuralgia and pudendal nerve block”, “pudendal neuralgia and pudendal nerve block benefits”, “pudendal neuralgia treatment”. Systemic reviews, case reports, clinical trials, and review trials were included in our analysis. Articles that did not focus on either pudendal neuralgia or the use of pudendal nerve blocks or DRGS were excluded. Results: There were limited studies that focused on the use of DRGS for pudendal neuralgia compared to pudendal nerve blocks. Conclusion: Though the benefits and disadvantages of each treatment were assessed in the studies, there is no research directly comparing the two treatment options leading to lack of current recommendations or guidelines based on treatment efficacies. Future directions: Further research needs to be conducted on use of DRGS as well as a comparison study to acknowledge its effectiveness compared to pudendal nerve blocks.