Pudendal Neuralgia

When Every Doctor Says 'I Don't Know' — We Have Answers.

Pudendal neuralgia is one of the most misunderstood and undertreated conditions in pelvic health. If you're dealing with burning, stabbing, or electric nerve pain in your pelvis, perineum, or genitals — and no one has been able to help — you're in the right place.

Do You Recognize This?

Sound Familiar?

If any of these resonate, you're not imagining it — and you're not alone.

Burning, stabbing, or electric-shock pain in the pelvis, perineum, or genitals

Pain that worsens with sitting

Pain during or after sex

Feeling like you're sitting on a golf ball or a hot poker

Symptoms that have been misdiagnosed or dismissed for months or years

Pain that affects every aspect of daily life — work, relationships, sleep

What You've Heard Before

Why Generic Care Falls Short

If any of these sound familiar, you've been underserved — not untreatable.

"I've never heard of pudendal neuralgia."

Most physicians and general PTs have limited training in pudendal neuralgia. Patients often see 5-10 providers before finding someone who understands the condition.

"It might be psychological — have you tried therapy?"

Pudendal neuralgia is a physical nerve condition, not a psychological one. While the pain absolutely affects mental health, dismissing it as 'in your head' delays real treatment.

"The only option is a nerve block or surgery."

Nerve blocks and surgery are options — but conservative pelvic floor therapy should come first. Many patients respond well to manual therapy, nerve mobilization, and muscle release without invasive procedures.

Dr. Lesley Rivera, DPT, PRPC, PCES

Your Treatment Plan

How Lesley Treats This

Pudendal neuralgia is one of Lesley's specialized areas. She understands the nerve anatomy, the muscle and fascial structures that can compress or irritate the pudendal nerve, and the treatment approaches that create real, lasting relief.

Detailed nerve assessment to understand the pattern and drivers of your symptoms

Manual therapy targeting muscles and fascia that may be compressing the pudendal nerve

Neural mobilization techniques to reduce nerve sensitivity and irritation

Postural and movement strategies to reduce nerve aggravation in daily life

A gradual, collaborative treatment plan — because nerve conditions require patience and trust

You've been searching for answers long enough. Let's start finding them together.

A free discovery call is all it takes to find out how pelvic floor therapy can help. No commitment, no pressure — just answers.

(909) 265-3584

Anaheim Hills, CA · One hour. One-on-one. The care you've been looking for.