Clinical guide
A clear clinical guide to pudendal nerve block, written for patients in New York and across the United States who are still looking for a straight answer.
An image-guided pudendal nerve block places local anaesthetic precisely around the nerve. If the pain drops substantially for the duration of the anaesthetic, that is powerful evidence the pudendal nerve is generating the pain.
A block is a diagnostic instrument first and a treatment second. Temporary relief is useful information; lasting relief is a bonus. Either way the response shapes what happens next.
Dr Bollens uses block response, symptom mapping and imaging together. Surgery is only recommended when those three lines of evidence agree — which is why we decline to operate on some patients who come to us expecting it.
If this describes your situation, a specialist review of pudendal nerve block can be arranged remotely from anywhere in the United States.