New York
What a diagnostic pudendal nerve block actually tells us, seen through the experience of patients in New York, where sitting, commuting and desk work dominate the day.
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.
Video consultations are scheduled for Eastern Time so New York patients do not need to take a day off to be assessed.