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What imaging can — and cannot — show in pelvic nerve pain — New York

Medically reviewed by Dr Renaud Bollens — Professor of Urology

New York

What imaging can — and cannot — show in pelvic nerve pain, seen through the experience of patients in New York, where sitting, commuting and desk work dominate the day.

Standard pelvic MRI is designed to look at organs, not at a small peripheral nerve. A normal report is common in pudendal neuralgia and is not reassurance that nothing is wrong.

Dedicated sequences and MR neurography can add information, but the diagnosis remains primarily clinical, supported by imaging and block response.

We ask patients to send existing imaging before the consultation so that the review adds to the picture rather than repeating scans unnecessarily.

Video consultations are scheduled for Eastern Time so New York patients do not need to take a day off to be assessed.