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What imaging can — and cannot — show in pelvic nerve pain — Patient questions

Medically reviewed by Dr Renaud Bollens — Professor of Urology

Patient questions

The questions patients ask us most often about MRI pudendal nerve — answered directly, without hedging.

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.

Send your questions to our team and a coordinator replies within one business day, in strict confidence.