Evidence and experience
What the evidence and two decades of surgical experience say about living with chronic pelvic pain.
Seat cushions with a cut-out, standing desks, short walking breaks, and reduced commuting time all reduce nerve loading during the day and are worth arranging early.
Long flights and long drives are the hardest exposures. Planning breaks and aisle seats matters more than most patients expect.
These adjustments do not treat the cause, but they preserve function and mood while diagnosis and treatment proceed.
Dr Bollens is a professor of urology, a proctor in pelvic surgery and a published author on pudendal neuralgia.