Case perspective
How a typical case of pelvic pain when sitting unfolds — from first symptom to a named diagnosis — in the practice of Prof. Dr Renaud Bollens.
If your pelvic pain increases the longer you sit and improves the moment you stand up, that pattern is clinically meaningful. Sitting compresses the pudendal nerve between the sacrotuberous and sacrospinous ligaments, which is why nerve-related pelvic pain follows posture so closely.
Patients often adapt without realising it: driving with one hip lifted, standing through meetings, avoiding restaurants, cinemas and flights. In New York, where commuting and desk work dominate the day, this symptom quietly reshapes a whole life long before anyone names the cause.
At Pelvic Institute we map the exact positions that trigger and relieve your pain, because that map is one of the strongest indicators of pudendal nerve involvement and guides where we look during diagnostics.
Every case at Pelvic Institute is assessed by the operating surgeon, with more than 600 pelvic procedures behind that judgment.