Yıldırım Mustafa Aziz, Gökşenoğlu Gökşen
Department of Physical Medicine and Rehabilitation, Istanbul Physical Therapy and Rehabilitation Training and Research Hospital, Istanbul, Turkey.
Turk J Phys Med Rehabil. 2018 Jan 30;65(1):80-83. doi: 10.5606/tftrd.2019.2863. eCollection 2019 Mar.
A 32-year-old female patient was admitted to our clinic about two years ago with complaints of widespread pain, tiredness, fatigue, and insomnia for six months. She was diagnosed with fibromyalgia and initiated medical treatment with the recommendation of aerobic exercises. Her medical history revealed widespread pain disappeared one month after exercising with localized pelvic pain. She had also pain and burning sensation while sitting and lying down. She suffered from severe pain during defecation. Based on her medical history and physical examination findings, the patient was diagnosed with pudendal neuralgia. The patient was put on medical treatment and, then, referred to the anesthesia department due to persistent pain. Computed tomography-guided transgluteal pudendal nerve block was applied by the anesthesiologist. Subsequently, pain disappeared. In conclusion, pudendal neuralgia should be considered in the differential diagnosis in patients with pelvic pain and burning sensation or following compelling exercises.
大约两年前，一名32岁女性患者因广泛疼痛、疲倦、乏力和失眠6个月前来我院就诊。她被诊断为纤维肌痛，并在建议进行有氧运动的同时开始药物治疗。她的病史显示，运动一个月后广泛疼痛消失，但出现局部盆腔疼痛。她在坐卧时也有疼痛和烧灼感。排便时疼痛剧烈。根据她的病史和体格检查结果，该患者被诊断为阴部神经痛。患者接受了药物治疗，随后因疼痛持续而被转诊至麻醉科。麻醉医生进行了计算机断层扫描引导下经臀阴部神经阻滞。随后，疼痛消失。总之，对于有盆腔疼痛、烧灼感或剧烈运动后的患者，鉴别诊断时应考虑阴部神经痛。
