A rare and late presentation of pudendal neuralgia in a patient with fibromyalgia after pilates exercises
Mustafa Aziz Yıldırım 1 ,Gökşen Gökşenoğlu 1
1 Department of Physical Medicine and Rehabilitation, Istanbul Physical Therapy and Rehabilitation Training and Research Hospital, Istanbul, Turkey
DOI :
10.5606/tftrd.2019.2863
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.
Keywords :
Fibromyalgia, pilates, pudendal neuralgia
