Pudendal Neuralgia in Men
Cycling, Gym Training & Pelvic Pain
Pudendal neuralgia involves irritation or compression of the pudendal nerve, affecting the perineum, penis, scrotum, pelvic floor, and urinary function.
Common causes include prolonged cycling, heavy gym training, overtraining, and prolonged sitting.
Symptoms may include:
- Perineal pain (aching or burning)
- Pain with sitting
- Tingling or numbness
- Urinary urgency or frequency
- Pain after cycling or gym sessions
- Erectile or sexual dysfunction
Assessment includes:
- Detailed history and load analysis
- Pelvic health questionnaires
- Strength and movement testing
- Real-time ultrasound assessment
Treatment may include:
- Pelvic floor retraining (downtraining or uptraining)
- Load management and activity modification
- Focused shockwave therapy
- Strength and movement rehabilitation
- Education and recovery strategies
If you have persistent pelvic pain, urinary symptoms, or discomfort with cycling or sitting, early assessment is recommended.
Tim Ellis Physiotherapy – Advanced Physiotherapy & Men’s Health
Darlinghurst, Sydney
Ready to Begin Your Recovery?
If you’re experiencing hip, back, or movement-related pain, or need expert care for other musculoskeletal or men’s-health concerns, book an appointment with Tim today and start your journey toward better function and lasting wellness.