Frequently Asked Questions

You may benefit from a specialist assessment if pain has lasted more than a few weeks, keeps returning, worsens with sitting, or continues despite treatments focused on the back or spine. A specialist can help determine whether nerves, muscles, or joint structures are contributing.

No. Many patients start care before a confirmed diagnosis. Gentle physiotherapy, activity adjustments, posture modifications, and targeted exercises can reduce irritation while we work to understand the underlying cause.

Evaluation may include a detailed discussion of your symptoms, review of previous tests, targeted nerve and muscle assessments, pelvic alignment evaluation, and imaging or diagnostic injections when appropriate. These steps help clarify which structures are involved.

Yes. Nerve irritation or compression does not always appear on standard MRI or ultrasound. Symptoms often provide more reliable clues than imaging alone, which is why clinical testing is essential.

Many people with pelvic pain have tried physiotherapy, medications, or spinal treatments without relief. A focused pelvic nerve and muscle evaluation can uncover contributing factors that were previously overlooked.

Most patients improve with conservative treatments. Surgery is only considered when symptoms are severe, persistent, and clearly linked to a specific nerve or muscle compression. Your specialist will discuss whether surgical options are appropriate based on your evaluation.

Recovery depends on the cause of pain and how long symptoms have been present. Some patients notice improvement within weeks, while others require a longer, structured approach. Your care plan is adjusted based on how your symptoms evolve over time.

No. Many patients diagnosed with prostatitis do not have a bacterial infection. Chronic prostatitis symptoms are often non-bacterial and may be related to muscle tension, nerve sensitivity, or chronic pelvic pain mechanisms rather than infection alone.

Antibiotics are effective only when bacteria are present. If symptoms persist after antibiotic treatment, it often indicates a non-infectious cause such as pelvic floor dysfunction or nerve-related pain, which requires a different treatment approach.

Standard tests may help rule out infection or other conditions, but they do not always identify the source of chronic pelvic pain. Diagnosis often relies on clinical evaluation, symptom patterns, and targeted pelvic and neurological assessment rather than imaging alone.

Yes. Pain with ejaculation or sexual activity is common in prostatitis and prostatitis-like conditions. This symptom is frequently linked to pelvic muscle tension or nerve irritation rather than the prostate itself.

Fluctuating symptoms are common in chronic pelvic conditions. Sitting, stress, or prolonged muscle activation can increase pelvic floor tension and nerve sensitivity, which may temporarily worsen pain or urinary symptoms.

Treatment depends on the underlying cause and may include pelvic floor physiotherapy, neuromuscular retraining, pain modulation strategies, lifestyle adjustments, and targeted interventions when appropriate. Care is individualized and often progresses step by step.

Specialist evaluation is recommended if symptoms persist for months, recur despite treatment, interfere with daily life or sexual function, or if testing shows no infection but symptoms continue. A focused pelvic assessment can clarify the diagnosis and guide appropriate next steps.

Standard MRI scans do not always show piriformis irritation or sciatic nerve compression in the deep gluteal region. Diagnosis is primarily clinical, supported by targeted physical tests, symptom mapping, and imaging or injections when appropriate.

In most cases, no. Many patients improve with physiotherapy, activity modifications, stretching, injections, or neuromuscular retraining. Surgery is considered only when symptoms are severe, persistent, and clearly linked to piriformis-related compression.

Recovery varies depending on symptom duration, underlying causes, and treatment response. Some patients improve within weeks, while others require a more gradual approach. A personalized plan ensures treatment progresses at the right pace for your condition.

Piriformis syndrome may involve multiple contributing factors, including pelvic alignment, hip mechanics, nerve sensitivity, or other deep gluteal muscles. If symptoms recur, a specialized evaluation can identify additional sources that routine care may not address.

Yes. It may occur together with sacroiliac dysfunction, lumbar disc irritation, pelvic floor tension, or other deep gluteal entrapments. A thorough assessment helps determine whether the piriformis is the primary source of pain or part of a broader pattern.

Image-guided injections can reduce inflammation and help confirm whether the piriformis muscle is contributing to symptoms. They are often used alongside physiotherapy or as a diagnostic step in complex cases.

A specialist evaluation is recommended if pain has lasted several weeks, keeps returning, worsens with sitting, or has not improved with back-focused treatments. A focused assessment can reveal whether piriformis syndrome—or another condition—is driving your symptoms.

Home strategies may include reducing prolonged sitting, using pressure-relief cushions, avoiding constipation, and practicing gentle pelvic floor relaxation techniques recommended by a clinician. These may reduce irritation, but they are not a substitute for specialist evaluation.

Candidates typically include individuals with significant, persistent symptoms despite structured conservative treatment such as pelvic physiotherapy, medications, and nerve blocks, and who show clear diagnostic evidence of pudendal nerve compression. Other causes of pelvic pain should be ruled out first.

Risks may include infection, bleeding, temporary numbness, or worsening of symptoms. In rare cases, nerve damage can occur. Choosing an experienced surgical team helps minimize these risks and ensures thorough evaluation before surgery is advised.

Recovery varies by patient. Some begin noticing improvement within several weeks, while full recovery may take several months. Physical therapy, gradual activity progression, and consistent follow-up care are important parts of the healing process.

Some initial discomfort is normal and can be managed with medication. Patients are generally advised to limit prolonged sitting and strenuous activity for the first few weeks. As symptoms improve, your care team will guide you in safely returning to normal activities.

Outcomes vary depending on factors such as symptom duration, severity, and anatomical findings. Many patients experience meaningful improvement, while others may require ongoing therapy or additional treatments. Your specialist will discuss realistic expectations based on your specific condition.

Diagnosis involves a detailed clinical evaluation, symptom assessment, targeted physical tests, and, when appropriate, imaging or diagnostic nerve blocks. Because many conditions can mimic pudendal neuralgia, accurate diagnosis is essential before choosing treatment.

The surgery aims to relieve pressure on the pudendal nerve by releasing surrounding tissues that are causing compression. Techniques vary depending on anatomy and diagnostic findings and may include transgluteal, transperineal, or minimally invasive laparoscopic approaches.

Potential risks include infection, bleeding, temporary numbness, or worsening of symptoms. In rare cases, nerve injury can occur. A specialist evaluation helps ensure surgery is recommended only when the benefits outweigh the risks.

Outcomes vary, but many well-selected patients experience meaningful pain reduction and improved function over time. Improvement is gradual, as nerve healing can take several months. Your surgeon will discuss realistic expectations based on your case.

Most patients begin light movement shortly after surgery. Initial improvement may be noticed within weeks, while complete recovery often develops over several months. Follow-up visits and physiotherapy are important parts of the recovery process.

Yes. Physiotherapy plays a key role in restoring mobility, improving pelvic function, and preventing tension around the nerve as it heals. Your care team will provide a customized rehabilitation plan.

Some discomfort is normal and managed with medication. Patients are usually advised to avoid prolonged sitting and strenuous activity early on. Your surgeon will guide you through each phase of recovery and help you return to daily activities safely.

Many patients experience long-term improvement, but results depend on factors such as symptom duration, cause of compression, and overall nerve health. Some individuals may still benefit from ongoing pelvic physiotherapy or additional treatments as part of comprehensive care.