Belgium
Pudendal Neuralgia Treatment in Belgium
In Belgium the whole care pathway is available in one country: in-person consultation, imaging, nerve blocks, Botox injections and surgery with Dr Renaud Bollens.
Care in Belgium
What is available
In-person consultation
History and clinical examination with Dr Bollens, including mapping where the pain is felt and what provokes it.
Imaging
Pelvic imaging when it is likely to change the diagnosis or the plan. No scan confirms pudendal neuralgia on its own, so images are read alongside the examination.
Nerve blocks
Image-guided pudendal nerve blocks, used to test whether the nerve is the source of pain and, in some patients, as treatment.
Botox injections
Botulinum toxin injections to relax the piriformis, the muscle most often treated when it presses on nearby nerves. Injections into the wider pelvic floor are also possible when indicated, but are recommended less often.
Surgery
Pudendal nerve decompression when symptoms persist despite conservative care and the findings point to nerve entrapment.
Your pathway
From first consultation to treatment
Care starts with a video consultation, wherever you live. Dr Bollens reviews your history, previous tests and imaging, and advises whether an in-person visit to Belgium is worthwhile. Many patients are helped by physiotherapy, medication and practical changes to sitting and activity before any procedure is needed.
When a visit is recommended, the steps you need are planned together: examination, imaging where useful, and a diagnostic nerve block if the source of pain is still unclear. Because injections and surgery are also available in Belgium, what is learned during the visit can lead directly into treatment, rather than a referral elsewhere.
Surgery is considered only when conservative treatment has not been enough and the examination, imaging and nerve block together point to entrapment. Read more about pudendal nerve decompression and recovery after surgery. After you return home, follow-up continues by video.
Travelling to Belgium
Practical information
Belgium sits between France, the Netherlands and Germany, with direct high-speed trains from London, Paris, Amsterdam and Cologne and international airports for patients flying in. Consultations are held in English, French or Dutch.
Patients from other EU and EEA countries may be able to claim back the cost of planned care in Belgium from their national health insurer. Check the rules with your insurer before booking, as some countries require approval in advance.
FAQ
Questions about treatment in Belgium
Which parts of treatment are available in Belgium?
All of them: in-person consultation, imaging, image-guided nerve blocks, Botox injections and pudendal nerve surgery. You can be assessed, diagnosed and treated in Belgium without splitting care between countries.
Do I need an online consultation before travelling?
Usually, yes. A video consultation with Dr Bollens comes first, so a trip to Belgium is only planned when an examination, a procedure or surgery is likely to change your care, and so the visit can be organised around what you actually need.
Can I claim the cost back from my health insurer?
If you live in another EU or EEA country, you may be able to claim back the cost of planned care in Belgium under the EU cross-border healthcare rules, or with an S2 form authorised in advance. Rules differ by country and some require approval before treatment, so check with your insurer before booking. We cannot guarantee reimbursement.
Which languages are consultations held in?
English, French or Dutch. Written reports are normally prepared in English so they can be shared with your doctors and insurer at home.
How do patients get to Belgium?
Belgium is reached by air through its international airports and by direct high-speed train from London, Paris, Amsterdam and Cologne. Our coordinator confirms the practical details for your visit when it is booked.
Request an appointment
Start with a video consultation.
Tell us about your symptoms and what you have tried so far. If a visit to Belgium is likely to help, we plan it with you after the consultation.