• Rosalynn R Z Conic, Prabhleen Kaur, and Lynn R Kohan.
• Department of Physical Medicine and Rehabilitation, University of Florida, P.O Box 1112730, Gainesville, FL, 32611, USA. rosalynn.conic@gmail.com.
• Curr Pain Headache Rep. 2025 Jan 28; 29 (1): 3838.

Purpose Of ReviewThis paper aims to review pudendal neuralgia pathophysiology, risk factors, diagnosis, and treatment options.Recent FindingsConservative and pharmacologic options are first line treatments for the treatment of pudendal neuralgia. Interventional treatment such as, pudendal nerve blocks can be tried if first line treatments feel to provide adequate analgesia. If pudendal nerve blocks provide sufficient relief but have a short duration, decompressive surgery may be considered. Neuromodulation is also a viable option. Emerging techniques such as pulsed radiofrequency ablation, cryotherapy, lipofilling, and repetitive transcranial magnetic stimulation are promising; however, more studies are needed to evaluate safety and effectiveness. Current study data is generally poor, and unstandardized. Further research is needed to identify the optimal treatment approach and evaluate the effects of pudendal neuralgia on mental health and quality of life.© 2025. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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