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So it’s thanks to the autonomic fibers of the pudendal nerve that our pelvic floor muscles always maintain a degree of tone, which enables us to remain continent.
But we do have the ability to override the tone in our pelvic floor muscles and further contract or relax them when we wish.
Then sometime around 2003, pudendal nerve entrapment or “PNE” became the diagnosis du jour.
PNE was first mentioned in 1988, but became popular as a diagnosis around 2003, most likely because of chat rooms about the condition on the Internet.
It was sinking in that pelvic pain was a valid health issue that needed to be addressed.
“PN,” “vulvodynia,” and “IC” were all diagnoses that had individually made their way onto the scene, but collectively they were now being handed down to patients with more frequency.
In this post, I’m going to tackle those two points.
But, that’s not the last you’ll hear about PN on this blog.
Across the board, these patients had been dismissed, misdiagnosed, and mistreated.
However, when I came into the pelvic pain picture, a shift was happening in the medical community.
So, the pudendal nerve is only partially under autonomic control.
What is the relevance of this to our discussion of PN symptoms?
I’ve had many patients that have reported these symptoms.