What does this research mean for the field?

Postnatal sacroiliac joint dysfunction can act as a mechanical driver of pudendal neuralgia and dyspareunia, which can be effectively resolved through targeted physiotherapy. Novelty: ClaimNovelty.NOVEL_FINDING. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To report a case of early postpartum pudendal neuralgia and dyspareunia mechanically induced by sacroiliac joint dysfunction and evaluate its response to conservative physical therapy.

September 8, 2026Journal of Musculoskeletal Surgery and ResearchOpen Access

Postnatal sacroiliac joint dysfunction as a mechanical driver of pudendal neuralgia and dyspareunia: A case report

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Authors

ADAtef M. Doweir

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Implication

Case report demonstrates successful resolution of pudendal neuralgia and dyspareunia through targeted physiotherapy in a postpartum woman, highlighting sacroiliac dysfunction as a mechanical trigger.

Key Points

To report a case of early postpartum pudendal neuralgia and dyspareunia mechanically induced by sacroiliac joint dysfunction and evaluate its response to conservative physical therapy.
Clinical evaluation of a 32-year-old woman presenting 6 weeks after an elective cesarean delivery with perineal burning worsened by sitting and dyspareunia.
Diagnostic workup included pelvic biomechanical assessment, electrophysiological testing of pudendal nerve terminal motor latency, and evaluation against the Nantes criteria.
Therapy comprised 12 sessions over 4 weeks consisting of soft-tissue and ischemic release, sacroiliac mobilization, pelvic-floor re-education, and core strengthening.
Physical examination revealed an anterior pelvic tilt, pelvic muscle tenderness, a positive sacroiliac provocation cluster, prolonged right pudendal nerve terminal motor latency, and fulfillment of four of five Nantes criteria.
Following the 4-week physical therapy intervention, the patient demonstrated sustained resolution of perineal pain, dyspareunia, and functional disability, alongside electrophysiological normalization of pudendal nerve motor latency.

Cite This Study

Atef M. Doweir (2026) studied this question.

synapsesocial.com/papers/6a9fd7ab58e84d0ff5b4683c https://doi.org/10.25259/jmsr_362_2026

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Implication

Case report demonstrates successful resolution of pudendal neuralgia and dyspareunia through targeted physiotherapy in a postpartum woman, highlighting sacroiliac dysfunction as a mechanical trigger.

Postnatal sacroiliac joint dysfunction as a mechanical driver of pudendal neuralgia and dyspareunia: A case report

Discussion

Member takes

Implication

Key Points

Cite This Study

Postnatal sacroiliac joint dysfunction as a mechanical driver of pudendal neuralgia and dyspareunia: A case report

Discussion

Member takes

Implication

Key Points

Cite This Study

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