If the perineal pain is positional changes with a person's position, for example sitting or standing , this suggests a tunnel syndrome.
Prof Robert describes the problem that this bony protrusion causes in his article: the pudendal nerve" describes a curve which drags it around the region of the ischial spine, which it straddles like a violin string on its bridge.
We protect the nerve with a chemical film that hopefully will prevent adhesions so that the nerve will slide smoothly through the tissues as you walk, etc.
Think about how far the nerves in your arms stretch when you reach above your head.
Shocked, but obedient, I did that.
A total of 104 patients underwent surgical decompression via a trans-ischio-rectal approach after failure of the infiltration therapy.