Chronic Groin Pain in Female Cyclists: Consider Pudendal Neuroma as a Possible Cause.
Petros Akin-Nibosun, Richard Seah, Ellis Downes et al.
✦ AI-curated · Sources linked
Case in brief
A 58-year-old female cyclist presented with chronic right groin pain that impaired her quality of life and athletic performance. Pelvic MRI and specialized examinations showed chondrolabral separation and ischiofemoral impingement, while ultrasound also identified a pudendal neuroma. After ultrasound-guided injection of corticosteroid and local anesthetic, her symptoms substantially improved and functional capacity increased.
What made this case unusual
Ultrasound identified a pudendal neuroma amid other pelvic findings in a cyclist with chronic groin pain, and image-guided injection was followed by substantial symptom relief.
Diagnostic / clinical pearl
In chronic groin pain, a pudendal neuroma may be detectable on ultrasound even when other imaging and examination findings offer potential explanations for symptoms.
Why it matters
The case illustrates a potential nonsurgical, image-guided approach that may serve both diagnostic and therapeutic purposes.