Hello everybody :)
Given the following information, would you agree that Pudendal Nerve Entrapment/Neuralgia seems like a very likely explanation for my symptoms?
-Mid-20s white, otherwise healthy, Canadian male
--Constant rectal discomfort, which is far worse when sitting for extended periods (e.g. on forklift at work); pain after bowel movements; pain diminishes when lying down or standing; pain is 95-100% relieved when Xylocaine (5% Lidocaine anesthetic) is applied to rectum
--Itching/Stinging/Burning/"hot" sensations and Allodynia (pain resulting from normal fabrics, e.g. pillow) around pelvic area, i.e., lower back, inner thighs, inner legs (knees to hips), penis, and scrotum; pain which is made worse when body temperature increases (e.g. doing physical activity)
--Constant lower back pain (for years and years now); lower back throbs with discomfort instantly after lying down
--Occassional feeling of needing to further empty bladder directly after using the washroom (additional urine does come out)
--I had been weight-lifting for a year before the pain in my genital areas started
The following medical tests have revealed NO abnormal results:
-MRIs of brain, neck, and mid to upper spin (no MRI of lower spine has been done); no evidence of any kind of de-myleniating diseases
-'Trigger Points' for Fibromyalgia do not produce painful responses
-Extensive STD testing
Creams (e.g. steroid-based ointments) and various kinds of anti-depressants/anti-convulsants (e.g. Lyrica, Amitriptyline, Cymbalta) have produced no relief.
For the last 3 months I've been taking 90mg Cymbalta daily (60mg @ 8am; 30mg @ 8pm). The medication does not help with any of the discomfort but it has helped me deal with my depression and give me a bit of 'zest' for life again.
I am currently trying to get into a well-known pain clinic in my city's downtown area where there is a specialist who applies pudendal nerve blocks. I believe a nerve block is my best option from here.