Individualized multimodal pain management for chronic perineal pain

Rationale

Persistent perineal pain is a challenging clinical condition that may substantially impair sleep, urination, daily activities, and psychological well-being. Accurate assessment and individualized multimodal management are essential for improving symptom control and patient participation in care. Patient concerns: A 68-year-old woman presented with chronic perineal pain and tenderness that had persisted for 3 years. The pain significantly interfered with her sleep, urination, and daily activities. Diagnoses: Clinical assessment suggested chronic perineal pain with neuropathic involvement of the pudendal nerve and lumbosacral or sacral nerve roots. The diagnosis was established based on the patient’s clinical manifestations, physical examination findings, and comprehensive evaluation.