Chronic pelvic pain in women is frequently neuropathic — arising from pudendal or other pelvic nerve entrapment after surgery or childbirth.
Pelvic pain in women often has a nerve origin that goes unrecognized in routine evaluation.
Entrapment or injury of the pudendal nerve and its branches can follow childbirth, pelvic surgery, or trauma — and responds to targeted nerve treatment.
Fig: Female pelvic and perineal innervation. The pudendal nerve and its branches (dorsal nerve of the clitoris, perineal branches, inferior anal nerves) supply the vulva, vagina, perineum, and anus, while the genital branch of the genitofemoral nerve and the anterior labial branch of the ilioinguinal nerve supply the mons pubis and upper vulva.
Peripheral nerve surgery is its own discipline. Dr. Michaeli has dedicated his practice to the nerves, with fellowship-level training and thousands of nerve procedures.
Nerve work is measured in millimeters. Every repair is performed under high-magnification with microsurgical instruments and the latest reconstructive techniques.
Many patients arrive having been told nothing more can be done. A dedicated nerve evaluation often reveals options that general specialists do not offer.
Exam and diagnostic blocks confirm the responsible nerve.
Decompression or neuroma surgery addresses the source of pain.
Modern techniques give the nerve a healthy endpoint so relief lasts.
Peripheral Nerve & Brachial Plexus Surgeon · New Jersey & New York
Dr. Michaeli is among the most experienced and trusted peripheral nerve specialists on the East Coast, combining board-certified hand surgery expertise with dedicated peripheral nerve training. He has helped patients across the region regain function when they were told nothing more could be done.
Dr. Michaeli explains what is happening to the nerve, the treatment options, and what recovery looks like.
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“After years of being told my pain was something I’d have to live with, Dr. Michaeli found the nerve causing it and fixed it.”
Neuroma surgery
“I had given up hope of using my hand again. The nerve transfer gave me back movement the other doctors said was gone.”
Nerve transfer
“The carpal tunnel release was quick and the night pain was gone immediately. I only wish I’d done it sooner.”
Carpal tunnel release
In most cases no referral is required to schedule a consultation. We will help you understand your insurance coverage and any documentation your plan may request.
No. Many nerve conditions are first managed without surgery. Dr. Michaeli will recommend the least invasive effective option for your specific situation and only proceed to surgery when it offers the best outcome.
Nerve tissue is time-sensitive. The earlier a compressed or injured nerve is evaluated, the more options exist to protect and restore function. If you have progressive weakness or numbness, seek evaluation promptly.
Schedule a consultation with Dr. Michaeli to understand your options and build a plan that fits your life.
