Pelvic Pain & Neuralgia

Pelvic floor physical therapy can be very helpful, but it works best when the true source of symptoms has been identified. In some patients, irritated nerves, injured ligaments, scar tissue, joints, or other structures continue to drive pain despite therapy.

This is common. Standard imaging does not always explain chronic pelvic pain. Some painful structures are difficult to visualize, and some imaging abnormalities are unrelated to symptoms. Evaluation includes your history, examination, prior treatments, imaging review, and, when appropriate, ultrasound assessment.

Yes. Pudendal neuralgia is one possible cause of pelvic pain, but similar symptoms can also arise from other nerves, muscles, ligaments, joints, or scar tissue. The goal is to determine what is actually causing your symptoms rather than relying on a diagnosis label alone.

Yes. Prior pelvic, abdominal, gynecologic, urologic, or hernia surgery may contribute to persistent pain through scar tissue, nerve irritation, altered biomechanics, or other changes. Careful evaluation helps determine the underlying cause.

In selected patients, regenerative treatments may be considered when pain arises from injured ligaments, tendons, joints, or other supportive structures. Treatment decisions are based on precise diagnosis and physician-performed image-guided evaluation.

Yes. Pelvic conditions may contribute to pain with intimacy, erectile dysfunction, genital numbness, reduced sensation, or other changes in sexual function. These symptoms can be an important part of identifying the underlying problem.

No. Regenerative medicine is not simply a product or an injection. Outcomes depend on accurate diagnosis, patient selection, biologic preparation, image-guided placement, and the experience of the physician performing the procedure.

Alypos Regenerative Pain & Wellness is a physician-only, direct-pay practice and does not bill insurance or Medicare. This model allows Dr. Brian Bernhardt to spend more time with each patient, perform every evaluation and procedure personally, and recommend treatment based on clinical judgment rather than insurance restrictions or preauthorization requirements.