The pudendal nerve originates from the S2-S4 nerve roots. It goes through the greater sciatic notch, over the sacrospinous ligament, under the sacrotuberous ligament, then through the lesser sciatic notch. It can be impinged between the sacrospinous and sacrotuberous ligaments.
Symptoms of pudendal neuralgia include:
Opposite side – place your thumbs under the medial side of the sacrotuberous ligament then lift and traction the ligament lateral and superior.
Same side – hook your fingers around the medial side of the sacrotuberous ligament and pull laterally while rocking the sacrum away from you.