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Radiculopathy can result in pain (radicular pain), weakness, altered sensation (paresthesia) or difficulty controlling specific muscles. [1] Pinched nerves arise when surrounding bone or tissue, such as cartilage, muscles or tendons, put pressure on the nerve and disrupt its function. [2]
The pudendal nerve is a mixed nerve which contains motor (controlling muscles), sensory and sympathetic autonomic axons (nerve fibers). It stems from the ventral rami of the sacral spinal nerves S2, S3, and S4 of the sacral plexus. [33] [34] The path of the pudendal nerve is very complicated. [10]
The coccygeal plexus is a small nervous plexus upon the pelvic (anterior) surface of the coccygeus muscle. [1] This plexus is formed by the ventral rami of the fourth and fifth sacral nerves (S4-S5), and the ventral ramus of the coccygeal nerve (Co). The relative contributions of S4 and S5 are minor and major, respectively.
The name coccyx is derived from the Greek word for 'cuckoo' due to its beak-like appearance. The coccyx itself is made up of three to five vertebrae, some of which may be fused together. The ventral side of the coccyx is slightly concave whereas the dorsal aspect is slightly convex.
The dorsal nerve of the penis is the deepest of three divisions of the pudendal nerve; it accompanies the internal pudendal artery along the ramus of the ischium; it then runs forward along the margin of the inferior ramus of the pubis, between the superior and inferior layers of the fascia of the urogenital diaphragm.
[3] [4] It is inserted by its base into the margin of the coccyx and into the side of the lowest piece of the sacrum. [3] [4] In combination with the levator ani, it forms the pelvic diaphragm. [5] The pudendal nerve runs between the coccygeus muscle and the piriformis muscle, superficial to the coccygeus muscle. [6]