I have been suffering from pudendal neuralgia for several years, and I’m sorry to hear that you have too. I just have a comment on the nerve block. I had it done at Mayo Phoenix this past year, and the procedure itself was pretty simple. However, I did not get much relief from it. The doctor had told me ahead of time that their success rate was about 50%, but I thought it was worth trying. I pray that yours is more successful.. I have discovered that any kind of body tension, good or bad, can trigger flare ups. I take Horizant for the pain daily, and use lidocaine topical cream when I have to sit for very long - it takes the edge off. I also found that a heating pad is helpful in reducing the tension in the adjacent muscle, ligaments to the pudendal nerve. Hope this helps.