Successful Multidisciplinary Management of Foot Pain With Orgasm: A Case Report

Abstract

Abstract Introduction There is very little literature on referred pain syndromes with orgasm. Referred foot pain with orgasm is rare and evidence based diagnosis and management is not defined. Dysorgasmia is a pain condition that can severely affect sexual health and quality of life. Aim To add to the understanding and scant literature on referred orgasmic pain with pelvic floor and myofascial etiology. Methods A 34-year-old cis-female presented to a Physiotherapist, Sexual Medicine Physician, and Sex Therapist with a rare case of new insidious onset right foot pain with orgasm. Results Femoral nerve entrapment was diagnosed at the level of the inguinal ligament, referring pain to the right terminal sensory branch of the saphenous nerve along the medial aspect of the foot. Physiotherapy management resolved the patient's pain, while medical assessment was important to rule out numerous potential pathologies and to facilitate multidisciplinary management. Psychological therapy via sex therapy was integral in the highly successful and improved sexual outcome for this patient and her husband. Conclusion This case report details the successful multi-disciplinary assessment and management of a rare dysorgasmia and the importance of addressing sexual sequelae to add to the small amount of literature on difficult referred pain syndromes during sexual arousal and orgasm.