Pudendal neuralgia pain for 10 months

I’ve been experiencing pudendal neuralgia symptoms for 10 months, 8 months in PT. While I had some improvement early on, I returned to work full time in September and progress has stalled entirely. In fact, I feel like I’ve gotten worse in some ways.

My PT has had me doing stretching daily and glute, core and hip strengthening every other day. Despite 8 months of this, my pain levels have not decreased a significant amount, and I’m honesty getting really desperate and feel trapped. I’ve gone through most of the nerve pain medications with little to no effect on my pain levels.

The worst part is that my PT expected me to be mostly recovered at this point. I trust her and she’s been an amazing resource, but the lack of real relief makes me worry that our current treatment plan isn’t working. I’m not really sure where to go from here. I was seen by a PN surgeon who did a physical exam that was pretty benign according to him. Do I pull the trigger on surgery? Does anyone who’s dealing with/has dealt with this have any advice?