Spine & Orthopedic Pain Centers

Ganglion Par Block

A ganglion impar block reduces chronic pelvic or rectal pain that is refractory to conventional therapies. It blocks painful nerve impulses. It is a minimally invasive procedure that is given in the area of the body known as the ganglion impar, which is located where the sacrum and coccygeus merge deep to the buttocks in the midline. It is done under x-ray guidance.

Pain in this region can present with burning or pain with bowel movements.This bundle of nerves sends pain and sympathetic signals to different structures around your body.

These include the:

  • Distal rectum
  • Anal region
  • Perineum
  • Distal urethra
  • Distal vagina
  • Scrotum or vulva

The underlying causes can be caused by a variety of conditions such as:

  • Poor blood supply to nerves
  • Chronic pancreatitis
  • Non-malignant pain syndromes
  • Cancer of the upper abdomen
  • Vaginal protrusion or prolapse
  • Testicular ablation
  • Thrombosed veins after surgery
  • Excess sweating in the perineum
  • Rectal cancer
  • Chronic perineal cancer
  • Failed spine surgery
  • Malformation of the spinal cord
  • Sacral postherpetic neuralgia-pain that persists after a shingles outbreak
  • Sexually transmitted diseases, chronic urinary tract infections and an inflamed prostate
  • Coccydynia-pain from the tailbone from a fall or injury

"Great staff and Dr Johal very caring Dr."
Richard T.
“Dr. Johal has always been attentive to my health problem and I was greatly impressed when he was in my operation.”
Ana J.
"Dr. Johal gave me my life back! Can’t say enough good thing about him or his practice. My wife is now also seeing him for her neck pain!"
John M.
"Amazing doctor. Very like-able personality and will provide excellent care to all his patients."
Omar E.
"Compassionate Care ...with understanding and equality .."
Dustin S.
“I like Dr. Johal he understands your pain he’s a good doctor and I don’t say that about a lot of doctors.”
Gloria P.
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