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."
5/5
Richard T.
“Dr. Johal has always been attentive to my health problem and I was greatly impressed when he was in my operation.”
5/5
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!"
5/5
John M.
"Amazing doctor. Very like-able personality and will provide excellent care to all his patients."
5/5
Omar E.
"Compassionate Care ...with understanding and equality .."
5/5
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.”
5/5
Gloria P.
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Inderbir Johal, M.D.

Interventional Pain Medicine Specialist
Anesthesiologist

Dr. Inderbir Johal, M.D. is a highly-skilled interventional pain management physician. Following a rigorous residency program in anesthesiology at Rush University Medical Center, Dr. Johal completed an intensive fellowship at John H. Stroger, Jr. Hospital of Cook County.

Dr. Johal is passionate about his patients and their experience at Prestige Pain. Compassionate in his clinical approach, Dr. Johal uses leading-edge, minimally-invasive approaches to address acute and chronic pain effectively.

Dr. Johal welcomes your correspondence.

Gurbir Johal, M.D.

Interventional Pain Medicine Specialist
Anesthesiologist

Dr. Gurbir Johal is a highly-skilled interventional pain management physician. Following a rigorous residency program in anesthesiology at the prestigious University of Chicago Medical Center, Dr. Johal completed an intensive fellowship in pain medicine at the University of Chicago Pain Medicine Center.

Dr. Johal is passionate about his patients and their experience at Prestige Pain. Compassionate in his clinical approach, Dr. Johal uses leading-edge, minimally-invasive approaches to address acute and chronic pain effectively.

Dr. Johal welcomes your correspondence.