A ganglion Impar injection is a minimally invasive procedure used to relieve chronic pelvic and perineal pain, including tailbone pain (coccygodynia), pelvic pain, or pain from certain cancers. This procedure targets the ganglion Em par, a small nerve cluster near the tailbone, which can be responsible for persistent pain in these areas.

During the procedure, you’ll lie on your stomach while the doctor uses fluoroscopy (a type of live X-ray) to guide a needle to the ganglion Em par. A local anesthetic is injected for immediate pain relief, along with a steroid to help reduce inflammation for longer lasting results. The procedure is quick and is typically done in an office setting.

Alternatives to this injection include physical therapy, oral pain medications, nerve blocks, or in some cases, neuromodulation techniques like spinal cord stimulation. If conservative treatments haven't helped, a radiofrequency ablation procedure may also be an option to prolong pain relief.

Before the procedure, you may need to stop blood thinners like aspirin, fast for eight hours for solid foods and two hours for clear liquids, and inform your medical team of any allergies. You’ll also need someone to drive you home since you shouldn’t drive or operate machinery for the rest of the day.

Risks are low but may include temporary discomfort at the injection site, infection, bleeding, or in rare cases, an allergic reaction.

Pain relief may be immediate and can last weeks or longer, depending on your condition. Repeat treatments may be needed for continued relief.

Our team is here to help guide you toward the best treatment for your condition.