At Presidio Pain Relief, we offer advanced, minimally invasive procedures such as the ganglion impar block to help patients suffering from chronic pelvic and tailbone pain regain comfort and improve their quality of life. A ganglion impar block is a specialized injection procedure provided by our experienced pain management specialists, aimed at alleviating persistent pain originating from areas such as the coccyx (tailbone), rectum, anus, perineum, and genital region. The ganglion impar is a small cluster of nerve cells situated near the tailbone, specifically where the sacrum meets the coccyx, acting as a relay point for pain signals from the pelvic and perineal areas.

During the procedure at Presidio Pain Relief, we ensure patient comfort by positioning patients carefully—usually lying face down or on their side. Our physicians utilize advanced imaging technologies, such as fluoroscopy (X-ray) or ultrasound guidance, to accurately direct a thin needle toward the ganglion impar. Once the needle's position is precisely confirmed, we inject a carefully chosen combination of local anesthetics and corticosteroids. This targeted injection provides rapid relief by immediately interrupting pain signals traveling through the ganglion impar. Additionally, the steroid component reduces inflammation and swelling, extending the duration of pain relief. For patients experiencing temporary improvements but continuing chronic discomfort, our medical team may recommend additional treatments, including neurolytic injections or radiofrequency ablation, which provide longer-lasting relief by more permanently disrupting pain signals.

At Presidio Pain Relief, ganglion impar blocks are frequently recommended for our patients suffering from chronic conditions such as coccygodynia (tailbone pain), pelvic pain syndromes, pain related to certain cancers, and persistent discomfort following rectal or perineal surgeries. Although generally safe and minimally invasive, we carefully discuss potential risks with each patient, which may include temporary soreness at the injection site, infection, bleeding, or—in rare cases—nerve injury or allergic reactions. Our skilled professionals closely monitor each patient’s response to ensure optimal outcomes and safety.

Patients receiving a ganglion impar block at Presidio Pain Relief typically experience immediate pain relief, significantly enhancing their comfort and daily functioning. The duration of pain improvement varies from patient to patient, ranging from several weeks to several months. Our goal is always to provide personalized care, accurate diagnosis, and effective treatments that help our patients achieve lasting pain relief and improved quality of life.