Impar Ganglion Block helped a lot

Ive had these symptoms...

1. Pelvic floor pain

2. Orgasm, sexual pain, sometime difficulty getting erection, unless lying on my back.

3. Widespread tailbone pain

4. Perineum pain

Had about 4 surgeries for this, 0 pain increase, 0 pain decrease. The other day I finally had a ganglion of impar block and it helped about 85%, for hours I was working out years of muscles cramps, in my back, in my pelvis, in my legs, and in my neck.

The Doctor I saw, a Dr North in NC, said the next step would be burning the nerves with phenol I believe he said, but Im really do not want to go the burning nerve direction. When I had the block, the pain improved 85% but I still had some sexual pain and difficulty getting an erection while standing.

Burning the nerves would be equal to making the blocks permanent, is what he told me. Yikes...

When I asked Dr North, what caused this pain, he said sometimes the ganglion just get irritated and it doesnt stop...but I feel fairly certain that there is some entrapment, especially since it is worse on the left side.

What are my other options, aside of nerve burning?

3 Replies

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  • Unfortunately, I doubt that nerves once burned stay that way. You're probably still reasonably young, the younger you are the faster they grow back....I heard that pulsed radiofrequency ablation is milder to the nerves and stuns them instead of just burning them off...

    The worst case scenario for nerve is a pain pump or a spinal cord stimulator..my pain dr wanted to implant me with one of those (I'm only 27, so she can .f.. off)...I am very responsive to pain meds and stay on them for now...

    What about pelvic physiotherapy ? a lot of people respond to that!

  • If you mean physical therapy for the pelvis, then yes, I tried that and it made the pain much worse in the short term. Im thinking my options are- possible removal of the tailbone, a block of the inferior hypograstic plexis, and/or a block of the sacro-coccyx joint.

  • Hi charles!!! Just saw your post from a couple years ago. I too have severe pelvic and rectal pain and am having the impar block this Friday!!!! I cannot take this debilitating pain any more!!!!!!! Feel like I have to poop quite often throughout the day but nothing is there!!! I've had ibs for Five years due to stress and opiates. Trying to get off them now. I have degenerative disk disease and had three neck surgeries hence the opiates. Now I take them for the rectal pain!! Excruciating !!!!!! I am a 62 year old woman who feels hopeless!!!! I also take muscle relaxers to help the spasms. I have seen six gi doctors and finally ended up at Stanford!!!!! Have seen two colorectal docs. No effn help!!! Acupuncture and physical therapy haven't helped. My second pelvic therapist is helping but not too much. I was diagnosed with narcotic bowel syndrome. Thank god they have given me a diagnosis but the problem is I have soooo much rectal pain and spasm I can't get off of the norco!!!! It's never ending!!!! So did the impar block really help? This is my last hope!!!!!! I have no clue what else to do!!!!! No one understands the pain I feel. I cannot work and haven't for five years. It usually takes me 3-4 hours every morning to feel somewhat normal where I can leave the house!!!! I do not want to live the rest of my life like this!! If u have any thoughts I would greatly appreciate it!!!!! Desperate in Sacramento!!!!!!

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