Ganglion Impar Injection is a procedure used to reduce some of the symptoms of chronic pelvic or rectal pain by blocking nerve impulses. The ganglion impar is a structure located at the level of the coccyx.
Ganglion impar injection is an effective treatment to treat tailbone pain (coccydynia)
What happen during the Ganglion Impar Injection?
Ganglion impar injection for tailbone pain is done under local anaesthesia. Patient will be positioned lying on stomach.
Patient’s back will be cleaned with iodine and sterile draped. The doctor will numb your skin with a small needle, which will sting just a bit. It is very important to hold still and let us know if we are causing you discomfort.
Next, our tailbone specialist (Dr Mathew Tung) will use an ultrasound machine to guide the needle into the correct spot. Local anaesthetic and steroid are then injected through the needle.
Your pain may improve immediately after the injection due to the local anaesthetic. It is important to keep track of how you feel for the remainder of the day. The steroid usually takes two or three days to have an effect in most people and peaks in about two weeks.
What happen AFTER ganglion impar injection?
After the procedure, you will go to the recovery area. You will remain there for 15 to 30 minutes before being discharged home. You may have some local tenderness from the needles, which ice may help relieve.
What is the success rate of Ganglion Impar Injection? How effective is ganglion impair injection for coccydynia?
Most patients with true coccydynia will receive 100% or nearly 100% initial relief via appropriately placed injections with local anaesthetic. Most patients with severe coccyx pain are indeed pleasantly shocked at the amount of relief that they can receive.
However, the local anaesthetic will typically wear off within a matter of a few hours.
When the local anaesthetic wears off, the coccyx pain usually returns, but usually NOT AS SEVERE as it was prior to the injection.
In some patients, a single injection may provide 100% relief that lasts long-term (without ANY coccyx pain returning at all)
Restrictions after ganglion impar injection
Following your procedure, you are not allowed to drive for the remainder of the day. Do not go swimming or soak in a tub, pool or Jacuzzi on the day of your procedure. Otherwise, you may resume your other normal activities.