JOMPAC
Journal of Medicine and Palliative Care

Journal of Medicine and Palliative Care (JOMPAC) is an open access scientific journal with independent, unbiased, and double-blind review under international guidelines. The purpose of JOMPAC is to contribute to the literature by publishing articles on health sciences and medicine.

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Original Article
Clinical outcomes of combined ganglion impar block and caudal epidural steroid injection in chronic perineal pain: a retrospective study
Abstract
Aims: Chronic perineal pain is a complex and debilitating condition that often shows limited response to conservative treatment modalities. Ganglion impar block (GIB) and caudal epidural steroid injection (CESI) are established interventional techniques; however, clinical data on their combined use are limited. This study aimed to evaluate the effectiveness and safety of performing GIB and CESI concurrently in patients with chronic perineal pain. Methods: This retrospective study included 43 patients who underwent combined GIB and CESI in a single session. Demographic and clinical data were obtained from medical records. Pain intensity was assessed using the Visual Analog Scale (VAS) at baseline, 3 weeks, and 6 months after the procedure. Adverse events and the need for repeat interventions were also evaluated. Results: The study population consisted predominantly of female patients (81.4%), with a mean age of 41.79±14.10 years. Trauma was the most common pain etiology (62.8%). Median VAS scores decreased significantly from 8 [6–10] at baseline to 0 [0–8] at 3 weeks and to 2 [0–8] at 6 months (p

Keywords : Ganglion impar block, caudal epidural steroid injection, chronic perineal pain, interventional pain management

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Article available in :
Volume 7, Issue 2, 2026
Page : 323-329
https://doi.org/10.47582/jompac.1867518
Article Information
Received : 20 Oca 2026
Accepted : 01 Mar 2026
Published : 27 Mar 2026
Corresponding Author :

Gözde Çelik: Department of Pain Medicine, Malatya Training and Research Hospital, Malatya, Turkiye

[email protected]
Citation : Çelik G, Farham F, Aktan Ç, İnan N. Clinical outcomes of combined ganglion impar block and caudal epidural steroid injection in chronic perineal pain: a retrospective study. J Med Palliat Care. 2026;7(2):323-329. doi:10.47582/jompac.1867518

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