Sacroiliac Joints Injection
Targeted injections that aim to reduce inflammation and discomfort arising from the sacroiliac joints, which can contribute to pelvic and lower back pain.
Caudal Epidural
A minimally invasive epidural injection delivered through the base of the spine, which may help ease pelvic, lower back, or leg pain linked to nerve irritation.
Pudendal Nerve Block
A diagnostic and therapeutic injection targeting the pudendal nerve, which may help reduce pelvic, perineal, or genital pain.
Genito Femoral Nerve Block
A targeted nerve block that aims to reduce pain in the groin or upper thigh by calming the genito femoral nerve.
Ilio Inguinal Nerve Block
A minimally invasive injection that may help relieve groin or lower abdominal pain following surgery, injury, or nerve irritation.
Ganglion Impar Block
A specialised injection targeting the ganglion impar, which may help reduce pain in the coccyx, perineum, or lower pelvic region.
Hypogastric Plexus Block
A targeted treatment for deep pelvic pain, aiming to calm the sympathetic nerves that supply the pelvic organs.
IV Lidocaine and Ketamine Infusion
Intravenous infusions that may help reduce widespread or nerve related pelvic pain in selected cases.
Why Specialist Treatment for Pelvic Pain Matters
Pelvic pain can arise from many different structures including joints, nerves, muscles, ligaments, pelvic floor tissues, and pelvic organs. Symptoms often overlap, which can make diagnosis challenging without specialist assessment. Treating only one area without understanding the main drivers of pain can lead to limited improvement and ongoing disruption to daily life.
A consultant led approach ensures your care is guided by clinical expertise, appropriate imaging, and a clear understanding of the pain pathways involved. This supports accurate diagnosis, avoids unnecessary procedures, and helps build a targeted plan that fits your symptoms, goals, and overall health.
Consultant Led Assessment and Diagnosis
Your assessment typically includes a detailed consultation focused on identifying the likely pain generators and any contributing factors. This may include:
• A detailed discussion of symptoms, triggers, and the pattern of pain
• Review of medical history and relevant conditions
• Examination of pelvic, spinal, hip, and abdominal structures where appropriate
• Review of previous investigations such as MRI, CT, ultrasound, or specialist reports
• Consideration of prior surgery, childbirth, trauma, infections, and nerve related features
• Collaboration with gynaecology, urology, colorectal, or orthopaedic specialists when appropriate
If further investigations are needed, your consultant will advise the most suitable options. The goal is to build a clear picture of what is driving your pain so that treatment can be precise rather than general.
Targeted, Evidence Based Interventions
Once the likely source of pain is identified, your consultant will discuss suitable treatment options. These may include:
• Image guided nerve blocks to calm irritated pelvic nerves
• Epidural injections to reduce inflammation around spinal or sacral nerves
• Sympathetic nerve blocks for deep pelvic or visceral pain pathways
• Targeted injections for sacroiliac joint related pelvic pain
• Procedures for coccyx or perineal pain such as ganglion impar block
• IV infusions for nerve related pain and central sensitisation in selected cases
• Combined approaches with pelvic floor therapy, physiotherapy, or multidisciplinary pain management
Each treatment is selected based on symptoms, examination findings, imaging results, and your overall health. The aim is always to use the least invasive option that may provide meaningful benefit.
Focused on Long Term Relief and Function
Managing pelvic pain involves more than reducing discomfort. Your consultant will work with you to support practical improvements in daily life, including:
• Improved mobility and daily function
• Reduced flare ups through tailored pacing and activity strategies
• Pelvic floor health and muscle balance where relevant
• Reduced nerve sensitivity using targeted interventions when appropriate
• Coordination with physiotherapists and pelvic floor specialists
• Ongoing review to adjust treatment if symptoms change
Many patients benefit from a combination of targeted procedures and structured rehabilitation. This integrated approach aims to support long term improvement rather than short term relief alone.
Book a consultation to explore the most suitable options for your pelvic pain.