Interventional Procedures in Pain Management

Question 1

Name the block:

• perineal and rectal pain
• distal urethral and scrotal pain
• distal 1/3 vaginal pain, vulvodynia

Answer 1

Ganglion impar / Walther block
Location: anterior to coccyx
Easy access

Question 2

Name the block:

• lower abdominal or pelvic pain
• innervated pelvic viscera (bladder, prostate, uterus, rectum, vagina)

Answer 2

Superior hypogastric plexus block
Location (anterior to L5-S1)
Technically challenging

Question 3

Name the block:
- sensory innervation and sympathetic outflow to stomach, liver, spleen, pancreas, kidney, and GI tract UP TO splenic flexure

Answer 3

Celiac Plexus Block (largest plexus of the sympathetic system)
Location: plexus located at T12-L2 anterior to the aorta, in the retroperitoneal space

Question 4

Name the Block:

- Trigeminal nerve pain

Answer 4

Gasserian / Trigeminal ganglion block

Question 5

Name the block:

- for tongue, posterior pharynx pain

Answer 5

Glossopharyngeal nerve block

Question 6

Name the block:

- somatic / neuropathic chest wall pain

Answer 6

Intercostal nerve block or Dorsal root ganglion block

Question 7

Name the block:

• sympathetic nerves that go to the arm, or to a degree, the face
• reduces pain, color, swelling, and sweating

Answer 7

Stellate ganglion block