Greetings. My first post on this site. My story is that about 2 and half years ago I had hemorrhoid surgery and subsequently after many doctors and examinations, have come to a working diagnosis of anal nerve involvement possibly related to the actual surgery and the development of scar tissue. My pattern of pain is that when I get up in the AM I am ok but by late morning I develop pinching, burning or what has been described as neuropathic type pain in the anal area which increases in intensity until I am in significant pain and sitting on ice for relief. I have tried gabapentin with little success but do have difficulty with higher doses and being able to function. So much for all the details. My question is has anyone had a similar pain issue and/or had a procedure called a ganglion of Impar injection. I had an injection about three weeks ago but have had no relief. I have another appointment with the pain service but do not know if another injection might be successful or if there is another approach
I am literally quite tired of having a pain the a——
Thank you