AI Article Synopsis

  • Chronic coccygodynia, a challenging condition accounting for 1% of back pain referrals, significantly impacts patients' daily life and is tough to treat.
  • The study aimed to evaluate the effectiveness of pulsed radiofrequency treatment administered to the Ganglion of Impar in patients who did not respond to conventional medical therapies.
  • Results showed that 75% of the 20 patients reported more than 50% pain relief after treatment, indicating that this approach can be beneficial for persistent cases of coccygodynia.

Article Abstract

Background: Chronic coccygodynia accounts for 1% of all back pain referrals and very difficult to treat with an enormous functional deficit.

Objective: The purpose of this case series was to examine the effectiveness of pulsed radiofrequency treatment to the Ganglion of Impar in chronic coccygodynia patients unresponsive to comprehensive medical management.

Methods: Coccygodynia is defined as pain in and around the coccyx [1,2]. This retrospective review of twenty patients with a clinical diagnosis of coccygodynia and failed medical management treated with pulsed radio frequency applied to the Ganglion of Impar between January 2009 to December 2011 was carried out. A successful outcome was defined as > 50% improvement in pain on the visual analogue scale at 6 and 12 months follow-up.

Results: The application of pulsed radio frequency to the Ganglion of Impar was successful in fifteen (75%) patients and their mean pre treatment visual analogue scale score of 6.53 was reduced to 0.93 at 6 and 12 months follow up. In five (25%) patients the treatment was not successful and there was no difference between mean pre and post treatment visual analogue scale scores.

Conclusion: We conclude that pulsed radio frequency treatment of the Ganglion of Impar should be considered when coccygodynia has proven resistant to medical management.

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Source
http://dx.doi.org/10.3233/BMR-140454DOI Listing

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