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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http://dx.doi.org/10.3233/BMR-140454 | DOI Listing |
J Orthop Case Rep
November 2024
Department of Orthopaedics, Chettinad Hospital and Research Education, Chettinad Academy of Research and Education, Kelambakkam, Tamil Nadu, India.
Introduction: Patients with persistent coccygodynia who do not respond to conventional therapies may undergo ganglion impar block (GIB). We looked at how GIB therapy for individuals with persistent coccygodynia affected their coccygeal dynamic patterns.
Materials And Methods: Patients with persistent coccydynia with GIB once using a trans-Sacro-coccygeal technique with fluoroscopy supervision were taken up for the study.
Tech Vasc Interv Radiol
September 2024
Division of Interventional Radiology, Massachusetts General Hospital, Boston, MA. Electronic address:
Chronic abdominal visceral pain management often requires multidisciplinary collaboration. Image-guided visceral nerve interventions may be critical in the management of visceral pain refractory to medical treatments. Abdominal and pelvic pain is mediated by specific nerves involving specific ganglia.
View Article and Find Full Text PDFCureus
September 2024
Anesthesiology, Rutgers University New Jersey Medical School, Newark, USA.
Cancer pain treatment currently consists of the administration of pain medications, radiation therapy, tumor ablation as well as neurolytic plexus blocks. Neurolytic plexus blocks target both sensory afferent fibers and sympathetic fibers innervating visceral organs. Finding the right block for a specific type and location of cancer-related pain is crucial for the successful control of pain.
View Article and Find Full Text PDFCureus
September 2024
Department of Algology, Ankara Etlik City Hospital, Ankara, TUR.
Minerva Anestesiol
September 2024
Department of Anesthesiology, Beijing Friendship Hospital, Capital Medical University, Beijing, China -
The fascia, a continuous structure around the whole body across various anatomical locations, remains underexplored in regional anesthesia. The pelvic fascia is a particularly controversial and complicated anatomical structure. It holds significant relevance not only for surgeons but also in the realms of regional anesthesia and pain management.
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