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The Influence of Coccygeal Dynamic Patterns in Ganglion Impar Block for the Treatment of Chronic Refractory Coccydynia.
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.
Visceral nerve interventions in interventional radiology.
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 PDFGanglion Impar Neurolysis to Treat Refractory Chronic Pain From Vulvar Cancer: A Case Report.
Cureus
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 PDFCoccygeal Nerve Blockade vs. Impar Ganglion Blockade in Coccydynia: A Randomised Clinical Trial.
Cureus
September 2024
Department of Algology, Ankara Etlik City Hospital, Ankara, TUR.
Article Synopsis
- Coccydynia is a painful condition affecting the coccyx, and when conservative treatments fail, options like coccygeal nerve block (CnB) and ganglion impar block (GiB) are explored for relief.* -
- In a study involving 56 patients, both CnB and GiB led to significant reductions in pain (as measured by the NRS) and improvements in functionality (using the PARIS questionnaire) after 12 weeks, with no significant difference between the two methods.* -
- CnB, which is guided by ultrasound and avoids radiation exposure, was found to be as effective as the traditional GiB and may be a preferable choice for treating coccydynia due
Understanding the anatomy of pelvic fascia: implications for regional anesthesia.
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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