Abstract
BackgroundWe aimed to evaluate pain scores one year after impar ganglion block in patients with coccydynia who did not benefit from conservative treatment.MethodsThe medical records of 29 patients with coccydynia were reviewed. Patients who were referred to the algology clinic and underwent impar ganglion blocks were retrospectively evaluated. Demographic data, time to the onset of pain, causes of pain, X-ray findings, administered invasive procedures, and visual analog scale (pain) scores were recorded.ResultsA total of 29 patients were included in the study, 10 males (34%) and 19 females (66%). The average age and body mass index were 53.45 ± 9.6 and 29.55 ± 4.21 respectively. In 21 patients, the onset of pain was associated with trauma. Nineteen patients (65.5%) had anterior coccygeal angulation. The average visual analog scale score before undergoing an impar ganglion block was 7.4 ± 1. After the procedure, the scores at < 3 months, 3–6 months and 6 months-1 year follow-up intervals were significantly lower (p < 0.05). Furthermore, visual analog scale scores at the 3–6 months and 6 months-1 year periods were significantly lower in patients who received diagnostic blocks plus pulse radiofrequency thermocoagulation than in patients who underwent a diagnostic block only.ConclusionsThe impar ganglion block provides effective analgesia without complications in patients with coccydynia. Pulse radiofrequency thermocoagulation combined with a diagnostic block prolongs the analgesic effect of the procedure.
Highlights
We aimed to evaluate pain scores one year after impar ganglion block in patients with coccydynia who did not benefit from conservative treatment
The number of impar ganglion blocks used on patients, the 0.25% bupivacaine+ 40 mg methylprednisolone mixture used, and the application of radiofrequency thermocoagulation (RFT) were recorded
A 1-year follow-up of coccydynia patients demonstrated that the impar ganglion block procedure effectively controlled pain and that a diagnostic impar block (DB) + pulse RFT further prolonged analgesic efficacy
Summary
We aimed to evaluate pain scores one year after impar ganglion block in patients with coccydynia who did not benefit from conservative treatment. Coccydynia is defined as pain in the sacrococcygeal region. It is a disorder that reduces a patient’s quality of life, but it is difficult to treat [1]. Numerous physiological and psychological causes can contribute to its etiology. It is related to chronic inflammation triggered by abnormal mobilization of the coccygeal structures. Childbirth as well as minor but repetitive and direct trauma are considered as possible causal factors.
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