Ganglion impar block in patients with chronic coccydynia

The Indian Journal of Radiology & Imaging
Nitesh GonnadePramod Kumar Sharma

Abstract

Coccydynia refers to pain in the terminal segment of the spinecaused by abnormal sitting and standing posture. Coccydynia is usually managed conservatively, however in nonresponsive patients, ganglion impar block is used as a good alternate modality for pain relief. This article studies the effect of ganglion impar block in coccydynia patients who were not relieved by conservative management. The study was carried out at the pain clinic in the departments of Physical Medicine and Rehabilitation and Radiology in a tertiary centre in India. It was a prospective hospital-based study, in which 35 patients with coccydynia were considered for fluoroscopy-guided trans-sacro-coccygeal ganglion impar block. The outcome assessment was done using Numerical Rating Scale (NRS) and Oswestry Disability Index (ODI) scores for a follow-up period of 6 months. Of the 35 patients, 4 were lost to follow-up. Analysis was done usingthe data from the remaining 31 patients. The mean age of the patients suffering from chronic coccydynia was 42.9 ± 8.39 years, and patients' age range was 28-57 years. The mean score of NRS and ODI before the procedure was 7.90 ± 0.16 and 48.97 ± 1.05, respectively. The interquartile range (IQR) of NRS score remained almos...Continue Reading

References

Mar 25, 2015·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Osman Hakan GunduzOzge Kenis-Coskun

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Citations

Jul 5, 2018·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Savas SencanOsman H Gunduz
Sep 10, 2018·Neurologia i neurochirurgia polska·Savas SencanOsman Hakan Gunduz
Jan 19, 2021·BJA Education·N SandrasegaramM Baloch
Jan 22, 2019·The Indian Journal of Radiology & Imaging·Patrick M FoyeGerard John D'Onofrio

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