Evaluation of the Results of Ganglion Impar Blockade in Patients with Chronic Coccydynia

dc.authorid0000-0002-7739-9844
dc.contributor.authorGökoğlu, Abdulkerim
dc.contributor.authorYiğit, Hüseyin
dc.contributor.authorUnur, Erdoğan
dc.date.accessioned2025-02-12T09:35:18Z
dc.date.available2025-02-12T09:35:18Z
dc.date.issued2024en_US
dc.departmentKapadokya Üniversitesi, Kapadokya Meslek Yüksekokulu, Anestezi Bölümü
dc.description.abstractOur study examined whether bupivacaine and steroid injections followed by Radiofrequency Thermocoagulation (RFT) improved symptoms among coccydynia patients. The Ganglion Impar Block (GIB) treatment of eight patients with coccydynia in our neurosurgery clinic was reviewed. A retrospective analysis of demographics, pain causes, X-ray results, types of invasive procedures, and Visual Analog Scale (VAS) and Oswestry Disability Index (ODI) scores was performed. VAS and ODI scores were recorded before the procedure, the first day after the procedure, and three months after the procedure. The study included five females (62.5%) and three males (27.5%). The mean age of the patients was 4 0.5 ± 10.6 years, and the mean BMI was 26.21 ± 4.2 kg/m². Two patients had idiopathic neuralgia, two had trauma -related neuralgia, two had post-herpetic neuralgia, and one patient had persistent pain following previous anorectal surgery and S2 perineural c ystrelated pain. There was a significant improvement in both VAS [2.5 (range: 1 -4)] and ODI scores [4 (range: 0-34)] on the first day after the procedure (p<0.001). These low scores were maintained at the third month [VAS: 1.5 (range: 1 -10) and ODI: 1 (range: 0-78)]. In only one patient, excision of the coccyx was planned due to inadequate pain relief. In patients with coccydynia, bupivacaine and steroid injections followed by RFT provide satisfactory long -term analgesia, as evidenced by decreased VAS and ODI scores.
dc.identifier.endpage586en_US
dc.identifier.issue4en_US
dc.identifier.startpage579en_US
dc.identifier.urihttps://doi.org/10.5505/ejm.2024.22587
dc.identifier.urihttps://hdl.handle.net/20.500.12695/3294
dc.identifier.volume29en_US
dc.institutionauthorYiğit, Hüseyin
dc.language.isoen
dc.relation.ispartofEastern Journal of Medicine
dc.relation.publicationcategoryMakale - Uluslararası - Editör Denetimli Dergi
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectGanglion Impar Blockade
dc.subjectCoccyx
dc.subjectCoccydynia
dc.subjectGIB
dc.subjectRFT
dc.subjectVAS
dc.subjectODI
dc.titleEvaluation of the Results of Ganglion Impar Blockade in Patients with Chronic Coccydynia
dc.typeArticle

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