A comparative and retrospective study on the efficacy of caudal epidural steroid injection plus ganglion impar block versus ganglion impar block in patients with coccydynia
نویسندگان
چکیده
Aim: Coccydynia is defined as pain in the area of coccyx. The initial treatment conservative therapy, although several interventional treatments can be performed patients who do not respond well. purpose this study to evaluate efficacies ganglion impar blocks and caudal epidural steroid injections coccydynia. Materials Methods: From January 2019 June 2021, a retrospective review was conducted on 65 underwent block (n = 25) or injection 40) for Pain scores at baseline first third months after procedure were compared between two groups. Results: In both groups, statistically significant decrease found when post-injection Visual Analog Scale (VAS) basal VAS (p < 0.05). However, no difference groups 0.39 p 0.82, respectively). Conclusion: Ganglion effective with coccydynia providing relief. addition has additional contribution
منابع مشابه
Ganglion impar block in patients with chronic coccydynia
INTRODUCTION 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 ...
متن کاملGanglion of Impar Block
The target in the procedure is the ganglion of impar – also known as the ganglion of Walther or sacrococcygeal ganglion. It is a singular retroperitoneal structure located at the level of the sacrococcygeal junction (SCJ). There are 4 or 5 small sacral ganglia with the ganglion Impar being the most caudal segment of the confluence of the sacral sympathetic chain as it passes anteromedially over...
متن کامل[Application of ganglion impar block in patient with coccyx dislocation].
Sacrococcygeal dislocation is a rare injury. The ganglion impar (also called the ganglion of Walther) is a single, small solitary, sympathetic ganglion located in the retrorectal space, anterior to the sacrococcygeal joint or coccyx. It provides the nociceptive and sympathetic supply to the perineal structure. Ganglion impar blockade is not a routinely used anesthetic and analgesic procedure in...
متن کاملRepeated Ganglion Impar Block in a Cohort of 83 Patients with Chronic Pelvic and Perineal Pain.
BACKGROUND The ganglion impar is the first pelvic ganglion of the efferent sympathetic trunk that relays pelvic and perineal nociceptive messages and therefore constitutes a therapeutic target. OBJECTIVE The objective of this single-center study was to evaluate the effectiveness of 3 repeated ganglion impar blocks in patients with chronic pelvic and perineal pain on intention-to-treat. STUD...
متن کاملGanglion Impar block for sympathetically mediated pain in a patient with a rectourethral fistula.
A 34-year-old man presented to our pain clinic with a rectourethral fistula following urethroplasty for posttraumatic stricture urethra. Following urethroplasty, the patient’s urinary obstruction was not relieved, so he underwent suprapubic cystostomy. During the passage of urine through the suprapubic cystostomy catheter, a small amount of urine leaked out through the urethra and anal opening,...
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ژورنال
عنوان ژورنال: Annals of medical research
سال: 2022
ISSN: ['2636-7688']
DOI: https://doi.org/10.5455/annalsmedres.2022.07.217