Ganglion Impar Pulsed Radiofrequency for Coccyx Pain

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[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...

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Coccyx Pain Treatment & Management: Approach Considerations, Coccygectomy, Ganglion Impar Sympathetic Nerve Blocks

Older techniques for performing the ganglion impar block involved approaching the anterior sacrococcygeal region by using a curved needle inserted below the distal coccygeal tip. The older technique required a larger-diameter and longerlength needle (in particular, the longer length of that needle being inserted into the patient) compared with the current (transsacrococcygeal) approach, which u...

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Ganglion Impar Radiofrequency Ablation For Intractable Cancer Pain: A Case Report

Submit Manuscript | http://medcraveonline.com Pelvic and perineal pain are common in patients with malignancy of pelvic organs. Neoplastic invasion of neural tissues and infiltration of organs and sphinters results in severe pain whose treatment requires high doses of medications and often results in unsatisfactory pain relief [1]. Ganglion impar neurolysis is a well documented technique to red...

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Impar ganglion radiofrequency application in successful management of oncologic perineal pain.

Impar ganglion is a solitary ganglion located retroperitoneally at the end of paravertebral sympathetic chain and usually in front of sacrococcygeal joint. Solitary or metastatic tumour in the surrounding tissues causes poorly localized pain. This case report presents a 75-year old male patient with colon cancer, whose severe pain during defecation could not be controlled with conventional high...

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pulsed radiofrequency of lumbar dorsal root ganglion for chronic postamputation phantom pain

two patients with phantom pain were selected for the study. after a positive response to segmental nerve blockade at the l4 and l5 nerve roots, prf was performed on the l4 and l5 dorsal root ganglia. global clinical improvement was good in one patient, with a 40% decrease in pain on the visual analogue scale (vas) in 6 months, and moderate in the second patient, with a 30% decrease in pain scor...

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ژورنال

عنوان ژورنال: Journal of Pain and Symptom Management

سال: 2011

ISSN: 0885-3924

DOI: 10.1016/j.jpainsymman.2010.12.003