Barış Özöner Erzincan University School of Medicine

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Presentation transcript:

Fluoroscopically guided ganglion impar block in the management of chronic coccydynia Barış Özöner Erzincan University School of Medicine Neurosurgery Department

Coccydynia Description Etiology Treatment Tailbone pain Childbirth Accident Prolonged strain Poor posture Overweight or underweight Treatment Acute Self-care, hot or cold packs Doughnut cushions NSAIDs Chronic (>8 weeks) Phsysoteraphy Injections

Ganglion impar block

Ganglion impar block

Fluoroscopically guided ganglion impar block in the management of chronic coccydynia Aim: Conservative treatment fails Determine the effect of injection Material and Method: Three years of time (January 2015 – January 2018) 89 patient with coccydynia Conservative manegement fails in 28 (31,4%) cases Fluoroscopy guided trans-sacro-coccygeal ganglion impar block Triamsinolon asestat + bupivacain Visaul Analog Scale (VAS) 6 moths follow-up VAS 5 points or more reduction = Succesfull outcome

Results Gender: 23 (82,1%) female Age: 32.9 ± 7.2 (Range: 18-49)

Conclusion Ganglion impar block in chronic coccydynia Effective Significantly effective in early onset but its effect decreses in 6 months follow up