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

2. 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

3. Ganglion impar block

4. Ganglion impar block

5. 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

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

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