Alívio da dor após bloqueio do gânglio ímpar e ablação por radiofrequência em pacientes com coccigodínia: Uma revisão sistemática

Choudhary, Ranjeet; Kunal, Kishor; Kumar, Dhirendra; Nagaraju, Venishetty; Verma, Shilp

doi:10.1055/s-0041-1735829

Cited by 7 publications

(11 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Our data indicated a significant difference in the success rate of the ganglion block (defined as at least a 20% reduction in pain from baseline) immediately after the procedure and at the one-month follow-up. The precise identification of the ganglion's location is critical for the success of the block ( 29 ).…”

Section: Discussionmentioning

confidence: 99%

Assessment of Ganglion Impar Block Effect on Treatment Results of Coccydynia: A Cross-Sectional Study

Nasiri,

Farajzadeh Vajari,

Sane

et al. 2024

Anesth Pain Med

View full text Add to dashboard Cite

Background: The ganglion impar block is a minimally invasive technique used for alleviating pain associated with coccydynia. Objectives: This research evaluates the effectiveness of the ganglion impar block in treating patients with coccydynia who have not benefited from conservative treatments. Methods: This cross-sectional analysis reviewed the clinical records of coccydynia patients who received ganglion impar block injections at Urmia Imam Khomeini Hospital, Urmia, Iran, between 2020 and 2022. Data regarding age, gender, body mass index (BMI), onset of pain, and levels of patient satisfaction post-treatment were gathered from the medical records. Results: The study comprised 26 patients, with 4 (15.4%) being male and 22 (84.6%) female. The average age and BMI were 39.15 ± 14.24 years and 28.91 ± 2.14 kg/m2, respectively, which did not show significant variation (P = 0.19). The average Visual Analogue Scale (VAS) score before the ganglion impar block was 6.23 ± 2.35, which reduced to 4.47 ± 2.41 immediately after the procedure. At the 1-month follow-up, the average VAS score had further decreased to 3.47 ± 0.79. The decrease in VAS scores, both immediately after the procedure and at the 1-month follow-up, was statistically significant. The success rate of the block (defined as a reduction in pain of at least 20% from the baseline) was significantly high immediately and one-month post-procedure (P < 0.001). Out of the 26 patients treated with the impar block, satisfaction rates were 42.3% excellent, 27% good, 19.2% fair, and 11.5% poor. Conclusions: The study endorses the trans-sacro-coccygeal “needle inside needle” method for providing relief to patients suffering from coccydynia. The findings revealed significant patient satisfaction, with the majority describing their experience as excellent.

show abstract

Section: Discussionmentioning

confidence: 99%

Assessment of Ganglion Impar Block Effect on Treatment Results of Coccydynia: A Cross-Sectional Study

Nasiri,

Farajzadeh Vajari,

Sane

et al. 2024

Anesth Pain Med

View full text Add to dashboard Cite

show abstract

“…Найчастіше спостерігається травматична етіологія, наприклад, травма куприка, спричинена падінням назад на тверду поверхню, вивихом куприка чи травмою під час пологів, гіпермобільніс тю або спікулами (ос теофітами) куприка. Інфекція чи пухлини куприка є рідкіснішими причинами [7,8].…”

Section: вступunclassified

“…Дорослі та підлітки частіше страждають на це захворювання. Ожиріння також пов'язане з підвищеним ризиком розвитку КД [8,11].…”

Section: вступunclassified

“…Більшість випадків КД (близько 90%) можна лікувати консервативною терапією (нестероїдні протизапальні засоби (НПЗЗ), модифікація способу сидіння, використання спеціальних куприкових подушок, реабілітація та вправи д ля тазового дна, теплові й холодні компреси, черезшкірна електрична стимуляція нервів, ударно-хвильова терапія, фізіотерапія) [9]. У разі неефективності консервативного лікування можна застосувати прямі ін'єкції навколо куприка (паракокцигіальні блокади), каудальні епідуральні стероїдні ін'єкції або втручання на непарному вузлі (НВ) [6][7][8][9]. В окремих випадках виконують кокцигектомію.…”

Section: вступunclassified

“…В окремих випадках виконують кокцигектомію. З огляду на високу частоту уск ладнень хірургічне втручання розглядають лише тоді, коли інші засоби знеболювання не допомагають [8].…”

Section: вступunclassified

See 2 more Smart Citations

Minimally Invasive Interventions on Ganglion Impar in Treatment of Patients with Coccygodynia

Romanukha,

Biloshytsky

2024

Ukr Neurosurg J

View full text Add to dashboard Cite

Chronic pelvic pain (CPP) is usually treated conservatively, but in patients who do not respond to treatment, ganglion impar (GI) interventions are used as an alternative way to reduce pain. Objective ‒ to study the course of pain syndrome and functional status in patients with coccygodynia (CD) and CPP during the application of minimally invasive interventions on GI. Materials and methods. The analysis of the results of 56 interventions on GI in 50 patients was performed. Inclusion criteria were patients with coccyx pain for ≥3 months aged 23 to 71 years (mean age 47.9±14.8years) who did not respond to conservative treatment methods. 15 (35.7%) of the study participants were male and 27 (64.3%) were female. Interventions were performed on the patients according to five different methods, which were divided into two groups: the first group (n=34) ‒ GI block (GIB) with a local anesthetic and a steroid (patients with CD in whom medical conservative methods of treatment were not effective). The second group (n=14) consisted of persons with recurrent pain syndrome, resistant forms of CD and CPP, including after previously performed steroid injections: n=2 – neurolysis of GI with ethyl alcohol; n=2 – neurolysis of GI by phenol; n=3 – radio frequency modulation of GI; n=7 – radiofrequency ablation of GI. Results. 14.0% of all study participants had post-traumatic CD (history of falling on the coccyx), the vast majority of 86.0% ‒ idiopathic CD. Pain intensity was significantly lower post-intervention compared to baseline VAS mean of 7.6±1.5 cm: 2.5±0.9 cm one-week post-procedure, 1.5±1.9 cm one month, 1.3±1.5 cm three months, 2.1±1.2 cm six months. The average score according to the Karnovsky Scale (KS) before and after the procedure was 73.3±6.3% and 83.9±4.9%, respectively. Conclusions. Interventions on ganglion impar are an effective method of treating patients with coccygodynia of various etiology, which significantly reduce pain according to the VAS scale (p<0.001) and improve the quality of life according to the KS (p<0.001) in dynamics after 1, 3, 6 months. Minimally invasive interventions on ganglion impar make it possible to reduce tissue trauma, to quickly recover for patients after the procedure, and to minimize any complications. In the first and second groups of the study, there was a decrease in the pain on the VAS from 8.0 cm to 2.0 cm (p<0.0001) and from 7.0 cm to 2,7 cm (p<0.001) before and after the procedure, respectively. In the first and second groups of the study, there was an improvement in the indicator of functional status according to the KS from 70% (95% сonfidence interval (CI) 60‒90%) to 90% (95% CI 70‒100%, p<0.0001) and from 70% (95% CI 70‒90%) to 90% (95% CI 80‒100%, p=0.001) before and after the procedure, respectively.

show abstract

Ganglion Impar Blocks

Ortiz,

Lubrano,

Breidenbach

et al. 2024

Essentials of Interventional Techniques in Managing Chronic Pain

View full text Add to dashboard Cite

Alívio da dor após bloqueio do gânglio ímpar e ablação por radiofrequência em pacientes com coccigodínia: Uma revisão sistemática

Cited by 7 publications

References 29 publications

Assessment of Ganglion Impar Block Effect on Treatment Results of Coccydynia: A Cross-Sectional Study

Assessment of Ganglion Impar Block Effect on Treatment Results of Coccydynia: A Cross-Sectional Study

Minimally Invasive Interventions on Ganglion Impar in Treatment of Patients with Coccygodynia

Ganglion Impar Blocks

Contact Info

Product

Resources

About