Diagnosis and management of sacrococcygeal pain

Sandrasegaram, N.; Gupta, Rajesh; Baloch, Mohjir

doi:10.1016/j.bjae.2019.11.004

Cited by 3 publications

(2 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Their study revealed that ganglion impar helps in decreasing the neuropathic component of chronic coccydynia; which improves painless sitting in patients. 11 Yet, its reflections on quality of life is ambiguous. However, Savas et al conducted another comparative analysis on the treatment outcomes in using ganglion impar blockade and caudal epidural steroid injection to treat chronic coccygodynia among patients.…”

Section: Discussionmentioning

confidence: 99%

Ganglion Impar Block for Chronic Coccydynia

Malik¹,

Ahmad²,

Ali³

2023

J Ayub Med Coll Abbottabad

View full text Add to dashboard Cite

Background: Coccydynia is also known as coccygodynia or coccygeal neuralgia. Coccyx is a triangular bone located within the vertebral column. The cause of coccydynia is unknown in the literature; however, it is found to be common among obese individuals, particularly females. The probability of women having coccydynia is five times higher than among men, which may result from larger pressure during pregnancy and child delivery. It is treated well with ganglion impar block. The aim of our study was to assess pain relief after Ganglion Impair Block with subsequent improvement in quality of life. Methods: A single-arm study was done in the department of Pain Medicine, Fauji Foundation Hospital, Rawalpindi from July 2021 to June 2022. A total of 50 patients with ≥3 months coccygeal pain of either gender aged between 20–60 years unresponsive to analgesics & anti-inflammatory medications with no laboratory abnormalities were included. Fluoroscopic guided trans-sacro‑coccygeal ganglion impair block was done with alcohol neurolysis. The patients were observed for 1 hour in the recovery room to record post-intervention complications that may occur like hypotension, bradycardia, signs, and symptoms of cardiotoxicity or neurotoxicity etc. and evaluated for pain scores on the basis of the numeric rating scale (NRS). Data collected was analyzed using the statistical package for social scientists (SPSS) version 21. The quantitative data, i.e., age and NRS score were analyzed using mean and standard deviation and compared between pre and post-intervention periods. Results: The data from 50 patients who completed the follow-up period were used for analysis. The average age of the patients was 42.9±8.39 years, with a range of 38–60 years. Based on the data obtained, 30% of the patients experienced trauma (that is falling on the coccyx region). The mean score from NRS before intervention was 7.80±0.16 which decreased to 0.96±0.35, respectively, and this difference was statistically significant (p-value, <0.001). Conclusions: Ganglion Impar neurolysis is highly effective in the treatment of Chronic coccydynia.

show abstract

Section: Discussionmentioning

confidence: 99%

Ganglion Impar Block for Chronic Coccydynia

Malik¹,

Ahmad²,

Ali³

2023

J Ayub Med Coll Abbottabad

View full text Add to dashboard Cite

show abstract

“…One study was conducted in New Zealand. Similarly, female sacrococcygeal vertebrae are short [ 3 ], which promotes coccydynia [ 71 , 72 ]. The word coccydynia was first developed in 1859 by Simpson and is also known as coccygodynia and tailbone pain [ 37 , 72 ].…”

Section: Discussionmentioning

confidence: 99%

Sacralization of Coccygeal Vertebra: A Descriptive Observational Study in Bangladesh

Naznin¹,

Moniruzzaman²,

Sumi³

et al. 2022

Cureus

View full text Add to dashboard Cite

Background: In the sacrococcygeal region, anatomical variation is due to the sacralization of the coccygeal vertebra, which is the due union of/fusion of the fifth sacral with the first coccygeal vertebra of five couples of sacral foramina under-detected or asymptomatic beyond radiological assessment. That is why it is challenging to know the cause of coccydynia, caudal block failure, the difficult second stage of labor, and perineal tears. The present study aims to improve knowledge about the anatomical variation of sacralization of the coccygeal vertebra. Additionally, to find the prevalence of sacralization of coccygeal vertebra in Sylhet, Bangladesh. Methods: This study was performed on 60 parched, totally calcified, typical sacra of mature-age individuals of undetermined sexes, fulfilling the inclusion criteria from the bone bank of the osteology museum of the Department of Anatomy, Sylhet MAG Osmani Medical College, Sylhet, Bangladesh, from July 2017 to June 2018. Sex determination of the collected unknown sacra was conducted using discriminant function analysis. It was found that 50% (30) were male and 50% (30%) were female. The unpaired t -tests and chi-square were utilized to determine the statistical significance. Results: Out of 60 sacra, eight (13.33%) samples presented with sacralization. This study found that males had significantly higher straight (p=0.05) and curved (p=0.05) lengths of sacrococcygeal vertebrae. The sacrococcygeal curvature index (SCI) showed statistically significant (p=0.05) differences between the sexes. Conclusion: Sacralization may exert an impact on the caudal block. It could extend the second stage of the labor process with perineal tears. Therefore, knowledge about the anatomical variation of the coccygeal vertebra is essential.

show abstract

Sacrococcygeal Joint Injection

Waldman

2023

Atlas of Pain Management Injection Techniques

View full text Add to dashboard Cite

Diagnosis and management of sacrococcygeal pain

Abstract: Outline the underlying pathology causing coccydynia and sacroiliac joint pain. Discuss the diagnosis and management of coccydynia. Summarise the diagnosis and management of sacroiliac joint pain.

Cited by 3 publications

References 16 publications

Ganglion Impar Block for Chronic Coccydynia

Ganglion Impar Block for Chronic Coccydynia

Sacralization of Coccygeal Vertebra: A Descriptive Observational Study in Bangladesh

Sacrococcygeal Joint Injection

Contact Info

Product

Resources

About