Retrospective evaluation of pain in patients with coccydynia who underwent impar ganglion block
Abstract Background We aimed to evaluate pain scores one year after impar ganglion block in patients with coccydynia who did not benefit from conservative treatment. Methods The medical records of 29 patients with coccydynia were reviewed. Patients who were referred to the algology clinic and underw...
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| Format: | Article |
| Language: | English |
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BMC
2020-05-01
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| Series: | BMC Anesthesiology |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12871-020-01034-6 |
| _version_ | 1818872771414851584 |
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| author | Ozlem Sagir Hafize Fisun Demir Fatih Ugun Bulent Atik |
| author_facet | Ozlem Sagir Hafize Fisun Demir Fatih Ugun Bulent Atik |
| author_sort | Ozlem Sagir |
| collection | DOAJ |
| description | Abstract Background We aimed to evaluate pain scores one year after impar ganglion block in patients with coccydynia who did not benefit from conservative treatment. Methods The medical records of 29 patients with coccydynia were reviewed. Patients who were referred to the algology clinic and underwent impar ganglion blocks were retrospectively evaluated. Demographic data, time to the onset of pain, causes of pain, X-ray findings, administered invasive procedures, and visual analog scale (pain) scores were recorded. Results A total of 29 patients were included in the study, 10 males (34%) and 19 females (66%). The average age and body mass index were 53.45 ± 9.6 and 29.55 ± 4.21 respectively. In 21 patients, the onset of pain was associated with trauma. Nineteen patients (65.5%) had anterior coccygeal angulation. The average visual analog scale score before undergoing an impar ganglion block was 7.4 ± 1. After the procedure, the scores at < 3 months, 3–6 months and 6 months-1 year follow-up intervals were significantly lower (p < 0.05). Furthermore, visual analog scale scores at the 3–6 months and 6 months-1 year periods were significantly lower in patients who received diagnostic blocks plus pulse radiofrequency thermocoagulation than in patients who underwent a diagnostic block only. Conclusions The impar ganglion block provides effective analgesia without complications in patients with coccydynia. Pulse radiofrequency thermocoagulation combined with a diagnostic block prolongs the analgesic effect of the procedure. |
| first_indexed | 2024-12-19T12:44:06Z |
| format | Article |
| id | doaj.art-0319ddd3f1794fb5838531160995bb9b |
| institution | Directory Open Access Journal |
| issn | 1471-2253 |
| language | English |
| last_indexed | 2024-12-19T12:44:06Z |
| publishDate | 2020-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Anesthesiology |
| spelling | doaj.art-0319ddd3f1794fb5838531160995bb9b2022-12-21T20:20:49ZengBMCBMC Anesthesiology1471-22532020-05-012011510.1186/s12871-020-01034-6Retrospective evaluation of pain in patients with coccydynia who underwent impar ganglion blockOzlem Sagir0Hafize Fisun Demir1Fatih Ugun2Bulent Atik3Department of Anesthesiology, Balıkesir University Health Application and Research HospitalDepartment of Anesthesiology, Balıkesir University Health Application and Research HospitalDepartment of Anesthesiology, Balıkesir University Health Application and Research HospitalDepartment of Anesthesiology, Balıkesir University Health Application and Research HospitalAbstract Background We aimed to evaluate pain scores one year after impar ganglion block in patients with coccydynia who did not benefit from conservative treatment. Methods The medical records of 29 patients with coccydynia were reviewed. Patients who were referred to the algology clinic and underwent impar ganglion blocks were retrospectively evaluated. Demographic data, time to the onset of pain, causes of pain, X-ray findings, administered invasive procedures, and visual analog scale (pain) scores were recorded. Results A total of 29 patients were included in the study, 10 males (34%) and 19 females (66%). The average age and body mass index were 53.45 ± 9.6 and 29.55 ± 4.21 respectively. In 21 patients, the onset of pain was associated with trauma. Nineteen patients (65.5%) had anterior coccygeal angulation. The average visual analog scale score before undergoing an impar ganglion block was 7.4 ± 1. After the procedure, the scores at < 3 months, 3–6 months and 6 months-1 year follow-up intervals were significantly lower (p < 0.05). Furthermore, visual analog scale scores at the 3–6 months and 6 months-1 year periods were significantly lower in patients who received diagnostic blocks plus pulse radiofrequency thermocoagulation than in patients who underwent a diagnostic block only. Conclusions The impar ganglion block provides effective analgesia without complications in patients with coccydynia. Pulse radiofrequency thermocoagulation combined with a diagnostic block prolongs the analgesic effect of the procedure.http://link.springer.com/article/10.1186/s12871-020-01034-6CoccyxChronic painSympathetic nerve blockPain managementPulsed radiofrequency treatment |
| spellingShingle | Ozlem Sagir Hafize Fisun Demir Fatih Ugun Bulent Atik Retrospective evaluation of pain in patients with coccydynia who underwent impar ganglion block BMC Anesthesiology Coccyx Chronic pain Sympathetic nerve block Pain management Pulsed radiofrequency treatment |
| title | Retrospective evaluation of pain in patients with coccydynia who underwent impar ganglion block |
| title_full | Retrospective evaluation of pain in patients with coccydynia who underwent impar ganglion block |
| title_fullStr | Retrospective evaluation of pain in patients with coccydynia who underwent impar ganglion block |
| title_full_unstemmed | Retrospective evaluation of pain in patients with coccydynia who underwent impar ganglion block |
| title_short | Retrospective evaluation of pain in patients with coccydynia who underwent impar ganglion block |
| title_sort | retrospective evaluation of pain in patients with coccydynia who underwent impar ganglion block |
| topic | Coccyx Chronic pain Sympathetic nerve block Pain management Pulsed radiofrequency treatment |
| url | http://link.springer.com/article/10.1186/s12871-020-01034-6 |
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