242 results match your criteria Coccygodynia


Predictive factors affecting treatment success in ganglion impar block applied in chronic coccygodynia.

Reg Anesth Pain Med 2022 Jun 23. Epub 2022 Jun 23.

Department of Pain Medicine, University of Health Sciences Gulhane Training and Research Hospital, Ankara, Turkey.

Background: This study aimed to determine the predictive factors affecting the success of ganglion impar block applied in chronic coccygodynia.

Methods: Patients who received ganglion impar block to treat coccygodynia between January 1, 2018 and January 1, 2021 were retrospectively screened. Of the 195 patients, 102 met the final analysis criteria and were included in the study. Read More

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Chronic anal pain: A review of causes, diagnosis, and treatment.

Cleve Clin J Med 2022 06 1;89(6):336-343. Epub 2022 Jun 1.

Consultant Colorectal Surgeon, Cleveland Clinic London, UK; Professor of Colorectal Surgery, University College London, London, UK.

Chronic anal pain is difficult to diagnose and treat, especially with no obvious anorectal cause apparent on clinical examination. This review identifies 3 main diagnostic categories for chronic anal pain: local causes, functional anorectal pain, and neuropathic pain syndromes. Conditions covered within these categories include proctalgia fugax, levator ani syndrome, pudendal neuralgia, and coccygodynia. Read More

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[Coccygodynia: Case Reports and Literature].

Acta Chir Orthop Traumatol Cech 2022 ;89(2):158-163

Neurochirurgická klinika Fakultní nemocnice Olomouc.

Coccygodynia, or tailbone pain, is the most common in women after trauma (complicated childbirth, fall). This pain can be treated conservatively (by using analgesics, local injections, physiotherapy) or by surgical coccygectomy. In the presented article, a set of five female patients is evaluated, in whom, after the failing conservative therapy, coccygectomy was indicated for persistent coccygodynia. Read More

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The Surgical Role in the Management of Persistent Coccygodynia in Adolescent and Pediatric Patients: A Retrospective Case Series.

HSS J 2022 Feb 4;18(1):110-115. Epub 2021 Mar 4.

Department of Pediatric Surgery, Faculty of Medicine, Tanta University, Tanta, Egypt.

Coccygodynia has been described as a disabling pain in the coccyx usually associated with sitting or with changing position from a sitting to a standing position. Pain may radiate to the sacrum, to the lumbar spine, or laterally to the buttocks. Treatment has rarely been studied in the adolescent population. Read More

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February 2022

Comparison of treatment outcomes in chronic coccygodynia patients treated with ganglion impar blockade caudal epidural steroid injection: a prospective randomized comparison study.

Korean J Pain 2022 Jan;35(1):106-113

Division of Pain Medicine, Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Marmara University, Istanbul, Turkey.

Background: Coccygodynia is one of the chronic, refractory painful musculoskeletal disorders. Interventional procedures are applied to patients unresponsive to initial treatment in coccygodynia. This study aims to compare the treatment outcomes of ganglion impar block (GIB) and caudal epidural steroid injection (CESI) in patients with chronic coccygodynia. Read More

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January 2022

Clinical Outcome of Coccygectomy Using a Paramedian Curvilinear Skin Incision in Adults and Children With Meta-Analysis of the Literature Focusing on Postoperative Wound Infection.

Global Spine J 2021 Dec 7:21925682211058155. Epub 2021 Dec 7.

Department of Spine Surgery, The Royal Orthopaedic Hospital, Birmingham, UK.

Study Design: A single surgeon case series and of literature.

Objective: To evaluate the clinical outcome and patient satisfaction following coccygectomy for coccygodynia in adults and children using a curvilinear paramedian skin incision and to conduct a meta-analysis of the literature to determine the associated infection rate with different surgical factors.

Methods: 45 consecutive patients (40 adults and 5 children) underwent surgical coccygectomy for persistent coccygodynia symptoms using a paramedian curvilinear incision. Read More

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December 2021

Improvement in Pain Following Ganglion Impar Blocks and Radiofrequency Ablation in Coccygodynia Patients: A Systematic Review.

Rev Bras Ortop (Sao Paulo) 2021 Oct 28;56(5):558-566. Epub 2021 Oct 28.

Department of Orthopaedics, Instituto de Ciências Médicas da Índia (AIIMS), Raipur, Chhattisgarh, Índia.

Nearly 90% of cases of coccydynia can be managed with conservative medical treatment; the remaining 10% need other invasive modalities for pain relief, such as ganglion impar block (GIB) or radiofrequency ablation (RFA) of the ganglion impar. A systematic research was conducted of PubMed, MEDLINE, and Google Scholar to identify studies reporting pain relief in terms of visual analogue scale (VAS), or its counterparts, following GIB or RFA in coccydynia patients with the purpose to determine the efficacy of GIB and RFA of the ganglion impar in controlling pain in coccydynia patients. Seven studies were delineated, with a total of 189 patients (104 in GIB group and 85 in RFA group). Read More

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October 2021

Coccygectomy for refractory coccygodynia: a systematic review and meta-analysis.

Eur Spine J 2022 01 25;31(1):176-189. Epub 2021 Oct 25.

Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX, MC 8855, USA.

Purpose: We sought to systematically assess and summarize the available literature on outcomes following coccygectomy for refractory coccygodynia.

Methods: PubMed, Scopus, and Cochrane Library databases were systematically searched in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Data concerning patient demographics, validated patient reported outcome measures (PROMs) for pain relief, disability outcomes, complications, and reoperation rates were extracted and analyzed. Read More

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January 2022

Association of coccygodynia with pelvic floor symptoms in women with pelvic pain.

PM R 2021 Sep 17. Epub 2021 Sep 17.

Department of Medical and Surgical Gynecology, Mayo Clinic, Jacksonville, Florida, USA.

Background: Coccygodynia is a painful condition of the tailbone that occurs more commonly in females. The association of coccyx pain with pelvic floor symptoms and the prevalence of coccyx pain in women with pelvic pain has not previously been reported.

Objective: To identify the prevalence of coccygodynia in women with pelvic pain and to describe the association of coccygodynia with pelvic floor examination findings and symptoms. Read More

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September 2021

A novel radiological classification for displaced os coccyx: the Benditz-König classification.

Eur Spine J 2022 01 8;31(1):10-17. Epub 2021 Sep 8.

Department of Orthopedic Surgery, Regensburg University Medical Center, Bad Abbach, Germany.

Background: Treatment of coccygodynia is still a challenging entity. Clear surgical selection criteria are still lacking. The aim of the investigation was to establish a novel radiological classification for surgical decision-making in coccygodynia cases. Read More

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January 2022

Comparative evaluation of transsacrococcygeal and transcoccygeal approach of ganglion impar block for management of coccygodynia.

J Anaesthesiol Clin Pharmacol 2021 Jan-Mar;37(1):90-96. Epub 2021 Apr 10.

Department of Orthopaedics, Pt. B.D. Sharma PGIMS, Rohtak, Haryana, India.

Background And Aims: Coccygodynia or Coccydynia is pain in the area of coccyx and ganglion impar block is commonly used technique for treatment of coccygodynia.

Material And Methods: Forty patients of either sex in the age group of 20-70 years suffering from coccygodynia, who failed to respond to six weeks of conservative treatment were enrolled in the study. All patients were subjected to detailed clinical history, examination in the Pain Management Centre (Pain Clinic) of our Institute and imaging studies were reviewed. Read More

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Coccygectomy for Chronic Refractory Coccygodynia in Pediatric and Adolescent Patients.

J Indian Assoc Pediatr Surg 2021 Mar-Apr;26(2):102-106. Epub 2021 Mar 4.

Department of Paediatric Surgery, Faculty of Medicine, Tanta University, Tanta, Egypt.

Aims: Coccygodynia (also known as coccydynia and coccyalgia) described for the first time by Simpson in 1859. It is a disabling pain in the coccyx usually provoked by sitting or changing position from a sitting to a standing position. Treatment started with adjustment of ergonomics as specialized cushion for sitting, application of local heat, and oral analgesics. Read More

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Corticosteroid injection for coccydynia: a review of 241 patients.

Bone Jt Open 2020 Nov 2;1(11):709-714. Epub 2020 Nov 2.

Department of Orthopaedic Surgery, St. Olav's University Hospital, Trondheim, Norway.

Aims: We aimed to establish the short- and long-term efficacy of corticosteroid injection for coccydynia, and to determine if betamethasone or triamcinolone has the best effect.

Methods: During 2009 to 2016, we treated 277 patients with chronic coccydynia with either one 6 mg betamethasone or one 20 mg triamcinolone cortisone injection. A susequent injection was given to 62 (26%) of the patients. Read More

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November 2020

Coccygectomy for coccygodynia: a cohort study with a long-term follow-up of up to 29 years.

Eur Spine J 2021 04 3;30(4):1072-1076. Epub 2020 Nov 3.

Department for Orthopaedics and Traumatology, Kepler University Hospital GmbH, Johannes Kepler University Linz, Krankenhausstrasse 9, A-4020 Linz and Altenberger Strasse 69, 4040, Linz, Austria.

Purpose: We aim to critically review the effectiveness and safety of coccygectomy with special regard to long-term outcomes.

Methods: Coccygectomy was performed in our clinic in 38 patients between 1990 and 2019. All these patients (32 females vs. Read More

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Normal Preoperative Images Do Not Indicate a Poor Outcome of Surgery for Coccydynia.

Spine (Phila Pa 1976) 2020 Nov;45(22):1567-1571

Department of Orthopaedic Surgery, St. Olav's University Hospital, Trondheim, Norway.

Study Design: This is a retrospective cohort study.

Objective: To evaluate the long-term outcomes after surgery for refractory coccygodynia in patients with normal imaging studies compared with patients where imaging shows an anomaly.

Summary Of Background Data: Patients with coccydynia who do not respond to conservative treatment will often profit from coccygectomy. Read More

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November 2020

Coccygodynia Due to a Sacrococcygeal Anomaly: A Rare Cause of Constipation.

Pediatr Emerg Care 2021 Apr;37(4):e215-e217

Department of Pediatric Surgery, La Paz University Hospital, Madrid, Spain.

Abstract: We report a case of an uncommon sacrococcygeal anomaly in a healthy girl initially presenting to the emergency department with coccygodynia and a past history of longstanding constipation. The clinical evolution was satisfactory once the bony anomaly was removed (coccygectomy). This unusual case exemplifies the importance of the medical history and physical examination to make an accurate diagnosis. Read More

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Imaging Coccygeal Trauma and Coccydynia.

Radiographics 2020 Jul-Aug;40(4):1090-1106

From the Department of Radiology, Palmer College of Chiropractic-West Campus, 90 E Tasman Dr, San Jose, CA 95134 (M.R.S.); Department of Radiology, Cedars-Sinai Medical Center, Los Angeles, Calif (G.R.M.); and Department of Radiology, Keck School of Medicine, University of Southern California, Los Angeles, Calif (D.B.P., A.T., E.A.W., J.S.G.).

The coccygeal region has complex anatomy, much of which may contribute to or be the cause of coccyx region pain (coccydynia). This anatomy is well depicted at imaging, and management is often dictated by what structures are involved. Coccydynia is a common condition that is known to be difficult to evaluate and treat. Read More

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Comparison of block and pulsed radiofrequency of the ganglion impar in coccygodynia

Turk J Med Sci 2019 Oct 24;49(5):1555-1559. Epub 2019 Oct 24.

Department of Anesthesia and Reanimation, Health Sciences University, Gülhane Training and Research Hospital, Ankara, Turkey

Background/aim: Ganglion impar blockis used for the treatment of chronic coccygodynia. Pulsed radiofrequency (PRF) of the ganglion impar is a promising novel technique. The aim of this study was to determine and compare the efficacy of the blockade and PRF of the ganglion impar. Read More

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October 2019

[Undetected coccyx fracture in a woman with fibromyalgia].

Schmerz 2019 Dec;33(6):549-554

Interdisziplinäre Schmerzambulanz, Klinikum der Universität München - Campus Innenstadt, LMU München, Pettenkoferstr. 8a, 80336, München, Deutschland.

This article presents the case of a 46-year-old woman with fibromyalgia with an undetected fracture of the coccyx. The heterogeneity of the symptoms of patients suffering from fibromyalgia including chronic widespread pain, vegetative and functional disorders, mental and physical exhaustion as well as sleep disorders can cause accidentally undetected comorbidities, especially if these are rare and predominantly present with pain as the main symptom. In the present case the reason for symptoms was detected only after 14 months of ineffective therapies and diagnostic procedures. Read More

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December 2019

A prospective study to evaluate the efficacy of ultrasound-guided ganglion impar block in patients with chronic perineal pain.

Saudi J Anaesth 2019 Apr-Jun;13(2):126-130

Department of Anaesthesiology, PGIMS, Rohtak, Haryana, India.

Background: The blockade of the ganglion impar has been described to relieve the intractable perineal pain of sympathetic origin in patients with coccydynia. Chronic perineal pain (CPP) has been effectively managed by ganglion impar block. The feasibility, safety, and efficacy of ultrasound (US)-guided ganglion impar block by transsacrococcygeal approach was analyzed in the present study. Read More

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[Therapy-resistant coccygodynia should no longer be considered a myth : The surgical approach].

Orthopade 2019 Jan;48(1):92-95

Orthopädische Klinik für die Universität Regensburg, Asklepios Klinikum Bad Abbach, Kaiser-Karl-V-Allee 3, 93077, Bad Abbach, Deutschland.

Background: Coccygodynia is still often considered a mystery, and many patients are not taken seriously with their problems and pain.

Case: A 51-year-old thin lady presented at our clinic with lifelong, persistent low back pain. The clinical examination indicated suspicion of coccygodynia. Read More

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January 2019

Management of coccydynia in the absence of X-ray evidence: Case report.

Int J Surg Case Rep 2019 24;54:63-65. Epub 2018 Nov 24.

Department of Neurosurgery, Baylor Scott and White Health, Temple, TX, USA.

Background And Importance: Coccydynia is a rare pain syndrome due to trauma to the coccyx that is diagnosed through history, physical, and sitting/standing lateral plain film radiographs. Coccydynia is typically managed conservatively with specialized cushions, NSAIDS, and physical therapy. In cases refractory to nonsurgical management, coccygectomy has a high success rate for pain reduction. Read More

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November 2018

Ganglion Impar block improves neuropathic pain in coccygodynia: A preliminary report.

Neurol Neurochir Pol 2018 Sep - Oct;52(5):612-617. Epub 2018 Aug 28.

Department of Physical Medicine and Rehabilitation, Division of Pain Medicine, Marmara University Pendik Training and Research Hospital, Istanbul, Turkey.

Aim Of The Study: To define the effectiveness of ganglion Impar block in improving neuropathic pain.

Materials And Methods: Patients who had pain around the coccyx for more than three months and did not respond to conservative treatment were included in this study. All the patients underwent fluoroscopy guided transsacrococcygeal ganglion Impar block with injecting 3 mL of 0. Read More

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Dorsal Root Ganglion Stimulation for Chronic Pelvic Pain: A Case Series and Technical Report on a Novel Lead Configuration.

Neuromodulation 2019 Jan 1;22(1):87-95. Epub 2018 Aug 1.

Department of Physical Medicine & Rehabilitation, Mount Sinai Hospital, New York, NY, USA.

Introduction: Chronic pelvic pain (CPP) is an elusive and complex neuropathic condition that is notoriously recalcitrant to treatment. The term "CPP" encompasses a number of treatment-resistant conditions like pudendal neuralgia, interstitial cystitis, coccygodynia, vulvodynia. CPP has been presented neuromodulators attempting to utilize conventional spinal cord stimulation (SCS), with constant frustration and high explant rates. Read More

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January 2019

The influence of coccygeal dynamic patterns on ganglion impar block treatment results in chronic coccygodynia.

Interv Neuroradiol 2018 Oct 3;24(5):580-585. Epub 2018 Jul 3.

6 Department of Physical Medicine and Rehabilitation, Division of Pain Medicine, Faculty of Medicine, Marmara University, Istanbul, Turkey.

Objective Ganglion impar block (GIB) can be performed in patients with chronic coccygodynia who do not respond to conservative treatments. We investigated the effect of coccygeal dynamic patterns on the treatment outcome in patients with chronic coccygodynia treated with GIB. Materials and methods We retrospectively analyzed the data for patients diagnosed with chronic coccygodynia who underwent GIB only once by a transsacrococcygeal method under fluoroscopy guidance in our Pain Medicine Clinic. Read More

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October 2018

Coccygectomy for Coccygodynia: A Single Center Experience Over 5 Years.

Asian J Neurosurg 2018 Apr-Jun;13(2):277-282

Department of Neurosurgery, Sher-I-Kashmir Institute of Medical Sciences, Soura, Srinagar, Jammu and Kashmir, India.

Introduction: Coccygodynia refers to a pathological condition in which pain occurs in the coccyx or its immediate vicinity. The pain is usually provoked by sitting or rising from sitting. Several studies have reported good or excellent results after coccygectomy especially in patients who are refractory to conservative treatment. Read More

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A Review of Current Treatment Options for Coccygodynia.

Curr Pain Headache Rep 2018 Mar 19;22(4):28. Epub 2018 Mar 19.

Department of Anesthesiology, Jefferson Pain Center, Thomas Jefferson University Hospital, 834 Chestnut Street, Suite T-150, Philadelphia, PA, 19107, USA.

Purpose Of Review: Coccygodynia is pain within the coccyx area. The diagnosis is made clinically with symptoms of pain in the coccyx region and worsening pain in sitting position. The initial treatment is conservative therapy. Read More

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Can patients with symptomatic Tarlov cysts be differentiated from patients with specific low back pain based on comprehensive history taking?

Acta Neurochir (Wien) 2018 04 17;160(4):839-844. Epub 2018 Feb 17.

Department of Social and Primary Health Care, Public Health Nutrition, University of Leuven, Herestraat 49, 3000, Leuven, Belgium.

Background: Tarlov cysts (TCs) are expanded nerve root sheaths that occur near the dorsal root ganglion and result from increased intraspinal hydrostatic pressure. TCs most frequently affect the lumbosacral plexus and therefore may cause specific symptoms such as perineal pain and neurogenic bladder, bowel, and sphincter problems. It has been estimated that 1% of the population has symptomatic Tarlov cysts (STCs). Read More

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Ganglion blocks as a treatment of pain: current perspectives.

J Pain Res 2017 14;10:2815-2826. Epub 2017 Dec 14.

Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Marmara University, Istanbul, Turkey.

The inputs from sympathetic ganglia have been known to be involved in the pathophysiology of various painful conditions such as complex regional pain syndrome, cancer pain of different origin, and coccygodynia. Sympathetic ganglia blocks are used to relieve patients who suffer from these conditions for over a century. Many numbers of local anesthetics such as bupivacaine or neurolytic agents such as alcohol can be chosen for a successful block. Read More

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December 2017