ganglion impar block in the management of chronic coccydynia Barış Özöner Erzincan University School of Medicine Neurosurgery Department C occydynia Description ID: 911141
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Fluoroscopically guided ganglion impar block in the management of chronic coccydynia
Barış ÖzönerErzincan University School of MedicineNeurosurgery Department
Slide2CoccydyniaDescriptionTailbone painEtiology ChildbirthAccidentProlonged
strainPoor postureOverweight or underweightTreatmentAcute
Self-care, hot or cold packsDoughnut
cushions
NSAIDs
Chronic (>8 weeks)PhsysoteraphyInjections
Slide3Ganglion impar block
Slide4Ganglion impar block
Slide5Fluoroscopically guided ganglion impar block in the management of chronic coccydynia
Aim: Conservative treatment failsDetermine the effect of
injectionMaterial and Method:Three years of time (
January 2015
–
January 2018)89 patient with coccydyniaConservative manegement fails in 28 (31,4%) casesFluoroscopy
guided trans-sacro-coccygeal ganglion impar blockTriamsinolon asestat + bupivacain
Visaul
Analog Scale (VAS)
6 moths follow-up
VAS 5 points or more reduction =
Succesfull
outcome
Slide6Results
Gender
: 23 (82,1%)
female
Age:
32.9 ± 7.2 (
Range
: 18-49)
Slide7ConclusionGanglion impar block in chronic coccydyniaEffectiveSignificantly effective in early
onset but its effect decreses in 6 months follow up
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