Transsacrococcygeal approach to ganglion impar: radiofrequency application for the treatment of chronic intractable coccydynia

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dc.authoridLuleci, Nimet Emel/0000-0002-3435-7214
dc.contributor.authorAdas, Cemil
dc.contributor.authorOzdemir, Ugur
dc.contributor.authorToman, Huseyin
dc.contributor.authorLuleci, Nurettin
dc.contributor.authorLuleci, Emel
dc.contributor.authorAdas, Hilal
dc.date.accessioned2025-01-27T21:19:33Z
dc.date.available2025-01-27T21:19:33Z
dc.date.issued2016
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractObjective: Coccydynia is defined as pain in the coccygeal region. Among the many causes of coccydynia, the most common cause is trauma as a result of falling on the buttocks, repetitive microtrauma, or childbirth. Several methods are currently used for the treatment of coccydynia, including nonsteroidal anti-inflammatory drugs, intrarectal manipulation, epidural injections, ganglion impar blocks, and radiofrequency treatment (RFT). Wemm and Saberski used the transacrococcygeal methods to reduce tissue trauma. RFT is a percutaneous minimally invasive procedure. In this study, we aimed to assess the effect of the transsacrococcygeal approach on ganglion impar RFT in patients with chronic coccydynia. Methods: We retrospectively examined the data of 41 patients at the Department of Anesthesiology and Reanimation, Faculty of Medicine, Maltepe University (Pain Clinic), between January 1, 2010, and December 31, 2012. Results: The mean age of the patients was 46.68 +/- 11.00 years (range 28-67 [46] years). The average pain duration was 3.10 +/- 1.37 years. The difference between visual analog scale scores of the pre-and postprocedure was statistically significant. In the examinations carried out in the sixth month of the treatment, 90.2% of patients had a successful outcome, whereas treatment failed in 9.8% of patients. According to our patients' data, most of them had pain due to a trauma, were female, and overweight. Visual analog scale difference between preprocedure and early postprocedure, preprocedure and first month, preprocedure and sixth month were statistically significant (P= 0.001). Conclusion: Based on the lower pain scores and low complication rates after the operations, the results suggest that application of RFT on ganglion impar by the transsacrococcygeal approach is an effective and safe method for the treatment of chronic coccydynia. Patient selection, technique, and experience are the most important factors affecting the success of this method.
dc.identifier.doi10.2147/JPR.S105506
dc.identifier.endpage1177
dc.identifier.issn1178-7090
dc.identifier.pmid27994479
dc.identifier.scopus2-s2.0-85007524538
dc.identifier.scopusqualityQ2
dc.identifier.startpage1173
dc.identifier.urihttps://doi.org/10.2147/JPR.S105506
dc.identifier.urihttps://hdl.handle.net/20.500.12428/28656
dc.identifier.volume9
dc.identifier.wosWOS:000389841400001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherDove Medical Press Ltd
dc.relation.ispartofJournal of Pain Research
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WoS_20250125
dc.subjectcoccydynia
dc.subjecttranssacrococcygeal approach
dc.subjectradiofrequency
dc.titleTranssacrococcygeal approach to ganglion impar: radiofrequency application for the treatment of chronic intractable coccydynia
dc.typeArticle

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