Radiofrequency Ablation Within the First Intercoccygeal Disk for Coccygodynia: A Case Report

Scemama, Pascal; Shaparin, Naum; Kaufman, Andrew G.; Dua, Susheel

doi:10.1111/j.1533-2500.2010.00423.x

Cited by 11 publications

(3 citation statements)

References 16 publications

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“…RF procedure had been previously described for the management of coccydynia. Literature included pulsed RF in caudal epidural space,8 RFA of ganglion impar (anterior approach),4 RFA of the intercoccygeal disk9 and multiple lesions for coccygeal nerves of the dorsal rami (posterior approach) 5. However, there are a few interesting points highlighted in this case series.…”

Section: Discussionmentioning

confidence: 92%

Novel approach for pericapsular radiofrequency ablation of sacrococcygeal junction for patients with coccydynia

Feigin

Wang

Grazia

et al. 2022

Reg Anesth Pain Med

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IntroductionCoccydynia is a multifactorial complex clinical challenge. A multimodal approach with both conservative measures and procedural interventions is often recommended. We described a novel approach of radiofrequency (RF) ablation for the management of coccydynia.MethodsThree patients with known history of coccydynia refractory to conservative therapy were referred to our clinic. All received different types of RF ablation before: one with anterior bipolar lesion with no analgesia benefit, one with posterior stripped lesion with good benefit but only after 8 weeks of pain flare and one received anterior monopolar lesion with 50% pain reduction for 2–3 months. All subjects underwent a novel RF ablation to the anterior surface of the sacrococcygeal and intercoccygeal joints with two bipolar lesions using multi-tined needles under fluoroscopy guidance. One bipolar lesion was between two needles: one in the sacrococcygeal and another in the intercoccygeal (between first and second coccyx) joints. Another bipolar lesion was between needles on both side of the sacrococcygeal joint.ResultsAll experienced at least 65% pain relief for 6 months. The sitting endurance increased from less than 5 min to an average of 70 min. No adverse effect was observed in two and in the patient who used to have pain flare after lesioning, the pain flare lasted only for 2 weeks.DiscussionThe configuration of the two bipolar lesions with multi-tined needles in this case series stimulates the thinking of new approach for the ablation technique for pain from coccyx. Further prospective large case cohort study is needed.

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Section: Discussionmentioning

confidence: 92%

Novel approach for pericapsular radiofrequency ablation of sacrococcygeal junction for patients with coccydynia

Feigin

Wang

Grazia

et al. 2022

Reg Anesth Pain Med

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show abstract

“…Das Sitzen auf einem Ring, um direkten Druck zu vermeiden, die Stärkung der Beckenbodenmuskulatur, Analgesie, Chirotherapie, Manipulation, Denervierung, Akupunktur und Injektion werden als Behandlungsoptionen in der Literatur beschrieben. [9][10][11][12][13].…”

Section: Der Chirurgische Zugangunclassified

Therapieresistente Kokzygodynie sollte nicht länger als Mythos angesehen werden

Benditz

König

2018

Orthopäde

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“…Hastalar rahatlamayınca RFA+ metilprednizolon enjeksiyonu yapılmış. Ve sonunda hasta rahatlamıştır (35).…”

Section: C) Koksidinia Tedavisinde Girişimsel Prosedürlerunclassified

Coccydynia The Light Of Literature

Çıtışlı¹,

Onur²,

Sari³

2014

Turk J Bioch

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Koksidinia koksikste veya kuyruk sokumu kemiğinde ağrı demektir. Kuyruk sokumu kemiği guguk kuşunun(cuckoo) gagasına benzetilerek adını yunanca karşılığı olan coccyx'ten almıştır. Dynia bilindiği üzere kronik ağrı demektir. Oturur durumda düşme sonucu koksikste kırık, çıkık olması ya da doğum zorlamasıyla veya artroz sonucu koksiksin ucu öne veya yana doğru yer değiştirir ve mobil hale gelir. Koksiks bölgesinde görülen rahatsız edici bu ağrılı klinik tabloya Koksidinia adı verilir. Hasta oturduğu zaman koksiksin ucunun hareketi sonucu şiddetli ağrı ortaya çıkar. Tanı genellikle öykü ile ve anorektoskopinin negatif olması ile konur. Rektal tuşe sırasında koksiksin palpasyonunda ağrılı olduğu saptanırsa koksidinia tanısı kuvvetle muhtemeldir. Daha sonra sıcak oturma banyoları önerilir. Konservatif tedavinin başarı şansı yüksektir. Ayrı-ca koksidinia tedavisinde kriyoterapi, termoterapi, TENS gibi fiziksel yöntemler de kullanılır. Hastalar sert zeminlere oturmamalı ve sünger simit şeklinde yastık üzerine oturmalıdır. Ağrıyı azaltmak için analjezik, non-steroid antienflamatuvar ve myorelaksan ilaçlar verilmelidir. Koksiks üzerine enjeksiyonlar ile ağrı tedavisi denenebilir. Konservatif tedavinin başarısız ise ve hastanın günlük yaşamının zorlaştığı durumlarda koksektomi yapılır.Coccydynia is pain in the area of the coccyx, or tailbone. The coccyx is a small, curved, V-shaped bone at the bottom of the spine. The diagnosis of coccydynia was based on clinical history, local of pain, and response to previous diagnostic and therapeutic procedures. In sitting position from falling coccyx fracture, dislocation, or arthrosis is a result of forced labor or the tip of coccyx, and mobile becomes displaced forward or sideways. A result of the movement of the patient severe pain occurs when seated on the tip of coccyx sitz baths. Conservative treatment, the chances of success are high. Also in the treatment of coccydynia used physical methods such as cryotherapy, thermotherapy and TENS. Patients sit in the company and sponge donut-shaped pillow rest on hard surfaces.Analgesic, to reduce pain, non-steroidal antiinflammatory drugs, and should be given myorelaksan.Coccyx pain treatment injections can be tried on. If conservative treatment fails and the patient's daily life difficult situations is coccygectomy.Anahtar Kelimeler: Koksidinia, koksektomi, koksigeal ağrı.

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Radiofrequency Ablation Within the First Intercoccygeal Disk for Coccygodynia: A Case Report

Cited by 11 publications

References 16 publications

Novel approach for pericapsular radiofrequency ablation of sacrococcygeal junction for patients with coccydynia

Novel approach for pericapsular radiofrequency ablation of sacrococcygeal junction for patients with coccydynia

Therapieresistente Kokzygodynie sollte nicht länger als Mythos angesehen werden

Coccydynia The Light Of Literature

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