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National Journal of Clinical Orthopaedics
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2023, Vol. 7 Issue 1, Part A
Ganglion impar block in patients with chronic coccydynia
Author(s): Dr. Mufti Mehmood, Dr. Muzaffar Ahmad Malla, Dr. Ansarul Haq Lone and Dr. Yasir Rashid
Abstract: 
Introduction: Coccydynia refers to pain in the terminal segment of the spine caused by abnormal sitting and standing posture. Coccydynia is usually managed conservatively; however, in nonresponsive patients, ganglion impar block is used as a good alternate modality for pain relief.
Aim and Objective: The aim of this article is to study the effect of ganglion impar block in coccydynia patients who were not relieved by conservative management.
Materials and Methods: This prospective study was conducted at the postgraduate department of Orthopedics, Govt. Bone and Joint Hospital, Barzillai, Srinagar an associated Hospital Govt. Medical College Srinagar from January 2019 to December 2019. In this study 22 patients with coccygodynia who had not responded to conservative treatment were enrolled.
Results: A significant decrease was found in the mean VAS scores from 9 to 1.20 at the follow-up of 12 months. Following the 22 technically successful, 21 (95.45%) had at least 50% relief. During the injections, one patient developed vasovagal symptoms and flushing after the procedure. No other side-effects or complications were encountered during the follow-up.
Conclusion: Ganglion impar block shows the long‑term effectiveness for patients with coccydynia in providing pain relief by the trans‑Sacro‑coccygeal “needle inside needle” technique.
Pages: 26-28  |  276 Views  84 Downloads
How to cite this article:
Dr. Mufti Mehmood, Dr. Muzaffar Ahmad Malla, Dr. Ansarul Haq Lone, Dr. Yasir Rashid. Ganglion impar block in patients with chronic coccydynia. Nat J Clin Orthop 2023;7(1):26-28 DOI: https://doi.org/10.33545/orthor.2023.v7.i1a.386
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