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

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dc.contributor.authorYOLCU, GÜNAY
dc.contributor.authorsSencan, Savas; Yolcu, Gunay; Bilim, Serhad; Kenis-Coskun, Ozge; Gunduz, Osman Hakan
dc.date.accessioned2022-03-23T14:09:02Z
dc.date.available2022-03-23T14:09:02Z
dc.date.issued2022-01-01
dc.description.abstractBackground: 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. Methods: This study was a prospective randomized comparison study conducted between June 2019 and January 2021. Patients diagnosed with chronic coccygodynia were randomly divided into two groups: the GIB group and the CESI group. The severity of pain, presence of neuropathic pain, and quality of life were evaluated using the Numeric Rating Scale, Leeds Assessment of the Neuropathic Symptoms and Signs Scale, and Short Form-12 Health Survey (SF-12), respectively. Results: A total of 34 patients in each group were included in the final analyses. While there was a significant decrease in pain intensity in both groups in the 3-month follow-up, this decrease was more significant in the GIB group at the 3rd week. There was a significant improvement in the SF-12 physical score and the number of patients with neuropathic pain in both groups in the 3rd week, but this improvement was not observed in the 3rd month. Conclusions: Although GIB may provide more pain relief in short term, both GIB and CESI are useful treatment methods in coccygodynia unresponsive to more conservative treatments.
dc.identifier.doi10.3344/kjp.2022.35.1.106
dc.identifier.eissn2093-0569
dc.identifier.issn2005-9159
dc.identifier.pubmed34966017
dc.identifier.urihttps://hdl.handle.net/11424/254723
dc.identifier.wosWOS:000739836200012
dc.language.isoeng
dc.publisherKOREAN PAIN SOC
dc.relation.ispartofKOREAN JOURNAL OF PAIN
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectChronic Pain
dc.subjectCoccyx
dc.subjectGanglia
dc.subjectSympathetic
dc.subjectInjections
dc.subjectEpidural
dc.subjectMusculoskeletal Pain
dc.subjectNeuralgia
dc.subjectPain Measurement
dc.subjectPelvic Girdle Pain
dc.subjectQuality of Life
dc.subjectSteroids
dc.subjectTreatment Outcome
dc.subjectPULSED RADIOFREQUENCY
dc.subjectCOCCYDYNIA
dc.subjectANATOMY
dc.titleComparison of treatment outcomes in chronic coccygodynia patients treated with ganglion impar blockade versus caudal epidural steroid injection: a prospective randomized comparison study
dc.typearticle
dspace.entity.typePublication
local.avesis.id3e0c8a4c-a4d1-4b82-86d0-13826519e9fc
local.import.packageSS27
local.indexed.atWOS
local.indexed.atSCOPUS
local.indexed.atPUBMED
local.journal.numberofpages8
oaire.citation.endPage113
oaire.citation.issue1
oaire.citation.startPage106
oaire.citation.titleKOREAN JOURNAL OF PAIN
oaire.citation.volume35
relation.isAuthorOfPublicationbcb41537-fd9f-4886-95c7-5ea9e62095c5
relation.isAuthorOfPublication.latestForDiscoverybcb41537-fd9f-4886-95c7-5ea9e62095c5

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