Coccydynia Ganglion Impar Block



Category Nerve Blocks

Coccydynia refers to any type of persistent tailbone pain.

The tailbone, located at the very bottom of the spine, is medically known as the coccyx.

Coccydynia is typically felt as a localized pain that usually worsens when sitting or with any activity that puts pressure on the bottom of the spine.

It can be caused by trauma to the coccyx during a fall, prolonged sitting on a hard or narrow surface, degenerative joint changes, or vaginal childbirth.

Tailbone pain can feel dull and achy but typically becomes sharp during certain activities, such as sitting, rising from a seated to a standing position or prolonged standing. Defecation and sex also might become painful. For women, tailbone pain can make menstruation uncomfortable as well.

To lessen tailbone pain in the meantime, it might help to:

  • Lean forward while sitting down
  • Sit on a doughnut-shaped pillow or wedge (V-shaped) cushion
  • Apply heat or ice to the affected area
  • Pain killers

If your tailbone pain doesn't improve (chronic coccydynia), consult your doctor. We might recommend using magnetic resonance imaging (MRI) to find out if you have a fracture, degenerative changes or, in rare cases, a tumor.

Possible treatments for chronic tailbone pain might include:

Physical therapy. A physical therapist might show you how to do pelvic floor relaxation techniques, such as breathing deeply and completely relaxing your pelvic floor — as you would while urinating or defecating.

A ganglion impar block is a type of injection that eases pain. It’s used for a variety of health problems that cause pain in the lower pelvis and groin.

Your brain sends information to the body through pathways known as nerves. Nerves also receive information from the body and send it to the proper regions of the brain. A ganglion is a place in the body where many nerves intersect. Nerves that communicate some types of pain from the lower pelvis and groin pass through the ganglion impar on their way to the brain.

The ganglion impar sits just in front of your sacrum. The sacrum is the lowest part of the spine. It is just above the tailbone (coccyx). Nerves from some parts of the lower pelvis and groin pass through this ganglion

During a ganglion impar block, we will put a needle into the area near your tailbone between your buttocks. He or she will then move it to a position just in front of the sacrum. That’s where the ganglion impar is. Medicine to help block pain signals in the area will then be injected.

What does the procedure involve?

The doctor will clean the area over the region of interest and insert a small needle into the target area under imaging guidance. When it is in the correct position, they will inject the drug. They will remove the needle and cover the injection site with a small dressing.

What you are to do before procedure (Preparation)?

  1. Book prior appointment if elective or get admission in causality if emergency
  2. Lab investigation (*PT/INR, CBC), XRAY, CT/MRI scan and previous records.
  3. 2-3 Hours fasting.
  4. If you are on blood thinner like Aspirin, inform during appointment.
  5. One accompanying person
  6. Need to sign a consent form for procedure

Approx. Stay in hospital?

We have very fast and competent working team (Consultant, fellow, clinical assistant, technician and ward assistant) which provide you comfortable atmosphere and ease your nerves. Usual time of stay is few hours

Complications

Every procedure carries a risk, although this is extremely small. The risk of infection with this procedure is extremely small as no incisions are made in the skin.  

Resume to work?

You can resume your work after 1 day if existing disease allows.

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