Coccyx Pain Treatment & Management: Approach Considerations, Coccygectomy, Ganglion Impar Sympathetic Nerve Blocks
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چکیده
Older techniques for performing the ganglion impar block involved approaching the anterior sacrococcygeal region by using a curved needle inserted below the distal coccygeal tip. The older technique required a larger-diameter and longerlength needle (in particular, the longer length of that needle being inserted into the patient) compared with the current (transsacrococcygeal) approach, which uses a short, thin needle.
منابع مشابه
Transsacrococcygeal approach to ganglion impar block for treatment of chronic coccygodynia after spinal arachnoid cyst removal
BACKGROUND Coccygodynia is a pain in the region of the coccyx that radiates to the sacral, perineal area. The cause of the pain is often unknown. Coccygodynia is diagnosed through the patient's past history, a physical examination, and dynamic radiographic study, but the injection of local anesthetics or a diagnostic nerve blockade are needed to distinguish between somatic, neuropathic, and com...
متن کاملClinical implications of topographic anatomy on the ganglion impar.
THE blockade of the ganglion impar, a single ganglion converged by the caudal ends of the two sympathetic trunks, has been described to relieve the intractable perineal pain of sympathetic origin in patients with rectal, anal, colon, bladder, or cervical cancer. The success rate of this method depends on the anatomical variability of the location of the ganglion, but its location has been varia...
متن کامل[Application of ganglion impar block in patient with coccyx dislocation].
Sacrococcygeal dislocation is a rare injury. The ganglion impar (also called the ganglion of Walther) is a single, small solitary, sympathetic ganglion located in the retrorectal space, anterior to the sacrococcygeal joint or coccyx. It provides the nociceptive and sympathetic supply to the perineal structure. Ganglion impar blockade is not a routinely used anesthetic and analgesic procedure in...
متن کاملRepeated Ganglion Impar Block in a Cohort of 83 Patients with Chronic Pelvic and Perineal Pain.
BACKGROUND The ganglion impar is the first pelvic ganglion of the efferent sympathetic trunk that relays pelvic and perineal nociceptive messages and therefore constitutes a therapeutic target. OBJECTIVE The objective of this single-center study was to evaluate the effectiveness of 3 repeated ganglion impar blocks in patients with chronic pelvic and perineal pain on intention-to-treat. STUD...
متن کاملControlling needle tip progression during ultrasound-guided regional anesthesia using the hydrolocalization technique.
1. Loev MA, Varklet VL, Wilsey BL, Ferrante FM. Cryoablation: A novel approach to neurolysis of the ganglion impar. Anesthesiology 1998;88:1391-1393. 2. Plancarte R, Velazquez R, Patt RB. Neurolytic blocks of sympathetic axis. In: Patt R, ed. Cancer Pain. Philadelphia: JB Lippincott Publishers; 1993:417-420. 3. Wemm KJ, Saberski L. Modified approach to block the ganglion impar (ganglion of Walt...
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تاریخ انتشار 2015