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23rd Annual Pain Medicine Meeting 2024
November 21-23, 2024 | Caesars Palace, Las Vegas, Nevada
6127
TURNING THE HEAT UP ON TAILBONE PAIN: A GAME-CHANGER FOR COCCYDYNIA
Poster Presenter
Authors
Affiliations
Montefiore Medical Center/ Albert Einstein College of Medicine
Part of Topic
Medically Challenging Cases
Turning the heat up on tailbone pain: A game changer for coccydynia
Introduction:
•Coccydynia: Tailbone-mediated pain associated with radiation to the inferior sacral and perineal regions. The prevalence is unknown; and treatment can be difficult given the multifactorial etiology of coccygeal pain [1]
•Conservative Management: physical therapy, ergonomic adaptations, and nonsteroidal anti-inflammatory medications.
•Current Interventional Options: Steroid injections, nerve blocks, and spinal cord stimulators [2]. These procedures target the ganglion impar nerve bundle. Surgical intervention is regarded as a last resort; however, there exists a high complication rate and treatment failure [3].
•Radiofrequency ablation (RFA): A known technique used to ligate various nerves of the body. Targeting the ganglion impar region has been described in case series and small scale studies as a promising therapeutic modality for long term pain relief in regards to coccydynia.