Effectiveness of Triamcinolone with Lidocaine Injection to Ganglion Imparin Patients with Refractory Coccydynia
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2016, Vol 4, Issue 8
Abstract
Abstract: Coccydynia is a painful condition of coccyx often related to trauma, childbirth, hypo or hypermobility of sacrococcygeal jointtumours, psychological or unknown aetiologyaffecting mostly females leading to severe pain in coccyx often not responding to analgesics. The objective of this study was to assess the effectiveness of triamcinolone and lidocaine injection to ganglion impar in patients with refractory coccydynia. This was a hospital based prospective study conducted in Department of Physical Medicine & Rehabilitation, Regional Institute of Medical Sciences, Imphal from September 2014 to October 2015. Fifty patients (22 females & 28 males) suffering from refractory coccydynia were included in study. All the patients were treated with local injection to ganglion impar with triamcinolone acetonide (40 mg) and 2 ml lidocaine(2%) under fluoroscopic guidance. The outcome was assessed using VAS score on sitting measured before injection, at 1 week and 4 weeks after injection. The mean VAS score was found to be decreased significantly from 8.13±0.66 before procedure to 3.62±1.02 at 1 week and further decreased to 2.31±0.99 at 4 weeks (p< 0.001).It may be concluded from this study that in patients with refractory coccydynia not responding to conservative management including oral analgesics, injection to ganglion impar with triamcinolone acetonide and lidocaine is an effective alternative treatment option with minimal complications. Keywords:coccydynia, ganglion impar, triamcinolone acetonide, lidocaine, steroid, local anaesthetic.
Authors and Affiliations
LongjamNilachandra Singh, Shibu B, ThingbaijamBidyarani Devi, Aten Jongkey, LongjamDarendrajit Singh, Akoijam Joy Singh
Keywords
Related Articles
- EP ID EP372053
- DOI -
- Views 47
- Downloads 0
Evaluation of First Year MBBS Student’s Performance by Internal Assessment
Abstract: Evaluation is a systemic process of determining the extent to which the objectives have been achieved by the student. Total 200 first year M.B.BS students were evaluated during the academic year after appearing...
Study of Coverage and Utilization of Prevention of Parent to Child Transmission Services and HIV Status of Children of Seropositive Mothers—a Study Done At Government General Hospital, Kakinada
Abstract: More than 90% of HIV infections in children under the age of 15 years are due to mother to child transmission.Strategies targeting pregnant women help to reduce HIV in children. Hence the present study is taken...
Pattern of Electrolyte Derangements in the Setting of Bladder Outlet Obstruction (BOO): A Hospital Based Study
Bladder Outlet Obstruction is a major Urological problem especially in the aging male population. Effect of which may lead to Chronic kidney failure with attendant high mortality, decrease quality of life, increase healt...
Occult Hepatitis C Virus Infection in Chronic Kidney Disease on Hemodialysis
Abstract: Patients undergoing hemodialysis are prone to Hepatitis C Virus (HCV) infection. Elevation of serum Alanine Amino Transaminase (ALT) is suspected to correlate with the occult HCV infection. Our study is based o...
Suture less and Glue less Limbal Conjunctival Auto grafting in Pterygium Surgery
Foreign elements like sutures used in ocular surface surgery can lead to many local complications like irritation, scarring, infection or vascularization. Whereas plasma -derived products like fibrin glue can produce hyp...