Pulsed Radiofrequency in the Treatment of Coccygodynia

Abdulkadir Atım; Atilla Ergin; Serkan Bilgiç; Süleyman Deniz; Ercan Kurt

doi:10.5505/agri.2011.59002

Abdulkadir Atım^¹, Atilla Ergin^², Serkan Bilgiç^³, Süleyman Deniz^¹, Ercan Kurt^¹

¹Department Of Anesthesiology, Gulhane Military Medical Faculty, Ankara
²Department Of Anesthesiology, Ozel Dr. Tahsin Ozbek Hospital, Izmit
³Department Of Orthopaedics, Gulhane Military Medical Faculty, Ankara

Keywords: Coccygodynia, coccygectomy, pulsed radiofrequency, chronic pain

Abstract

BACKGROUND: Coccygodynia is a clinical condition characterized by pain and tenderness around the coccygeal region. Trauma is the most common etiologic factor. We aimed to investigate the effectiveness of pulsed radiofrequency (PRF) treatment in patients with coccygodynia that could not be relieved by classic treatment protocols and presenting our long-term results of caudal epidural PRF.
METHODS: Study included 21 patients that were treated for coccygodynia by caudal epidural PRF in our Pain Clinic. Sixteen patients (76%) had a history of trauma; three patients (14%) had previous surgery whereas two patients (10%) had idiopathic coccygodynia with no identifiable cause. All patients had been previously treated by conservative methods, but none had pain relief. Pain level of the patients was assessed by visual analog scale (VAS) score. A questionnaire to evaluate subjective patient satisfaction was also used at third week and at sixth month follow-ups.
RESULTS: Median VAS score was 8 at the beginning, decreased to 2 by the third week and measured as 2 at the sixth month. VAS at 3 week and 6 m were significantly lower compared to baseline (p<0.001). At sixth month twelve patients (57%) had excellent result, 5 patients (24%) had good results and only 4 (19%) patients had poor results regarding subjective patient satisfaction questionnaire.
CONCLUSIONS: Caudal epidural PRF may be an alternative to surgery for coccygodynia patients that are unresponsive to classic treatment methods.

BibTex	`@article{ agri615, doi = {10.5505/agri.2011.59002}, author = {Abdulkadir Atım, Atilla Ergin, Serkan Bilgiç, Süleyman Deniz, Ercan Kurt}, title = {Pulsed Radiofrequency in the Treatment of Coccygodynia}, journal = {Agri}, year = {2011}, volume = {23}, number = {1}, pages = {1-6}, publisher = {The Turkish Society of Algology} }`
RIS	`TY - JOUR AU - Abdulkadir Atım, Atilla Ergin, Serkan Bilgiç, Süleyman Deniz, Ercan Kurt PY - 2011 TI - Pulsed Radiofrequency in the Treatment of Coccygodynia SP - 1 EP - 6 JO - The Journal of the Turkish Society of Algology J2 - Agri VL - 23 IS - 1 PB - DO - 10.5505/agri.2011.59002 ER -`
EndNote	`%0 Journal Article %A Abdulkadir Atım, Atilla Ergin, Serkan Bilgiç, Süleyman Deniz, Ercan Kurt %T Pulsed Radiofrequency in the Treatment of Coccygodynia %J The Journal of the Turkish Society of Algology %D 2011 %V 23 %N 1 %P 1-6 %R 10.5505/agri.2011.59002`
APA	Abdulkadir Atım, Atilla Ergin, Serkan Bilgiç, Süleyman Deniz, Ercan Kurt (2011). Pulsed Radiofrequency in the Treatment of Coccygodynia. The Journal of the Turkish Society of Algology, 23(1), 1-6. doi:10.5505/agri.2011.59002
MLA	Abdulkadir Atım, Atilla Ergin, Serkan Bilgiç, Süleyman Deniz, Ercan Kurt. "Pulsed Radiofrequency in the Treatment of Coccygodynia" The Journal of the Turkish Society of Algology, vol. 23, no. 1, 2011, pp. 1-6. doi:10.5505/agri.2011.59002.
Chicago	Abdulkadir Atım, Atilla Ergin, Serkan Bilgiç, Süleyman Deniz, Ercan Kurt. "Pulsed Radiofrequency in the Treatment of Coccygodynia" The Journal of the Turkish Society of Algology 23, no. 1 (2011): 1-6. https://doi.org/10.5505/agri.2011.59002.
AMA	Abdulkadir Atım, Atilla Ergin, Serkan Bilgiç, Süleyman Deniz, Ercan Kurt. Pulsed Radiofrequency in the Treatment of Coccygodynia. Agri. 2011; 23(1): 1-6. doi:10.5505/agri.2011.59002.
Vancouver	Abdulkadir Atım, Atilla Ergin, Serkan Bilgiç, Süleyman Deniz, Ercan Kurt. Pulsed Radiofrequency in the Treatment of Coccygodynia. Agri. 2011; 23(1): 1-6. doi:10.5505/agri.2011.59002

Pulsed Radiofrequency in the Treatment of Coccygodynia

Abstract

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