TITLE:
Corticosteroid Injection by Palpation Guide versus Palpation Guide and Needling Method for Coccydynia
AUTHORS:
Ebrahim Ghayem Hassankhani, Golnaz Ghayem Hassankhani, Solmaz Ghayem Hassankhani
KEYWORDS:
Corticosteroid Injection, Palpation Guiding, Needling, Coccydynia
JOURNAL NAME:
Open Journal of Orthopedics,
Vol.11 No.9,
September
10,
2021
ABSTRACT: Background: Coccydynia is a painful condition with tenderness and ache in
sacrococcygeal area which may radiate to the buttocks and lower back.
Coccydynia is a multifactorial disorder and the
most common cause of it is trauma. The initial treatment of the disease is conservative
methods. One of the most common conservative treatments of chronic coccydynia
is the local corticosteroid injection, which performed usually by
palpation-guided method. This study was conducted to compare the effectiveness
of local corticosteroid injection using palpation and needling method with
palpation method alone. Patients and
Methods: In this prospective
study, 50 patients with the diagnosis of
coccydynia were enrolled between 2010 and 2017. All patients had chronic coccydynia which did not respond to
conservative therapy for at least three months. Participants were divided into
two groups and each group consisted of 25 individuals. Patients who underwent
local corticosteroid injection using palpation guide technique alone were
assigned as group A and others who underwent palpation guiding injection with needling
technique were considered as group B. Results: There was a statistically
significant difference between the mean VAS scores in preinjection and final
follow up visit in each groups (P value
, the
difference between the mean VAS scores of
the final visit in groups A and B was statistically significant (P value Conclusion: Local corticosteroid injection using palpation guiding technique with needling is an uncomplicated,
inexpensive, and effective invasive conservative treatment for refractory
chronic coccydynia.