EAJAIC

The Eurasian Journal of Anesthesiology and Intensive Care (EAJAIC) is an independent-unbiased, peer-reviewed, "double-blind", and open-access journal of current national and international issues and reviews for original clinical and experimental research, interesting case reports, differential diagnoses, editorial opinions, letters to the editor, and educational papers in anesthesiology, algology, and intensive care medicine.

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Original Article
Sciatic nerve pulsed radiofrequency treatment in coccydynia
Aims: Coccydynia is a pain felt around the coccyx that limits functionality. Interventional treatment options are available in cases that do not respond to conservative methods. This study is aimed to reduce pain by retrograde neuromodulation of the sciatic nerve with pRF in coccydynia.
Methods: 22 patients with coccydynia were treated with bilateral sciatic nerve pRF. Followed for 8 weeks. Visual analog scale measurements were performed before and 2-4-6-8 weeks after the procedure.
Results: At 4 weeks in 16 (73%) patients and at 8 weeks in 11 (27%) patients, pain had decreased by 50% compared to baseline. When the changes in the VAS scale over 8 weeks were analyzed, the change in baseline-2,4,6 weeks was statistically significantly reduced (p<0.001).
Conclusion: Interventional methods have been described in the treatment of coccydynia and retrograde neuromodulation of the peripheral nerve pRF was tried for the first time. The fact that the perforating cutaneous branches and sciatic nerve originate from common nerve roots explains the pain reduction with pRF applied to the sciatic nerve. Randomized controlled trials are needed to evaluate the efficacy of treatment.


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Volume 1, Issue 4, 2024
Page : 92-96
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