Indian Journal of Radiology Indian Journal of Radiology  

   Login   | Users online: 2533

Home Bookmark this page Print this page Email this page Small font sizeDefault font size Increase font size     

 

INTERVENTIONAL RADIOLOGY Table of Contents   
Year : 2020  |  Volume : 30  |  Issue : 2  |  Page : 181-183
Low incidence of vascular uptake during ganglion impar sympathetic nerve blocks for coccydynia


1 Coccyx Pain Center; Department of Physical Medicine and Rehabilitation, Rutgers New Jersey Medical School, Newark, New Jersey, United States
2 School of Medicine, The University of Auckland, Auckland, New Zealand
3 Department of Physical Medicine and Rehabilitation, Rutgers New Jersey Medical School, Newark, New Jersey, United States

Correspondence Address:
Dr. Patrick M Foye
Coccyx Pain Center, Department of Physical Medicine and Rehabilitation, Rutgers New Jersey Medical School, Newark, New Jersey
United States
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijri.IJRI_302_19

Rights and Permissions

Context: Focal sympathetic nerve blocks of the ganglion impar are often effective treatments for coccydynia (coccyx pain) and other pelvic pain syndromes. These injections are generally performed under contrast-enhanced fluoroscopic guidance. Vascular uptake may potentially occur during the injection and vascular uptake rates have been reported for other spinal injections, but never for ganglion impar blocks. Aims: The purpose of the study was to determine vascular uptake rates during fluoroscopy-guided ganglion impar blocks. Settings and Design: An academic/University-based Coccyx Pain Center. Methods and Materials: A total of 78 consecutive trans-coccygeal ganglion impar blocks were analyzed for vascular uptake of contrast as determined by intermittent fluoroscopy. Statistical Analysis Used: Direct calculation of incidence. Results: Only one patient (1.3%) demonstrated a vascular uptake pattern, which was readily recognized and corrected by slightly adjusting the position of the needle tip and thereby subsequently obtaining the desired contrast pattern at the ganglion impar. Conclusions: Vascular uptake incidence is low during ganglion impar blocks. This information can be one of the multiple factors considered when a physician is deciding whether or not to use contrast in an individual patient.


[FULL TEXT] [PDF]*
Print this article     Email this article

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
  Citation Manager
 Access Statistics
  Reader Comments
  Email Alert *
  Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed91    
    Printed2    
    Emailed0    
    PDF Downloaded13    
    Comments [Add]    

Recommend this journal