RFA of ganglion impar

[galenao]

Has anyone been doing RFA of ganglion impar or SCS for coccygeal pain and outcome. Would also appreciate any literature recommendations.

Thanks

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[clubdeac]

Haven't done any ganglion impar RFA but several blocks with minimal relief for coccydynia. Have discussed this with several other experienced docs at various conferences and they report the same result. Coccydynia is tough as there's often a moderate amount of psychologic overlay. Just my 2cents

 

[TripleH]

For your ganglion impar theraputic blocks, what the composition of your injectate and what is your volume?

 

[lobelsteve]

My folks are getting good relief with 4cc 0.5% Marcaine and 3-6mg Celestone voodoo juju.

And the Gorback Tush Cush....they love that thing.

 

[axm397]

I do 40mg kenalog, 3cc 0.25% marcaine, 3cc 1% lidocaine. Just did my 2nd injection on a patient i last injected in August - 5 months of relief - and the pain just started coming back. he's a truck driver which doesn't help.

welcome back triple H. long time no see.

 

[Jcm800]

I do 40mg kenalog, 3cc 0.25% marcaine, 3cc 1% lidocaine. Just did my 2nd injection on a patient i last injected in August - 5 months of relief - and the pain just started coming back. he's a truck driver which doesn't help.

welcome back triple H. long time no see.

i do paxil or prozac. seems to work the best...

 

[buddy 2004]

The patient should also be evaluated for coccyx dislocation, and a reduction can be done at the time of the block via rectal approach. I guess no one is doing RF.

 

[SleepIsGood]

retrograde SCS? Anyone would do it?