BILATERAL SACRAL 4 PULSE RADIOFREQUENCY AND EPIDURAL TREATMENT FOR COCCYGODYNIA PAIN

Öz

Coccygodynia is a clinical condition characterized by chronic pain localized to the coccygeal region, typically triggered or exacerbated by sitting and often associated with prior trauma. In this case report, a 45-year-old patient with chronic coccygodynia unresponsive to conservative treatment modalities was presented. As part of the interventional pain management strategy, the patient underwent pulsed radiofrequency and caudal transforaminal epidural steroid injection. Additionally, bilateral pulsed radiofrequency treatment was applied to the sacral dorsal root ganglia. Follow-up assessments revealed a significant reduction in sacral pain following the intervention. In cases of coccygodynia resistant to conservative management, pulsed radiofrequency treatment targeting the sacral dorsal root ganglia, in conjunction with conventional interventional techniques, may represent an effective and reliable therapeutic option for pain relief.

Anahtar Kelimeler

• Radiofrequency
• epidural treatment
• sacral pain
• coccygodynia

Koksigodini Ağrisinda Bilateral Sakral 4 Pulse Radyofrekans ve Epidural Tedavi

Öz

Koksigodini, genellikle travma sonrası gelişen ve oturma ile şiddetlenen, koksiks bölgesinde lokalize kronik ağrı ile karakterize bir klinik tablodur.Bu olgu sunumunda, konservatif tedavilere yanıt vermeyen kronik koksigodini şikayeti bulunan 45 yaşındaki bir hasta değerlendirilmiştir. Hastanın tedavisinde, ağrı yönetiminde sık kullanılan girişimsel yöntemler arasında yer alan pulse radyofrekans ve kaudal transforaminal epidural steroid enjeksiyonuna ek olarak, bilateral sakral dorsal kök ganglionlarına radyofrekans uygulaması gerçekleştirilmiştir.Tedavi sonrası yapılan klinik takiplerde hastanın sakral bölgeye lokalize ağrısında anlamlı düzeyde azalma tespit edilmiştir.Konservatif yaklaşımlara dirençli koksigodini olgularında, klasik girişimsel yöntemlere ek olarak uygulanan bilateral sakral dorsal kök ganglion radyofrekans tedavisinin, ağrı kontrolünde etkili ve güvenilir bir seçenek olabileceği düşünülmektedir.

Anahtar Kelimeler

• Radyofrekans
• edpidural tedavi
• sakral ağrı
• koksigodini

Kaynakça

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