Abdülkadir ATIM, Atilla ERGİN, SERKAN BİLGİÇ, Süleyman DENİZ, Ercan KURT

Pulsed radiofrequency in the treatment of coccygodynia

GİRİŞ: Koksigodini, koksigeal bölgede ağrı ve hassasiyetle karakterize klinik bir durumdur. Travma en yaygın etyolojik faktördür. Biz klasik tedavi protokolleri ile iyileşememiş koksigodinili hastalarda kaudal epidural puls radiyofrekans (PRF) tedavisinin etkinliğini araştırmayı ve uzun dönem sonuçlarını incelemeyi amaçladık. GEREÇ VE YÖNTEM: Çalışmaya, ağrı kliniğimizde kaudal epidural PRF’le tedavi edilen koksigodinili 21 hasta dahil edildi. Hastalardan 16’sında (%76) travma hikayesi, 3 hastada (%14) geçirilmiş cerrahi hikayesi varken, 2 hastada da (%10) nedeni ortaya konamamış koksigodini vardı. Tüm hastalar daha önceden konservatif metotlarla tedavi edilmişler ancak hiç birisinin ağrısı yeterince geçmemişti. Hastaların ağrı düzeyi visual analog scale (VAS) skoru ile değerlendirildi. Hasta memnuniyeti 3. hafta ve 6. aylarda subjektif hasta memnuniyeti anketi ile değerlendirildi. BULGULAR: Ortanca VAS skoru başlangıçta 8 idi, 3. hafta ve 6. ayda 2 olarak ölçüldü. Başlangıç değeri ile karşılaştırıldığında 3. hafta ve 6. ay VAS değerleri belirgin şekilde düşük bulundu (p

Koksigodini'de pulse radyofrekans tedavisi

BACKGROUND: Coccygodynia is a clinical condition characterized by pain and tenderness around the coccygeal region. Trauma is the most common etiologic factor. We aimed to investigate the effectiveness of pulsed radiofrequency (PRF) treatment in patients with coccygodynia that could not be relieved by classic treatment protocols and presenting our long-term results of caudal epidural PRF. METHODS: Study included 21 patients that were treated for coccygodynia by caudal epidural PRF in our Pain Clinic. Sixteen patients (76%) had a history of trauma; three patients (14%) had previous surgery whereas two patients (10%) had idiopathic coccygodynia with no identifiable cause. All patients had been previously treated by conservative methods, but none had pain relief. Pain level of the patients was assessed by visual analog scale (VAS) score. A questionnaire to evaluate subjective patient satisfaction was also used at third week and at sixth month follow-ups. RESULTS: Median VAS score was 8 at the beginning, decreased to 2 by the third week and measured as 2 at the sixth month. VAS at 3 week and 6 m were significantly lower compared to baseline (p<0.001). At sixth month twelve patients (57%) had excellent result, 5 patients (24%) had good results and only 4 (19%) patients had poor results regarding subjective patient satisfaction questionnaire. CONCLUSIONS: Caudal epidural PRF may be an alternative to surgery for coccygodynia patients that are unresponsive to classic treatment methods.

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