COCCYDINIA: PAIN MANAGEMENT WITH RADIOFREQUANCY THERMOABLATION OF GANGLION IMPAR

Giriş: Koksidini koksigeal bölgeyi etkileyen nadir fakat ağrılı bir durumdur. Insidansı çok iyi bilinmemekle birlikte kadın cinsiyet ve obezitenin koksidini gelişme riskini arttırdığı bilinmektedir. Etyolojisi tam olarak bilinmeyen bu ağrılı durumun tedavisinde de hekimler icin evrensel bir tedavi protokolu bulunmamaktadır. Çalışmamızın amacı koksidini tedavisinde impar gangliyonunun radyofrekans termoablasyonu (RFT) sonuçlarını incelemektir. Materyal-Metot: Koksidini tanısı almış 42 hastanın prospektif kesitsel çalışması yürütüldü. Tedaviyi değerlendirebilmek için Visual Analog Scale(VAS) ve Oswestry Low Back Pain Disability Questionnaire (Oswestry) testleri kullanıldı. Bulgular: Çalışmaya koksidini tanısı almış 42 hasta dahil edildi. Bunların 15 (% 35,7) erkek, 17(% 64,3) kadındı. Ortalama vücut kitle indeksi (BMI) 28,6 kg/m2 ve ağırlık 78,1 kg idi. Erkeklerin BMI kadınlardan yüksek olmasına rağmen yaş, cinsiyet ve ağrı arasında istatistiksel bir fark bulunmadı. RFT işlemi sonrası 6 aya kadar takiplerde VAS skorunda istatistiksel anlamlı azalma gözlendi. Birinci yıl sonunda VAS skorunda minimal bir artış olmasına rağmen istatistiksel olarak anlamlı değildi. Oswestry ve VAS takibinde bir yıl sonunda korelasyon mevcuttu.Sonuç: RFT kullanımı ilaç destekli veya desteksiz olarak koksidini tedavisinde tek başına medikal tedaviden daha iyi sonuçlar vermektedir.

KOKSİDİNİ: İMPAR GANGLİONUNUN RADIOFREKANS TERMOABLASYONU İLE AĞRI TEDAVİSİ

Introduction: Coccydynia is a rare but painful condition that affects the coccygeal region. The incidence is not well known but obesity and female gender are increased risk factors for developing. The management is complicated for the clinicians due to unknown etiology with no universally accepted treatment. Our aim is to evaluate the results of radiofrequency thermoablation (RFT) of ganglion impar treatment for coccydynia.Materials-Methods: We conducted a prospective, cross sectional study including 42 patient who suffers from coccydinia. Visual Analog Scale (VAS) and Oswestry Low Back Pain Disability Questionnaire (Oswestry) score were used to determine the progression of pain under treatment. Results: The study included 42 patients with coccydynia. Of these 15 (% 35.7) were male and 27 (% 64,3) were female. The average body mass index(BMI) is 28,6 kg/m2 and weight 78,1kg. Men were significantly taller and heavier than women but there is no statistically difference in age, BMI, duration of pain. After six months follow-up VAS was dramatically decreased but in the first year examination, minimally increased again. Oswestry and VAS had a correlation in one year follow-up. Conclusion: Treatment with RFA has a better clinical outcome supported with or without medical treatment when compared with medical treatment alone.

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