Resumo

RUBIO, E. et al. Cocygeal transdiscal approach of ganglion impar for the treatment of coccygodynia. Rev. Soc. Esp. Dolor [online]. 2007, vol.14, n.2, pp.113-116. ISSN 1134-8046.

Objetive: To test the efficacy and safety of the Walter ganglion blockade trough coccygeal disc, in patients who suffered from coccygodynia. Patients and Methods: We evaluated six patients, 4 women (66,6%) and two men (33,4%), with chronic coccyx pain (>6 months), and more than 6 points in Visual Analogue Scale (VAS). We described the transcoccygeal disc approach to Walter ganglion blockade technique. The improvement of pain score, degree of satisfaction and complications of the patients were evaluated. Results: Five patients improved VAS score 6 to 1. All the patients were satisfied with the treatment. We had no complications. Conclusions: The transdiscal approach of the Walter ganglion is easy, safe (with less risk of rectal perforation and bone traumatismthan the classical anococcygeal ligament via), and effective for chronic coccygodynia.

Palavras-chave : Coccygodynia; ganglion impar (ganglion of Walter) blockade; hypogastric plexus block.

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