Ganglion impar block for management of chronic coccydynia in an adolescent

Pediatric Anesthesia

2009, Volume 19, Issue 11, 1137–1138

Herodotos Ellinas*, Navil F. Sethna†

* Department of Anesthesiology, Perioperative and Pain Medicine, Children's Hospital Boston, Harvard Medical School, Boston, MA, USA

† Department of Anesthesiology, Perioperative and Pain Medicine, Children's Hospital Boston, Boston, MA, USA

Email - hellinas@mcw.edu

Abstract

A ganglion impar block was applied to a 15 year old obese boy with coccydynia of 2-year duration. It was decided to perform the block via trans-sacrococcygeal joint rather than extra-coccygeal approach. 5 days later he reported significant improvement in symptoms by 50% that persisted at 12-month follow-up.

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