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[Corticosteroid injection for coccygodynia]
1Ortopedisk avdeling Regionsykehuset i Trondheim 7006 Trondheim. vilh.finsen@medisin.ntnu.no
Summary
Local corticosteroid and lidocaine injections offer a simple treatment for severe coccygodynia (tailbone pain). This approach should be considered before surgical intervention for tailbone pain.
Area of Science:
- Pain Management
- Orthopedics
- Pharmacology
Context:
- Severe coccygodynia (tailbone pain) often necessitates coccygectomy.
- Conservative treatments in Norway typically involve avoiding direct pressure on the affected area.
- Local injections of corticosteroid and lidocaine represent an alternative therapeutic strategy.
Purpose:
- To evaluate the efficacy of local injections of corticosteroid and lidocaine for treating severe coccygodynia.
- To assess long-term outcomes in patients receiving this injection therapy.
Summary:
- Eleven patients with coccygodynia received local injections of corticosteroid and lidocaine.
- Follow-up occurred three or more years post-treatment via telephone contact.
- Outcomes included one asymptomatic patient, five with significant improvement, and one with no change; four patients underwent surgery during the follow-up period.
Impact:
- Local injection of corticosteroid and lidocaine is a viable, minimally invasive option for coccygodynia.
- This treatment should be explored prior to considering surgical options like coccygectomy.
- The findings suggest a potential conservative management pathway for tailbone pain, improving patient outcomes and potentially reducing surgical rates.