The Sacral Multifidus Plane Block for Analgesia After Coccygectomy: Case Report

Area of Science:

• Anesthesiology
• Pain Management
• Surgical Procedures

Background:

• Coccygodynia, or tailbone pain, often stems from trauma or idiopathic causes and can become chronic.
• Persistent coccygodynia resistant to conservative therapies may require surgical intervention, such as coccygectomy.
• Postoperative pain management following coccygectomy is crucial for patient recovery and satisfaction.

Purpose of the Study:

• To report the successful use of sacral multifidus plane block (S-MPB) for multimodal pain management after coccygectomy.
• To evaluate the efficacy, simplicity, and safety of S-MPB in the context of coccyx surgery.
• To explore S-MPB as a novel analgesic approach for coccygectomy patients.

Main Methods:

• A case report detailing the application of S-MPB in a patient undergoing coccygectomy for chronic coccygodynia due to exostosis.
• Administration of S-MPB under spinal anesthesia to provide postoperative analgesia.
• Multimodal pain management strategy incorporating S-MPB.

Main Results:

• The S-MPB provided effective and safe postoperative analgesia for the patient.
• The procedure was technically simple to perform.
• No complications were reported in relation to the S-MPB.

Conclusions:

• Sacral multifidus plane block (S-MPB) is a promising technique for managing pain after coccygectomy.
• S-MPB offers a simple, effective, and safe option for multimodal pain management in this surgical context.
• Further research is warranted to optimize S-MPB application and confirm its benefits in coccygectomy patients.