Corticosteroid Injection by Palpation Guide versus Palpation Guide and Needling Method for Coccydynia  

作　　者：Ebrahim Ghayem Hassankhani Golnaz Ghayem Hassankhani Solmaz Ghayem Hassankhani Ebrahim Ghayem Hassankhani;Golnaz Ghayem Hassankhani;Solmaz Ghayem Hassankhani(Orthopedic Research Center, Orthopedic Department, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran;Orthopedic Research Center, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran;UmeåUniversity, Umeå, Sweden)

机构地区：[1]Orthopedic Research Center, Orthopedic Department, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran [2]Orthopedic Research Center, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran [3]Umeå University, Umeå , Sweden

出　　处：《Open Journal of Orthopedics》2021年第9期249-256,共8页矫形学期刊（英文）

摘　　要：<b><span style="font-family:Verdana;">Background:</span></b><span style="font-family:Verdana;"> Coccydynia is a painful condition with tenderness and ache in sacrococcygeal area which may radiate to the buttocks and lower back. Coccydynia is a multifactorial disorder</span><span></span><span></span><b><span><span></span><span></span> </span></b><span style="font-family:""><span style="font-family:Verdana;">and the most common cause of it is trauma. The initial treatment of the disease is conservative methods. One of the most common conservative treatments of chronic coccydynia is the local corticosteroid injection, which performed usually by palpation-guided method. This study was conducted to compare the effectiveness of local corticosteroid injection using palpation and needling method with palpation method alone. </span><b><span style="font-family:Verdana;">Patients and Methods: </span></b><span style="font-family:Verdana;">In this prospective study</span></span><span style="font-family:Verdana;">, 50</span><span style="font-family:Verdana;"> patients with the diagnosis</span><span style="font-family:Verdana;"> of coccydynia were enrolled between 2010 </span><span style="font-family:Verdana;">and</span><span style="font-family:Verdana;"> 2017. All patients had chronic coccydynia which did not respond to conservative therapy for at least three months. Participants were divided into two groups and each group consisted of 25 individuals. Patients who underwent local corticosteroid injection using palpation guide technique alone were assigned as group A and others who underwent palpation guid</span><span style="font-family:Verdana;">ing</span><span style="font-family:""><span style="font-family:Verdana;"> injection with needling technique were considered as group B. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">There was a statistically significant difference between the mean VAS scores in preinjection and final follow up visit in each groups</span></span><span<b><span style="font-family:Verdana;">Background:</span></b><span style="font-family:Verdana;"> Coccydynia is a painful condition with tenderness and ache in sacrococcygeal area which may radiate to the buttocks and lower back. Coccydynia is a multifactorial disorder</span><span></span><span></span><b><span><span></span><span></span> </span></b><span style="font-family:""><span style="font-family:Verdana;">and the most common cause of it is trauma. The initial treatment of the disease is conservative methods. One of the most common conservative treatments of chronic coccydynia is the local corticosteroid injection, which performed usually by palpation-guided method. This study was conducted to compare the effectiveness of local corticosteroid injection using palpation and needling method with palpation method alone. </span><b><span style="font-family:Verdana;">Patients and Methods: </span></b><span style="font-family:Verdana;">In this prospective study</span></span><span style="font-family:Verdana;">, 50</span><span style="font-family:Verdana;"> patients with the diagnosis</span><span style="font-family:Verdana;"> of coccydynia were enrolled between 2010 </span><span style="font-family:Verdana;">and</span><span style="font-family:Verdana;"> 2017. All patients had chronic coccydynia which did not respond to conservative therapy for at least three months. Participants were divided into two groups and each group consisted of 25 individuals. Patients who underwent local corticosteroid injection using palpation guide technique alone were assigned as group A and others who underwent palpation guid</span><span style="font-family:Verdana;">ing</span><span style="font-family:""><span style="font-family:Verdana;"> injection with needling technique were considered as group B. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">There was a statistically significant difference between the mean VAS scores in preinjection and final follow up visit in each groups</span></span><span

关 键 词：Corticosteroid Injection Palpation Guiding NEEDLING COCCYDYNIA 

分 类 号：R24[医药卫生—中医临床基础]