This study evaluates the safety and effectiveness of a dorsal approach radiofrequency neurotomy (RFN) targeting the sacrococcygeal (SCJ) and first intercoccygeal joints (ICJ) for the treatment of chronic coccydynia, a persistent pain condition affecting the tailbone.
At 3-month follow-up, 33.3% of patients who received a primary RFN reported ≥50% pain reduction and improved function. Following repeat RFN, that number increased to 63.6%. Statistically and clinically significant improvements were observed in both pain (NRS) and function (PDQQ-S) scores. These findings suggest that this minimally invasive, image-guided dorsal technique can provide meaningful pain relief and functional improvement in patients with refractory coccygeal pain.
Chronic coccydynia can be a disabling condition with limited treatment options once conservative measures fail. This study highlights the dorsal RFN approach as a promising alternative for clinicians managing coccygeal pain, showing clinical benefit in both initial and repeat treatments. The findings contribute valuable real-world data and support further investigation into more precise and reliable targeting methods for this under-addressed condition.
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NOTE: This was written to help the reader become familiar with some of the research we are doing here at Vivo Cura Health. This post, and all other content on this website are not intended to be a substitute for medical advice, diagnosis, or treatment. Please consult with a certified healthcare provider to discuss if a treatment is right for you.