Coccyx steroid injection

Thank you for a very well presented procedure and images. Believe it or not, where I’m working now, we have no fluoro. We have CT and US. Have done these in the past going just under the inferior rim of the coccyx with fluoro as was suggested in another comment. Will give it a go with CT as I feel going through the ligament, as you suggest, is probably more controlled and possibly better tolerated. I wouldn’t feel comfortable using US to get the ganglion as the bone would block visualization. If I just wanted a joint injection at the sc joint, then I could use US… Also, a short block scan of the coccyx region with ct will give me a lot of information about other things that may be going on such as Tarlov cysts, mets, etc.

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An assessment by the BlueCross BlueShield Association Technology Evaluation Center (BCBSA, 2014) stated: "The choice of bone material for interbody fusion in [anterior cervical discectomy and fusion] ACDF has important clinical implications. Allograft bone has several drawbacks, including a minute (albeit unproven) risk of infectious disease transmission; possible immunological reaction to the allograft; and possible limited commercial availability of appropriate graft material. In contrast, the use of autograft bone in ACDF has potentially substantial morbidities at the harvest site, generally the iliac crest. These include moderate-to-severe, sometimes prolonged pain; deep infection; adjacent nerve and artery damage; and increased risk of stress fracture. Although there may be slight differences between autograft and allograft sources in the postoperative rate of union, clinical studies have demonstrated similar rates of postoperative fusion (90%–100%) and satisfactory outcomes for single-level, anterior-plated ACDF using either bone source. Thus, the choice of graft material involves a trade-off between the risks specific to autograft harvest versus those specific to use of allograft material."

Answer: Your provider is most likely referring to the sacro-coccygeal joint, which is the synovial joint between the sacrum and the coccyx, a small triangular bone made up of three to five rudimentary vertebrae which may or may not be fused together. Injections to the joint are often performed for coccydynia (, Other disorders of the coccyx ). Coccydynia can follow after falls, childbirth, repetitive strain, or surgery. In some cases the cause is unknown. Coccydynia pain can disappear by itself or with treatment, or it can continue for years, and may get worse.

Coccyx steroid injection

coccyx steroid injection

Answer: Your provider is most likely referring to the sacro-coccygeal joint, which is the synovial joint between the sacrum and the coccyx, a small triangular bone made up of three to five rudimentary vertebrae which may or may not be fused together. Injections to the joint are often performed for coccydynia (, Other disorders of the coccyx ). Coccydynia can follow after falls, childbirth, repetitive strain, or surgery. In some cases the cause is unknown. Coccydynia pain can disappear by itself or with treatment, or it can continue for years, and may get worse.

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