Prolonged coccydynia with discogenic low back pain relieved by hypodermic needling–A novel, economical, safe and effective technique

Rajeev Harshe

doi:10.5005/jp-journals-10046-0112

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CASE REPORT

Year : 2018 \| Volume : 4 \| Issue : 2 \| Page : 82-83

Prolonged coccydynia with discogenic low back pain relieved by hypodermic needling–A novel, economical, safe and effective technique Rajeev Harshe Consultant, Pain Management, Relief Pain Clinic, Gandhinagar, Gujarat, India Correspondence Address: Rajeev Harshe Consultant, Pain Management, Relief Pain Clinic, Gandhinagar, Gujarat India Source of Support: None, Conflict of Interest: None DOI: 10.5005/jp-journals-10046-0112

Pain at tailbone–coccydynia is a nagging pain. The patient finds it difficult to sit straight and give pressure on the coccyx. This is generally seen after trauma on the coccyx. This does disturb the quality of life. Similarly, discogenic low back pain is very common. Local injection at coccyx in the form of cortisone, caudal epidural with or without ganglion impar block is a commonly used method to treat this pain. There are many instances when these treatments also do not relieve pain. Herewith, I am presenting a case where a patient with refractory coccydynia with discogenic low back was given the treatment of hypodermic needling and patient-reported significant pain relief. This technique is based on the concept of stimulating A beta fibers present in the subcutaneous region and attempting to release endorphins into the segmental dorsal horn. Simple hypodermic needles number 26 gauge half inch length is used to be put in the subcutaneous area of respective sclerotomes.



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