Efficacy of Local Steroid Injection in Treating Coccydynia

Authors

  • Abdul Hameed Department of Orthopedic Surgery, Bolan Medical Complex Hospital, Quetta, Pakistan
  • Aman Ullah Khan Kakar Department of Orthopedic Surgery, Bolan Medical College, Quetta, Pakistan
  • Shams Ullah Department of Orthopedic Surgery, Bolan Medical Complex Hospital, Quetta, Pakistan
  • Ahmed Shah Surgery Unit-3, Sandeman Provincial Hospital, Bolan Medical College, Quetta, Pakistan
  • Attiq Ur Rehman Department of Orthopedic Surgery, Bolan Medical Complex Hospital, Quetta, Pakistan
  • Ghulam Mustafa Department of Neurosurgery, Bolan Medical College, Quetta, Pakistan

DOI:

https://doi.org/10.61919/jhrr.v4i2.1766

Keywords:

Coccydynia, Local Steroid Injection, Pain Management, Corticosteroids, Sacrococcygeal Junction, Orthopedic Rehabilitation, Musculoskeletal Pain

Abstract

Background: Coccydynia, a debilitating condition characterized by persistent coccygeal pain, lacks a universally accepted treatment protocol. While corticosteroid injections have demonstrated efficacy in previous studies, variations in response rates and limited local data warrant further investigation.

Objective: This study aimed to evaluate the efficacy of local steroid injection in treating coccydynia, analyzing its impact on pain relief and functional improvement while assessing potential demographic predictors of treatment success.

Methods: A descriptive case series was conducted at the Department of Orthopedic Surgery, Bolan Medical Complex Hospital, Quetta, from January 1, 2024, to December 31, 2024. A total of 113 patients diagnosed with coccydynia were recruited based on predefined inclusion and exclusion criteria. Under aseptic conditions, all patients received an 80 mg triamcinolone acetate injection combined with 2 mL of 1% lidocaine at the sacrococcygeal junction and coccygeal segments. Pain and functional outcomes were assessed at four-week intervals for three months. Data was analyzed using SPSS v27, with Chi-square tests applied for categorical comparisons and statistical significance set at p ≤ 0.05. Ethical approval was obtained, ensuring compliance with the Helsinki Declaration.

Results: Of the 113 patients, 96 (85.0%) experienced significant symptom relief following corticosteroid injection. Efficacy was highest in younger patients (92.9% in 16–30 years) and those with normal BMI (96.9%, p = 0.001), while overweight (71.7%) and obese patients (33.3%) exhibited lower response rates. Gender did not significantly impact treatment outcomes (p = 0.690).

Conclusion: Local steroid injection is a highly effective, minimally invasive intervention for coccydynia, particularly in younger and normal-weight patients. These findings support its integration into clinical practice as a first-line treatment, with future research needed to explore long-term efficacy and alternative strategies for high-risk populations.

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Published

2024-02-15

How to Cite

Abdul Hameed, Aman Ullah Khan Kakar, Shams Ullah, Ahmed Shah, Attiq Ur Rehman, & Ghulam Mustafa. (2024). Efficacy of Local Steroid Injection in Treating Coccydynia. Journal of Health and Rehabilitation Research, 4(2), 1–4. https://doi.org/10.61919/jhrr.v4i2.1766

Issue

Vol. 4 No. 2 (2024): Volume 4, Issue 2 - April to June 2024

Section

Articles

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Copyright (c) 2024 Abdul Hameed, Aman Ullah Khan Kakar, Shams Ullah, Ahmed Shah, Attiq Ur Rehman, Ghulam Mustafa

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