LOCAL STEROID INJECTION IN THE TREATMENT OF REFRACTORY COCCYDYNIA

Coccydynia or coccygeal pain is a medical condition although rare which manifests as pain and tenderness over the coocygeal region. These patients have mostly difculty sitting and the symptoms are excarbratted by pressure. The condition typically responds to conservative management like Non steroidal antinammatory drugs(NSAIDS) , sitz baths, soft cushions, rectal manipulation Our study included 30 patients with coccygeal pain refractory to other means of treatment. We used 40 ml triamcinolone along with 2ml of 1% lidocaine introduced locally. The outcome was studied by ability of the patient to sit, by eliciting the local tenderness and the VAS score. We concluded that injecting steroid injection in patients with refractory coccydynia is a good alternative option with minimal complications.