Ganglion impar neurolysis for chronic recurrent coccydynia: a case-based evaluation of therapeutic efficacy

Abstract

Coccydynia is defined as pain localized in the coccygeal region, with clinical presentations ranging from mild discomfort to severe, debilitating pain. the most common etiologies are internal or external trauma. management strategies depend on the severity of symptoms and range from conservative therapies—such as analgesics, physical rehabilitation, and psychotherapy—to interventional approaches, including ganglion impar neurolysis. while its use remains controversial, this case report aimed to investigate whether ganglion impar neurolysis is effective in managing chronic recurrent coccydynia in an adolescent patient, so it may offer significant improvements in pain control, quality of life, and reduction in recurrence and socioeconomic burden.

Keywords: Chronic Pain; Coccydynia; Impar Ganglion; Neurolysis; Recurrent

Citation: Azza KKN, Mahmud M, Susianti NA, Moeljono A. Ganglion impar neurolysis for chronic recurrent coccydynia: a case-based evaluation of therapeutic efficacy. Anaesth. pain intensive care 2025;29(6):634-639. DOI: 10.35975/apic.v29i6.2928

Received: May 29, 2025; Revised: July 24, 2024; Accepted: July 26, 2025