Evidence map›Paper›PMID 39552215›Full record

ArticlePain management

A novel approach to refractory coccydynia: ultrasound- fluoroscopy-guided cryoablation of sacrococcygeal nerve.

Inês Mendes-Andrade, Robert Pagan-Rosado, Nuno Ferreira-Silva, Mark Friedrich Hurdle

Abstract readCase Reports
In one paragraph

Article in Pain management. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Inês Mendes-AndradeDepartment of Physical Medicine and Rehabilitation, Rehabilitation Medicine Center of Alcoitão, Lisbon, Portugal.ORCID 0000-0002-3012-5467
Robert Pagan-RosadoDepartment of Pain Medicine, Mayo Clinic, Jacksonville, FL, USA.ORCID 0000-0002-3491-4762
Nuno Ferreira-SilvaDivision of Pain Medicine, Department of Anesthesiology, Reanimation, and Pain Medicine, Hospital Clínic de Barcelona, Catalunya, Spain.ORCID 0000-0003-1586-2466
Mark Friedrich HurdleDepartment of Pain Medicine, Mayo Clinic, Jacksonville, FL, USA.ORCID 0000-0002-3583-3710

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Coccydynia, also termed chronic pain in the tailbone, is a complex condition with limited treatment options for refractory cases. This case series introduces a novel approach for treating refractory coccydynia using cryoablation of the sacrococcygeal nerves under combined ultrasound and fluoroscopy guidance. Two female patients, suffering from chronic pain for over six months and unresponsive to conservative interventions, underwent cryoablation. Both patients reported significant pain relief, with more than 50% reduction in their numeric rating scale scores, and no major complications were observed during or after the procedure. Furthermore, we propose a clinical treatment algorithm to assist in selecting appropriate interventions for refractory coccydynia, based on the anatomical source of the pain. The findings suggest that cryoablation may be a valuable option for patients with persistent coccygeal pain; however, larger prospective studies are required to confirm its efficacy and long-term safety.

Indexed as

Chronic PainCryosurgeryAdultCoccyxFemaleFluoroscopyHumansLow Back PainMiddle AgedSacrococcygeal RegionTreatment OutcomeUltrasonography, Interventionalchronic painCoccydyniacryoablationpain reliefsacrococcygeal nerves

Identifiers

PMID39552215
PMCPMC11622740

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.