Ricardo Plancarte Sanchez, MD

It was great to once again see Ricardo Plancarte Sanchez, MD, at the Pain Symposium held by the New Jersey Society of Interventional Pain Physicians and New York Society of Interventional Pain Physicians. (NJSIPP and NYSIPP)

“Pain Medicine Symposium 2018″ was held in Jersey City, New Jersey, United States, in November 2018.

Dr. Plancarte has […]

How Soon After a Coccygectomy Can You Have a Steroid Injection?

Someone recently asked me:

How Soon After a Coccygectomy can you have a Steroid Injection? The answer is: “it depends.” Most patients tolerate corticosteroid (steroid) injections very well. These injections can be very helpful for a wide variety of painful musculoskeletal conditions. But it is important to recognize that there are some people who are […]

How often to Repeat Injections for Coccyx Pain, Tailbone Pain, Coccydynia

Many patients with coccyx pain (tailbone pain, coccydynia) get excellent relief and improved quality of life via various types of coccyx injections. Prior to injections, it is important that the patient undergo a thoughtful, careful evaluation regarding the actual source of their pain. Having an accurate diagnosis is important so that the physician can […]

Does local anesthetic relief predict response to coccygectomy?

I’d like to clarify… absolutely I do say that it is important to notice how much relief there is during the 1st hour or so after a local anesthetic injection. If a local anesthetic injection at the coccyx is done under image guidance (such as fluoroscopy, thus confirming accurate/appropriate placement of the injection) and […]

Why Do Some Coccyx Injections Not Help for Tailbone Pain, Coccyx Pain

There are multiple reasons why some coccyx injections do not help to relieve coccyx pain (tailbone pain, coccydynia). The physician doing the injection did not start by accurately diagnosing cause of the tailbone pain. If the doctor has not tried to figure out exactly what is causing the pain, how would he/she understand the proper […]

Ganglion Impar Injections: Dr. Foye's chapter in new medical textbook

Ganglion Impar Injections Ganglion Impar injections can be helpful in treating coccydynia (coccyx pain, tailbone pain) and other pelvic pain syndromes. The “ganglion Impar” is also called the “ganglion of Walther” or “Walther’s ganglion”. Ganglion Impar injections include ganglion Impar blocks (ganglion Impar nerve blocks, using local anesthetics) and ganglion Impar nerve ablation (destruction). The […]

Second Dose, Repeat Coccyx Injection for Tailbone Pain

Tailbone Injections and Repeat Injections are Common and Reasonable for Coccyx Pain There are multiple different types of tailbone injections that are done in the treatment of coccyx pain. Common examples include: local coccyx steroid injection, ganglion Impar sympathetic nerve block with local anesthetic, nerve ablation at the coccyx to deaden/kill the nerve fibers that […]

What's the BEST Injection for Tailbone Pain, Coccyx Pain?

What’s the BEST Injection for Tailbone Pain, Coccyx Pain? Recently, another physician asked me, “What’s the BEST injection to do for patients who have coccyx pain (tailbone pain)?” There are multiple different types of injections that can help decrease or eliminate tailbone pain. But which injection is “BEST”? The answer depends on many factors… This […]

Favorable But Variable Responses to Tailbone Injections for Coccyx Pain

Re: Response to coccyx injections. Hi, Folks.

Overall, the specific type of coccyx injection varies from patient to patient, along with differences in how the injection is performed based upon an individual patient’s anatomy and an individual patient’s diagnosis.

For example, regarding anatomy, a ganglion par block would be perform differently in someone who […]

Tailbone Injections AFTER Coccygectomy (Surgical Removal of the Coccyx)

Coccygectomy is surgical removal of the coccyx. Fortunately, the vast majority of patients with coccydynia (coccyx pain, tailbone pain) respond well to NON-surgical treatment and therefore do NOT require coccygectomy. Typical treatments include coccyx cushions and tailbone injections. For those small percentage of patients who fail to get adequate relief despite injections, etc., it […]

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