Thank you for a very well presented procedure and images. Believe it or not, where I’m working now, we have no fluoro. We have CT and US. Have done these in the past going just under the inferior rim of the coccyx with fluoro as was suggested in another comment. Will give it a go with CT as I feel going through the ligament, as you suggest, is probably more controlled and possibly better tolerated. I wouldn’t feel comfortable using US to get the ganglion as the bone would block visualization. If I just wanted a joint injection at the sc joint, then I could use US… Also, a short block scan of the coccyx region with ct will give me a lot of information about other things that may be going on such as Tarlov cysts, mets, etc.
Dr. Foye acknowledges and appreciates the numerous patients with coccyx pain who have traveled—often substantial distances—to see him over the years. Much has been learned by listening to descriptions of their symptoms and to their stories, by discovering how suffering from coccyx pain impacts the quality of their lives, and by analyzing their favorable responses to nonsurgical treatment. Their substantial contributions to the coccydynia knowledge base have helped in the treatment of many subsequent patients with coccyx pain, not only in Dr. Foye's practice, but (through his publications in this area) elsewhere as well. Dr. Foye finds it to be a gratifying privilege to help so many of these patients find relief.
How often cortisone injections are given varies based on the reason for the injection. This is determined on a case-by-case basis by the health care practitioner. If a single cortisone injection is curative, then further injections are unnecessary. Sometimes, a series of injections might be necessary; for example, cortisone injections for a trigger finger may be given every three weeks, to a maximum of three times in one affected finger. In other instances, such as knee osteoarthritis, a second cortisone injection may be given approximately three months after the first injection, but the injections are not generally continued on a regular basis.