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IRCT2016123024621N5 IRCT 2017-02-10 Vice chancellor for research, Iran University of Medical Sciences Comparison of the efficacy of local corticosteroid injection in treatment of Coccydynia with and without ultrasound guidance Comparison of the efficacy of local corticosteroid injection in treatment of Coccydynia with and without ultrasound guidance 2017-01-20 anticipated 30 Complete https://irct.ir/trial/20748 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment. N/A Coccygodynia. Intervention 1: In the intervention group 2cc Lidocaine 2% and 1cc of 40 mg teriamcinolon acetonide under sonography guide will be injected locally at the point of maximum tenderness in sacrococcygeal joint or tip of coccyx. And patients are learned to do pelvic floor exercises regularly and also lifestyle modification. Intervention 2: In the intervention group 2cc Lidocaine 2% and 1cc of 40 mg teriamcinolon acetonide will be blind injected locally at the point of maximum tenderness in sacrococcygeal joint or tip of coccyx. And patients are learned to do pelvic floor exercises regularly and also lifestyle modification.
public Mahdieh Asilian Mahabadi
3th floor, No/ 18, Arab Hosseini St., Ashrafi Esfahani Highway
Tehran Iran (Islamic Republic of) Tehran +98 21 6635 4400 m.asilian@gmail.com Iran University of Medical Sciences scientific Tannaz Ahadi
Firoozgar Hospital; Valiasr Square
Tehran Iran (Islamic Republic of) +98 21 6635 4400 ahadi.t@iums.ac.ir Iran University of Medical Sciences Iran (Islamic Republic of) Inclusion criteria: age 18 to 65 years; VAS scale equal to or more than 4 in any position of sitting, standing or supine lying; have not had coccyx injection or manipulation in past six months; the patients should not get pelvic floor physiotherapy during the treatment; maximum tenderness be in streptococcal joint or tip of coccyx. Exclusion criteria: the patients who do not refer to clinic for follow up or getting other treatments. 18 years 65 years Both M53.3 Sacrococcygeal disorders, not elsewhere classified Other Other In the intervention group 2cc Lidocaine 2% and 1cc of 40 mg teriamcinolon acetonide under sonography guide will be injected locally at the point of maximum tenderness in sacrococcygeal joint or tip of coccyx. And patients are learned to do pelvic floor exercises regularly and also lifestyle modification. In the intervention group 2cc Lidocaine 2% and 1cc of 40 mg teriamcinolon acetonide will be blind injected locally at the point of maximum tenderness in sacrococcygeal joint or tip of coccyx. And patients are learned to do pelvic floor exercises regularly and also lifestyle modification. Coccygeal pain. Timepoint: Before intervention, 1, 4 and 8 weeks after intervention. Method of measurement: Visual Analogue Scale. Patient's quality of life. Timepoint: Before intervention and 4 weeks after intervention. Method of measurement: SF36 standard questionare. Vice chancellor for research, Iran University of Medical Sciences Approved 2016-12-18 Ethics Committee of Iran Universiy of Medical Sciences Hemmat Highway, Iran University of Medical Sciences Tehran Iran (Islamic Republic of)