Pulsed vs Conventional Radiofrequency for Tailbone Pain
Official title: Pulsed vs Conventional Radiofrequency of the Ganglion Impar for Coccydynia: A Prospective Randomized Trial
Run by Adana City Training and Research Hospital · NCT07497269 · Data updated 2026-11-12
This study tests whether pulsed or conventional radiofrequency ablation of the ganglion impar better relieves tailbone (coccydynia) pain and improves sleep and quality of life in adults who have not responded to other treatments.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 80 Years |
| Sex | All |
| Enrollment | 90 (estimated) |
| Sponsor | Adana City Training and Research Hospital Academic / other |
| Drugs / interventions | radiation |
| Locations | 2 sites (Adana, Adana and 1 other locations) |
| Status | Recruiting |
| Started | April 1, 2026 |
| Main results expected | April 1, 2027 |
| Study ends | April 1, 2028 |
| Registry record updated | October 28, 2026 |
| Trial ID | NCT07497269 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18–80 with chronic coccygeal pain for more than 3 months, who are scheduled for ganglion impar treatment with either pulsed or conventional radiofrequency ablation and have not responded to conservative therapies.
✕Probably not a fit
Patients with contraindications to ablation, significant comorbidities, or those unlikely to complete follow-up may not experience benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This interventional study prospectively compares two radiofrequency ablation approaches targeting the ganglion impar in adults with chronic coccydynia. Participants will undergo either pulsed or conventional radiofrequency ablation and will be followed to assess changes in pain, quality of life, and sleep quality. The trial aims to determine if one technique provides superior pain relief or functional benefits. Eligibility includes adults aged 18 to 80 with at least 3 months of refractory coccygeal pain and planned ganglion impar treatment. Exclusion criteria include incomplete records, procedural failures, infection, bleeding disorders, malignancy, cognitive or language barriers, and other standard safety considerations.
Why it matters
Potential benefit: If successful, this approach could identify a more effective radiofrequency technique for reducing tailbone pain and improving daily functioning.
How similar studies have gone: Similar approaches in nerve-targeted radiofrequency methods have shown variable success, with limited direct comparisons between pulsed and conventional techniques in coccydynia, making this study relatively novel in this indication.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age between 18 and 80 years. * Chronic pain in the coccygeal region lasting longer than 3 months, unresponsive to analgesics, anti-inflammatory drugs, and other conservative treatment methods. * Patients scheduled to undergo ganglion impar treatment with either conventional or pulsed radiofrequency ablation (RFA). Exclusion Criteria: * Incomplete medical records. * Loss to follow-up. * Technical failure during the block procedure. * Local infection, bleeding disorders, allergy to contrast agents, or history of spinal surgery. * History of malignancy. * Refusal to participate in the study. * Diagnosed psychological disorders. * Individuals unable to communicate effectively or understand instructions. * Age under 18 or over 80 years.
Where it's running
-
Adana City Training and Research Hospital
Adana, Adana, Turkey (Türkiye) Recruiting -
Tobb Etü Hospital
Ankara, Ankara, Turkey (Türkiye) Recruiting
Study contacts
- Principal investigator: Derya Bayram, MD — Adana City Training and Research Hospital
- Study coordinator: Derya Bayram, MD
- Email: deryak.bayram@gmail.com
- Phone: +905433400430
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
ESPB for persistent back pain in ankylosing spondylitis
This trial tests whether an erector spinae plane block can help reduce persistent back pain in adults with ankylosing spondylitis who still have pain despite controlled disease activity.
-
Erector Spinae Plane Block vs Trigger Point Injection for Chronic Thoracic Myofascial Pain
A randomized trial tests whether an erector spinae plane (ESP) block or a trigger point injection (TPI) provides better relief for adults with chronic thoracic myofascial pain.
-
Transcutaneous Electrical Nerve Stimulation for Acute Low Back Pain in EDs
This trial tests whether TENS can relieve acute low back pain in adults who come to the emergency department.
-
Hormones, Pain, and Exercise: Sports Bras for Full-Busted Women
This study tests whether specially designed sports bras can reduce neck, shoulder, arm, and back pain in full-busted women, and whether hormones, inflammation, or brain changes affect pain.
-
Mindfulness-based stress reduction for chronic thoracic or lumbar back pain
This project will test whether an 8-week mindfulness-based stress reduction (MBSR) course helps working-age adults (18–64) with chronic thoracic or lumbar back pain reduce their pain compared with usual care.
-
Psychological Options for Wellness and Recovery (POWeR) for Veterans with Chronic Back or Neck Pain
This study tests whether Pain Reprocessing Therapy (PRT), cognitive behavioral therapy (CBT), or usual care works best to lower pain in veterans with chronic back or neck pain.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.