text: COCCYGEAL INJECTION,PROCEDURE:,:  Informed consent was obtained from the patient.  A gloved little finger was inserted into the anal region and the sacral/coccygeal joint was palpated and the coccyx was moved and it was confirmed that this reproduced pain.  After aseptic cleaning, a 25-gauge needle was inserted through the skin into the sacral/coccygeal joint.  It was confirmed that the needle was not entering the rectal cavity by finger placed in the rectum.  After aspiration, 1 mL of cortisone and 2 mL of 0.25% Marcaine were injected at the site.  Postprocedure, the needle was withdrawn.  A small pressure dressing was placed and no hematoma was observed to form.,POST PROCEDURE INSTRUCTIONS:, The patient has been asked to report to us any redness, swelling, inflammation, or fevers.  The patient has been asked to restrict the use of the * extremity for the next 24 hours.pain management, coccygeal injection, 0.25% marcaine, 1 ml of cortisone, coccygeal joint, coccyx, fevers, inflammation, redness, sacral, swelling, coccygeal, injectionNOTE,: Thesetranscribed medical transcription sample reports and examples are provided by various users andare for reference purpose only. MTHelpLine does not certify accuracy and quality of sample reports.These transcribed medical transcription sample reports may include some uncommon or unusual formats;this would be due to the preference of the dictating physician. All names and dates have beenchanged (or removed) to keep confidentiality. Any resemblance of any type of name or date orplace or anything else to real world is purely incidental.