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Various Aetiologies of Non-Traumatic coccydynia Cause Pain in the Posterior Sacrococcygeal Leg of the Pelvic Tripod: A Burden on the Healthcare Sector

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Open Journal of Orthopedics 2024年第7期14卷 334-353页

作者： Kumar Satya Nandivada Venkata Kiran Nadavinamani Shivanand Raghavendra Oommen Elsy Biju Bharadwaja Nikhil Nandivada Nandivada Vaishnavi Rizvi Usama Ahmed Krushi Orthopaedic Welfare Society Research Wing Visakhapatnam India

Introduction: coccydynia, television disease, and coccygodynia are the different names given to this disabling disease, which can become chronic. It was described by Simson in 1859. coccydynia means pain at the end of the vertebral column. Non-traumatic coccydynia is a diagnosis, which is never straightforward like traumatic coccydynia because the onset is unclear, and both the patient and the unaware clinician face many challenges in treating it on time and with accuracy. Coccyx was likened to a cuckoo bird’s beak as a curved bone of fused 3 to 5 vertebrae with remnant disc material in some rare cases, unfused segments, linear scoliosis or subluxations and deformities. Stress X-rays of the coccyx in the antero-posterior and lateral views in standing and sitting reveal the “Dynamic Instability” due to congenital coccygeal morphological, pathological and mechanical variations. Material and Methods: This is a complex study having retrograde data collected from online publications from various databases, like PubMed, Embase, and Cochrane Library and also antegrade data collected from 100 patients with their consent from patients in Adam and Eve Specialised Medical Centre-based at Abu Dhabi, UAE and data was processed in the research centre of Krushi Orthopaedic Welfare Society based in India between 2014-2024 following all guidelines of Helsinki and approved by the ethics board of Krushi Orthopaedic Welfare Society. Clinical Presentation: The coccyx is painful, with aches, spasms, and an inability to sit. This affects daily activities without any particular date of onset. The onset remains insidious for the non-traumatic variety of coccydynia. Aetiology and Patho Anatomy: Non-traumatic coccydynia can be caused by a myriad of reasons, like congenital morphological variations, acquired dynamic instabilities, and hidden trauma remaining quiescent to re-surface as a strain-induced pain. Radiological Presentations: Unless clarity is focused on these coccygeal views, the err

关键词： coccydynia Coccygodynia Pelvic Floor Chordoma Pilonidal Sinus Fused Sacrococcygeal Segment Non-Traumatic coccydynia Entrapment of Coccygeal Nerves Dural Syndrome

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Corticosteroid Injection by Palpation Guide versus Palpation Guide and Needling Method for coccydynia

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Open Journal of Orthopedics 2021年第9期11卷 249-256页

作者： Ebrahim Ghayem Hassankhani Golnaz Ghayem Hassankhani Solmaz Ghayem Hassankhani Orthopedic Research Center Orthopedic Department Imam Reza Hospital Mashhad University of Medical Sciences Mashhad Iran Orthopedic Research Center Ghaem Hospital Mashhad University of Medical Sciences Mashhad Iran Umeå University Ume&aring Sweden

Background: coccydynia is a painful condition with tenderness and ache in sacrococcygeal area which may radiate to the buttocks and lower back. coccydynia is a multifactorial disorder and the most common cause of it i... 详细信息

Background: Coccydynia is a painful condition with tenderness and ache in sacrococcygeal area which may radiate to the buttocks and lower back. Coccydynia is a multifactorial disorder and the most common cause of it is trauma. The initial treatment of the disease is conservative methods. One of the most common conservative treatments of chronic coccydynia is the local corticosteroid injection, which performed usually by palpation-guided method. This study was conducted to compare the effectiveness of local corticosteroid injection using palpation and needling method with palpation method alone. Patients and Methods: In this prospective study, 50 patients with the diagnosis of coccydynia were enrolled between 2010 and 2017. All patients had chronic coccydynia which did not respond to conservative therapy for at least three months. Participants were divided into two groups and each group consisted of 25 individuals. Patients who underwent local corticosteroid injection using palpation guide technique alone were assigned as group A and others who underwent palpation guiding injection with needling technique were considered as group B. Results: There was a statistically significant difference between the mean VAS scores in preinjection and final f

关键词： Corticosteroid Injection Palpation Guiding Needling coccydynia

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Extracorporeal shock wave therapy for the treatment of coccydynia: a series of 23 cases

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中华物理医学与康复杂志 2019年第8期41卷 630-630页

作者： Marwan Y Dahrab B Esmaeel A 不详

BACKGROUND AND OBJECTIVE coccydynia can lead to significant functional disability and worsening of quality of life if not properly managed. In this study, we aim to assess the outcomes of extracorporeal shock wave therapy in patients with coccydynia. METHODS A prospective case series study was carried out from January to December 2015. Twenty-three patients, mean age of 38.3±12.1 (range 18-64), were included. The majority were females (13;56.5%), had pain for at least 6 weeks (17;73.9%) and had trauma to the sacrococcygeal region (17;73.9%). They had three sessions (one session per week for three consecutive weeks) of focused shock wave therapy directed to the maximal point of coccygeal tenderness. Numerical pain scale and Oswestry disability index were used to assess outcome. RESULTS Six (26.1%) patients did not complete the follow-up because of no, or minimal, improvement of their pain. After 6 months of follow-up, the median numerical pain scale significantly decreased from 7.0±4.0 to 2.0±2.0 among the 17 patients with coccydynia (Pcoccydynia. The majority of patients had partial relief of their pain and disability following this therapy.

关键词： Extracorporeal shock wave the treatment of coccydynia a series of 23 cases

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