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Management of coccydynia in the absence of X-ray evidence: Case report.
Int J Surg Case Rep 2019; 54:63-65IJ

Abstract

BACKGROUND AND IMPORTANCE

Coccydynia is a rare pain syndrome due to trauma to the coccyx that is diagnosed through history, physical, and sitting/standing lateral plain film radiographs. Coccydynia is typically managed conservatively with specialized cushions, NSAIDS, and physical therapy. In cases refractory to nonsurgical management, coccygectomy has a high success rate for pain reduction.

CLINICAL PRESENTATION

Our patient had coccygeal pain for three years and endorsed a mobile fragment that was not highlighted on plain film radiographs. After evaluation with MRI and CT, a coccygeal source of their pain was highlighted and partial coccygectomy was performed.

CONCLUSION

Post-operatively, patient endorsed major improvement in her pain at follow up. In a case of suspected coccydynia where initial imaging is inconclusive but clinical suspicion is very high, higher level imaging such as MRI or CT can reveal radiographic findings of coccydynia. MRI and CT can play a role in the diagnosis and treatment of coccydynia in the absence of x-ray evidence.

Authors+Show Affiliations

Department of Neurosurgery, Baylor Scott and White Health, Temple, TX, USA. Electronic address: Samantha.Dayawansa@BSWHealth.org.Department of Neurosurgery, Baylor Scott and White Health, Temple, TX, USA.Department of Neurosurgery, Baylor Scott and White Health, Temple, TX, USA.Department of Neurosurgery, Baylor Scott and White Health, Temple, TX, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30529808

Citation

Dayawansa, Samantha, et al. "Management of Coccydynia in the Absence of X-ray Evidence: Case Report." International Journal of Surgery Case Reports, vol. 54, 2019, pp. 63-65.
Dayawansa S, Garrett D, Wong M, et al. Management of coccydynia in the absence of X-ray evidence: Case report. Int J Surg Case Rep. 2019;54:63-65.
Dayawansa, S., Garrett, D., Wong, M., & Huang, J. H. (2019). Management of coccydynia in the absence of X-ray evidence: Case report. International Journal of Surgery Case Reports, 54, pp. 63-65. doi:10.1016/j.ijscr.2018.11.043.
Dayawansa S, et al. Management of Coccydynia in the Absence of X-ray Evidence: Case Report. Int J Surg Case Rep. 2019;54:63-65. PubMed PMID: 30529808.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Management of coccydynia in the absence of X-ray evidence: Case report. AU - Dayawansa,Samantha, AU - Garrett,David,Jr AU - Wong,Marcus, AU - Huang,Jason H, Y1 - 2018/11/24/ PY - 2018/08/25/received PY - 2018/11/20/revised PY - 2018/11/21/accepted PY - 2018/12/12/pubmed PY - 2018/12/12/medline PY - 2018/12/12/entrez KW - Coccydynia KW - Coccygectomy KW - Coccygodynia KW - Coccyx KW - Spine SP - 63 EP - 65 JF - International journal of surgery case reports JO - Int J Surg Case Rep VL - 54 N2 - BACKGROUND AND IMPORTANCE: Coccydynia is a rare pain syndrome due to trauma to the coccyx that is diagnosed through history, physical, and sitting/standing lateral plain film radiographs. Coccydynia is typically managed conservatively with specialized cushions, NSAIDS, and physical therapy. In cases refractory to nonsurgical management, coccygectomy has a high success rate for pain reduction. CLINICAL PRESENTATION: Our patient had coccygeal pain for three years and endorsed a mobile fragment that was not highlighted on plain film radiographs. After evaluation with MRI and CT, a coccygeal source of their pain was highlighted and partial coccygectomy was performed. CONCLUSION: Post-operatively, patient endorsed major improvement in her pain at follow up. In a case of suspected coccydynia where initial imaging is inconclusive but clinical suspicion is very high, higher level imaging such as MRI or CT can reveal radiographic findings of coccydynia. MRI and CT can play a role in the diagnosis and treatment of coccydynia in the absence of x-ray evidence. SN - 2210-2612 UR - https://www.unboundmedicine.com/medline/citation/30529808/Management_of_coccydynia_in_the_absence_of_X-ray_evidence:_Case_report L2 - https://linkinghub.elsevier.com/retrieve/pii/S2210-2612(18)30551-0 DB - PRIME DP - Unbound Medicine ER -