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222 results
  • [Undetected coccyx fracture in a woman with fibromyalgia]. [Case Reports]
    Schmerz. 2019 Dec; 33(6):549-554.Ranker A, Wegener B, … Irnich D
  • This article presents the case of a 46-year-old woman with fibromyalgia with an undetected fracture of the coccyx. The heterogeneity of the symptoms of patients suffering from fibromyalgia including chronic widespread pain, vegetative and functional disorders, mental and physical exhaustion as well as sleep disorders can cause accidentally undetected comorbidities, especially if these are rare an…
  • Management of coccydynia in the absence of X-ray evidence: Case report. [Journal Article]
    Int J Surg Case Rep. 2019; 54:63-65.Dayawansa S, Garrett D, … Huang JH
  • CONCLUSIONS: 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.
  • A Review of Current Treatment Options for Coccygodynia. [Review]
    Curr Pain Headache Rep. 2018 Mar 19; 22(4):28.Elkhashab Y, Ng A
  • Coccygodynia is pain within the coccyx area. The diagnosis is made clinically with symptoms of pain in the coccyx region and worsening pain in sitting position. The initial treatment is conservative therapy. For patients who do not respond to conservative therapies, there are further interventions available. This includes local injection of local anesthetics and steroids, neurolysis of sacral ner…
  • Ganglion blocks as a treatment of pain: current perspectives. [Review]
    J Pain Res. 2017; 10:2815-2826.Gunduz OH, Kenis-Coskun O
  • The inputs from sympathetic ganglia have been known to be involved in the pathophysiology of various painful conditions such as complex regional pain syndrome, cancer pain of different origin, and coccygodynia. Sympathetic ganglia blocks are used to relieve patients who suffer from these conditions for over a century. Many numbers of local anesthetics such as bupivacaine or neurolytic agents such…
  • Concurrent lumbosacral and sacrococcygeal fusion: a rare aetiology of low back pain and coccygodynia? [Case Reports]
    Folia Morphol (Warsz). 2018; 77(2):397-399.Kapetanakis S, Gkasdaris G, … Givissis P
  • Sacrum is a triangular bone placed in the base of the spine and formed by the synostosis of five sacral vertebrae (S1-S5). Its upper part is connected with the inferior surface of the body of L5 vertebra forming the lumbosacral joint, while its lower part is connected with the base of the coccyx forming the sacrococcygeal symphysis, an amphiarthrodial joint. The existence of four pairs of sacral …
  • Coccygodynia - pathogenesis, diagnostics and therapy. Review of the writing. [Review]
    Pol Przegl Chir. 2017 Aug 31; 89(4):33-40.Dampc B, Słowiński K
  • Coccygodynia is a problem with a small percentage (1%) of the population suffering from musculoskeletal disorders. This pain is often associated with trauma, falling on the tailbone, long cycling, or by women after childbirth. The reason for the described problem can be the actual morphological changes. Idiopathic coccygodynia causes therapeutic difficulties to specialists of many fields. Unsatis…
  • Effect of stretching of piriformis and iliopsoas in coccydynia. [Randomized Controlled Trial]
    J Bodyw Mov Ther. 2017 Jul; 21(3):743-746.Mohanty PP, Pattnaik M
  • Pain in the coccyx is referred as coccydynia. The pain aggravates in weight bearing i.e. sitting. Total 48 persons with coccydynia diagnosed clinically were recruited and randomly assigned into one of the 3 groups. Experimental group I were treated by stretching of piriformis and iliopsoas muscles, experimental group II were treated by stretching of piriformis and iliopsoas muscles and Maitland's…
  • Coccydynia: Tailbone Pain. [Review]
    Phys Med Rehabil Clin N Am. 2017 08; 28(3):539-549.Foye PM
  • Coccyx (tailbone) pain substantially decreases the quality of life for patients who suffer with this condition. Classic symptoms include midline pain located below the sacrum and above the anus. Symptoms are worse while sitting or during transitions from sitting to standing. Physical examination typically reveals focal tenderness during palpation of the coccyx. Diagnostic tests include radiograph…
  • A Rare Case of Isolated Lower Segment Transverse Sacral Fracture in a 12-Year-Old Girl and Its Management by Fixation with K-Wire. [Case Reports]
    World Neurosurg. 2017 Jan; 97:758.e1-758.e5.Baba-Rasul I, Hama Ameen HM, … Hasan SO
  • CONCLUSIONS: Sacral fracture is difficult to diagnose, especially when the patient has multiple injuries. This is because the emergency doctor may not perform a neurologic examination of the perineum and may miss its diagnosis. Another reason for its misdiagnosis is that the routine anteroposterior plain X-ray may not detect it. Trauma patients with sacrococcygeal pain and tenderness should raise concerns about sacral fracture, and a lateral plain X-ray and/or computed tomography of the sacrococcygeal spine should be performed. Neurologic deficit is rare in lower sacral segment fracture; hence, a trial of conservative management (same as for coccygeal fracture) should be tried first. If the patient does not respond and there is displacement, surgical intervention can be used, because it has a very good response from the patient. In the presence of a neurological deficit, however, surgical intervention should be attempted as soon as possible.
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