232 results match your criteria Coccygodynia

Comparative evaluation of transsacrococcygeal and transcoccygeal approach of ganglion impar block for management of coccygodynia.

J Anaesthesiol Clin Pharmacol 2021 Jan-Mar;37(1):90-96. Epub 2021 Apr 10.

Department of Orthopaedics, Pt. B.D. Sharma PGIMS, Rohtak, Haryana, India.

Background And Aims: Coccygodynia or Coccydynia is pain in the area of coccyx and ganglion impar block is commonly used technique for treatment of coccygodynia.

Material And Methods: Forty patients of either sex in the age group of 20-70 years suffering from coccygodynia, who failed to respond to six weeks of conservative treatment were enrolled in the study. All patients were subjected to detailed clinical history, examination in the Pain Management Centre (Pain Clinic) of our Institute and imaging studies were reviewed. Read More

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Coccygectomy for Chronic Refractory Coccygodynia in Pediatric and Adolescent Patients.

J Indian Assoc Pediatr Surg 2021 Mar-Apr;26(2):102-106. Epub 2021 Mar 4.

Department of Paediatric Surgery, Faculty of Medicine, Tanta University, Tanta, Egypt.

Aims: Coccygodynia (also known as coccydynia and coccyalgia) described for the first time by Simpson in 1859. It is a disabling pain in the coccyx usually provoked by sitting or changing position from a sitting to a standing position. Treatment started with adjustment of ergonomics as specialized cushion for sitting, application of local heat, and oral analgesics. Read More

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Corticosteroid injection for coccydynia: a review of 241 patients.

Bone Jt Open 2020 Nov 2;1(11):709-714. Epub 2020 Nov 2.

Department of Orthopaedic Surgery, St. Olav's University Hospital, Trondheim, Norway.

Aims: We aimed to establish the short- and long-term efficacy of corticosteroid injection for coccydynia, and to determine if betamethasone or triamcinolone has the best effect.

Methods: During 2009 to 2016, we treated 277 patients with chronic coccydynia with either one 6 mg betamethasone or one 20 mg triamcinolone cortisone injection. A susequent injection was given to 62 (26%) of the patients. Read More

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November 2020

Coccygectomy for coccygodynia: a cohort study with a long-term follow-up of up to 29 years.

Eur Spine J 2021 Apr 3;30(4):1072-1076. Epub 2020 Nov 3.

Department for Orthopaedics and Traumatology, Kepler University Hospital GmbH, Johannes Kepler University Linz, Krankenhausstrasse 9, A-4020 Linz and Altenberger Strasse 69, 4040, Linz, Austria.

Purpose: We aim to critically review the effectiveness and safety of coccygectomy with special regard to long-term outcomes.

Methods: Coccygectomy was performed in our clinic in 38 patients between 1990 and 2019. All these patients (32 females vs. Read More

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Normal Preoperative Images Do Not Indicate a Poor Outcome of Surgery for Coccydynia.

Spine (Phila Pa 1976) 2020 Nov;45(22):1567-1571

Department of Orthopaedic Surgery, St. Olav's University Hospital, Trondheim, Norway.

Study Design: This is a retrospective cohort study.

Objective: To evaluate the long-term outcomes after surgery for refractory coccygodynia in patients with normal imaging studies compared with patients where imaging shows an anomaly.

Summary Of Background Data: Patients with coccydynia who do not respond to conservative treatment will often profit from coccygectomy. Read More

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November 2020

Coccygodynia Due to a Sacrococcygeal Anomaly: A Rare Cause of Constipation.

Pediatr Emerg Care 2021 Apr;37(4):e215-e217

Department of Pediatric Surgery, La Paz University Hospital, Madrid, Spain.

Abstract: We report a case of an uncommon sacrococcygeal anomaly in a healthy girl initially presenting to the emergency department with coccygodynia and a past history of longstanding constipation. The clinical evolution was satisfactory once the bony anomaly was removed (coccygectomy). This unusual case exemplifies the importance of the medical history and physical examination to make an accurate diagnosis. Read More

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Imaging Coccygeal Trauma and Coccydynia.

Radiographics 2020 Jul-Aug;40(4):1090-1106

From the Department of Radiology, Palmer College of Chiropractic-West Campus, 90 E Tasman Dr, San Jose, CA 95134 (M.R.S.); Department of Radiology, Cedars-Sinai Medical Center, Los Angeles, Calif (G.R.M.); and Department of Radiology, Keck School of Medicine, University of Southern California, Los Angeles, Calif (D.B.P., A.T., E.A.W., J.S.G.).

The coccygeal region has complex anatomy, much of which may contribute to or be the cause of coccyx region pain (coccydynia). This anatomy is well depicted at imaging, and management is often dictated by what structures are involved. Coccydynia is a common condition that is known to be difficult to evaluate and treat. Read More

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Comparison of block and pulsed radiofrequency of the ganglion impar in coccygodynia

Turk J Med Sci 2019 Oct 24;49(5):1555-1559. Epub 2019 Oct 24.

Department of Anesthesia and Reanimation, Health Sciences University, Gülhane Training and Research Hospital, Ankara, Turkey

Background/aim: Ganglion impar blockis used for the treatment of chronic coccygodynia. Pulsed radiofrequency (PRF) of the ganglion impar is a promising novel technique. The aim of this study was to determine and compare the efficacy of the blockade and PRF of the ganglion impar. Read More

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October 2019

[Undetected coccyx fracture in a woman with fibromyalgia].

Schmerz 2019 Dec;33(6):549-554

Interdisziplinäre Schmerzambulanz, Klinikum der Universität München - Campus Innenstadt, LMU München, Pettenkoferstr. 8a, 80336, München, Deutschland.

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 and predominantly present with pain as the main symptom. In the present case the reason for symptoms was detected only after 14 months of ineffective therapies and diagnostic procedures. Read More

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December 2019

A prospective study to evaluate the efficacy of ultrasound-guided ganglion impar block in patients with chronic perineal pain.

Saudi J Anaesth 2019 Apr-Jun;13(2):126-130

Department of Anaesthesiology, PGIMS, Rohtak, Haryana, India.

Background: The blockade of the ganglion impar has been described to relieve the intractable perineal pain of sympathetic origin in patients with coccydynia. Chronic perineal pain (CPP) has been effectively managed by ganglion impar block. The feasibility, safety, and efficacy of ultrasound (US)-guided ganglion impar block by transsacrococcygeal approach was analyzed in the present study. Read More

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[Therapy-resistant coccygodynia should no longer be considered a myth : The surgical approach].

Orthopade 2019 Jan;48(1):92-95

Orthopädische Klinik für die Universität Regensburg, Asklepios Klinikum Bad Abbach, Kaiser-Karl-V-Allee 3, 93077, Bad Abbach, Deutschland.

Background: Coccygodynia is still often considered a mystery, and many patients are not taken seriously with their problems and pain.

Case: A 51-year-old thin lady presented at our clinic with lifelong, persistent low back pain. The clinical examination indicated suspicion of coccygodynia. Read More

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January 2019

Management of coccydynia in the absence of X-ray evidence: Case report.

Int J Surg Case Rep 2019 24;54:63-65. Epub 2018 Nov 24.

Department of Neurosurgery, Baylor Scott and White Health, Temple, TX, USA.

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. Read More

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November 2018

Ganglion Impar block improves neuropathic pain in coccygodynia: A preliminary report.

Neurol Neurochir Pol 2018 Sep - Oct;52(5):612-617. Epub 2018 Aug 28.

Department of Physical Medicine and Rehabilitation, Division of Pain Medicine, Marmara University Pendik Training and Research Hospital, Istanbul, Turkey.

Aim Of The Study: To define the effectiveness of ganglion Impar block in improving neuropathic pain.

Materials And Methods: Patients who had pain around the coccyx for more than three months and did not respond to conservative treatment were included in this study. All the patients underwent fluoroscopy guided transsacrococcygeal ganglion Impar block with injecting 3 mL of 0. Read More

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Dorsal Root Ganglion Stimulation for Chronic Pelvic Pain: A Case Series and Technical Report on a Novel Lead Configuration.

Neuromodulation 2019 Jan 1;22(1):87-95. Epub 2018 Aug 1.

Department of Physical Medicine & Rehabilitation, Mount Sinai Hospital, New York, NY, USA.

Introduction: Chronic pelvic pain (CPP) is an elusive and complex neuropathic condition that is notoriously recalcitrant to treatment. The term "CPP" encompasses a number of treatment-resistant conditions like pudendal neuralgia, interstitial cystitis, coccygodynia, vulvodynia. CPP has been presented neuromodulators attempting to utilize conventional spinal cord stimulation (SCS), with constant frustration and high explant rates. Read More

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January 2019

The influence of coccygeal dynamic patterns on ganglion impar block treatment results in chronic coccygodynia.

Interv Neuroradiol 2018 Oct 3;24(5):580-585. Epub 2018 Jul 3.

6 Department of Physical Medicine and Rehabilitation, Division of Pain Medicine, Faculty of Medicine, Marmara University, Istanbul, Turkey.

Objective Ganglion impar block (GIB) can be performed in patients with chronic coccygodynia who do not respond to conservative treatments. We investigated the effect of coccygeal dynamic patterns on the treatment outcome in patients with chronic coccygodynia treated with GIB. Materials and methods We retrospectively analyzed the data for patients diagnosed with chronic coccygodynia who underwent GIB only once by a transsacrococcygeal method under fluoroscopy guidance in our Pain Medicine Clinic. Read More

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October 2018

Coccygectomy for Coccygodynia: A Single Center Experience Over 5 Years.

Asian J Neurosurg 2018 Apr-Jun;13(2):277-282

Department of Neurosurgery, Sher-I-Kashmir Institute of Medical Sciences, Soura, Srinagar, Jammu and Kashmir, India.

Introduction: Coccygodynia refers to a pathological condition in which pain occurs in the coccyx or its immediate vicinity. The pain is usually provoked by sitting or rising from sitting. Several studies have reported good or excellent results after coccygectomy especially in patients who are refractory to conservative treatment. Read More

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A Review of Current Treatment Options for Coccygodynia.

Curr Pain Headache Rep 2018 Mar 19;22(4):28. Epub 2018 Mar 19.

Department of Anesthesiology, Jefferson Pain Center, Thomas Jefferson University Hospital, 834 Chestnut Street, Suite T-150, Philadelphia, PA, 19107, USA.

Purpose Of Review: 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. Read More

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Can patients with symptomatic Tarlov cysts be differentiated from patients with specific low back pain based on comprehensive history taking?

Acta Neurochir (Wien) 2018 04 17;160(4):839-844. Epub 2018 Feb 17.

Department of Social and Primary Health Care, Public Health Nutrition, University of Leuven, Herestraat 49, 3000, Leuven, Belgium.

Background: Tarlov cysts (TCs) are expanded nerve root sheaths that occur near the dorsal root ganglion and result from increased intraspinal hydrostatic pressure. TCs most frequently affect the lumbosacral plexus and therefore may cause specific symptoms such as perineal pain and neurogenic bladder, bowel, and sphincter problems. It has been estimated that 1% of the population has symptomatic Tarlov cysts (STCs). Read More

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Ganglion blocks as a treatment of pain: current perspectives.

J Pain Res 2017 14;10:2815-2826. Epub 2017 Dec 14.

Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Marmara University, Istanbul, Turkey.

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 as alcohol can be chosen for a successful block. Read More

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December 2017

Coccydynia - could age, trauma and body mass index be independent prognostic factors for outcomes of intervention?

Ann R Coll Surg Engl 2018 Jan 15;100(1):12-15. Epub 2017 Sep 15.

Royal Derby Hospital , Derby , UK.

Introduction The aetiology of coccydynia can be multifactorial, with several associated factors such as obesity, female gender and low mood. The long-term results of operative interventions, such as manipulation under anaesthesia and coccygectomy are variable, ranging from 63-90%. Materials and methods Our aim was to identify whether age, trauma and body mass index (BMI) were independent prognostic factors in coccydynia treatment. Read More

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January 2018

Repeated Ganglion Impar Block in a Cohort of 83 Patients with Chronic Pelvic and Perineal Pain.

Pain Physician 2017 09;20(6):E823-E828

Department of Urology, Nantes University Hospital, Nantes, France.

Background: The ganglion impar is the first pelvic ganglion of the efferent sympathetic trunk that relays pelvic and perineal nociceptive messages and therefore constitutes a therapeutic target.

Objective: The objective of this single-center study was to evaluate the effectiveness of 3 repeated ganglion impar blocks in patients with chronic pelvic and perineal pain on intention-to-treat.

Study Design: Retrospective single-center study. Read More

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September 2017

Concurrent lumbosacral and sacrococcygeal fusion: a rare aetiology of low back pain and coccygodynia?

Folia Morphol (Warsz) 2018 21;77(2):397-399. Epub 2017 Sep 21.

Spine Department and Deformities, Interbalkan European Medical Center, Thessaloniki, Greece..

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 fora-mina in both anterior and posterior surface of the sacrum is the most common anatomy. Read More

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Coccygodynia - pathogenesis, diagnostics and therapy. Review of the writing.

Pol Przegl Chir 2017 Aug;89(4):33-40

Centrum Terapii Manualnej, Sierosław, Tarnowo Podgórne, Polska.

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. Read More

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Surgery for Refractory Coccygodynia: Operative Versus Nonoperative Treatment.

Spine (Phila Pa 1976) 2017 Aug;42(16):1214-1219

Department of Orthopedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA.

Study Design: This is a retrospective cohort study.

Objective: To evaluate the long-term outcomes for patients with refractory coccygodynia treated with coccygectomy compared to a nonsurgical regimen of sitting aids, physical therapy, medications, and injections.

Summary Of Background Data: The surgical treatment of coccygodynia remains controversial. Read More

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Effect of stretching of piriformis and iliopsoas in coccydynia.

J Bodyw Mov Ther 2017 Jul 29;21(3):743-746. Epub 2017 Mar 29.

Swami Vivekanand National Institute of Rehabilitation Training & Research, Olatpur, Cuttack 754010, Odisha, India.

Pain in the coccyx is referred as coccydynia. The pain aggravates in weight bearing i.e. Read More

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Coccydynia: Tailbone Pain.

Patrick M Foye

Phys Med Rehabil Clin N Am 2017 08 27;28(3):539-549. Epub 2017 May 27.

Physical Medicine and Rehabilitation, Coccyx Pain Center, Rutgers New Jersey Medical School, 90 Bergen Street, DOC Suite 3100, Newark, NJ 07103-2425, USA. Electronic address:

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. Read More

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Coccygodynia review: coccygectomy case series.

Eur J Orthop Surg Traumatol 2017 Oct 6;27(7):961-965. Epub 2017 Apr 6.

Orthopedic Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

Background: Coccygodynia is a pain of the coccyx that is typically exaggerated by pressure. Management includes anti-inflammatory medications, physiotherapy, and coccyx manipulation. Coccygectomy is the surgical approach for treating coccygodynia when the conservative management fails. Read More

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October 2017

Use of High-Concentration Capsaicin Patch for the Treatment of Pelvic Pain: Observational Study of 60 Inpatients.

Pain Physician 2017 Jan-Feb;20(1):E161-E167

Federative Pelvic Pain Center, Nantes, France; Department of Gynecology-Obstetrics and Reproductive Medicine, Centre Hospitalier Universitaire, Nantes, France.

Background: Chronic pelvic, perineal and gluteal neuralgia is often experienced in a similar way to neuropathic pain, in the territories of four nerves: ilio-inguinal, pudendal, inferior cluneal and posterior gluteal nerves. These pains are often refractory to medical treatment based on the use of systemic molecules with disabling adverse effects and surgical procedure may be necessary.

Objective: The objective of this study was to evaluate the efficacy and safety of treatment with a high-concentration capsaicin patch in these indications. Read More

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

Eur J Orthop Surg Traumatol 2017 Jul 2;27(5):591-598. Epub 2017 Jan 2.

Department of Orthopaedic Surgery, Al-Razi Orthopaedic Hospital, P.O. Box 24923, 13110, Safat, Kuwait City, Kuwait.

Background: 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. Read More

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