218 results match your criteria Coccygodynia


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

Orthopade 2018 Dec 7. Epub 2018 Dec 7.

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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http://link.springer.com/10.1007/s00132-018-03665-7
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http://dx.doi.org/10.1007/s00132-018-03665-7DOI Listing
December 2018
4 Reads

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

Int J Surg Case Rep 2018 Nov 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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http://dx.doi.org/10.1016/j.ijscr.2018.11.043DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6282188PMC
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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https://linkinghub.elsevier.com/retrieve/pii/S00283843183025
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http://dx.doi.org/10.1016/j.pjnns.2018.08.006DOI Listing
August 2018
8 Reads

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

Neuromodulation 2018 Aug 1. 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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http://doi.wiley.com/10.1111/ner.12801
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http://dx.doi.org/10.1111/ner.12801DOI Listing
August 2018
21 Reads

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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http://dx.doi.org/10.1177/1591019918781673DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6116125PMC
October 2018
3 Reads

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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http://dx.doi.org/10.4103/1793-5482.228568DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5898092PMC
April 2018
1 Read

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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http://dx.doi.org/10.1007/s11916-018-0683-7DOI Listing
March 2018
19 Reads

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

Acta Neurochir (Wien) 2018 Apr 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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http://link.springer.com/10.1007/s00701-018-3494-z
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http://dx.doi.org/10.1007/s00701-018-3494-zDOI Listing
April 2018
12 Reads

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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http://dx.doi.org/10.2147/JPR.S134775DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5734237PMC
December 2017
3 Reads

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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http://dx.doi.org/10.1308/rcsann.2017.0089DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5838659PMC
January 2018
15 Reads

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
14 Reads

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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http://dx.doi.org/10.5603/FM.a2017.0081DOI Listing
September 2017
8 Reads

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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http://dx.doi.org/10.5604/01.3001.0010.3909DOI Listing
August 2017
13 Reads

Surgery for Refractory Coccygodynia: Operative Versus Nonoperative Treatment.

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

*Department of Orthopedic Surgery, Stanford University School of Medicine, Redwood City, CA†Department of Orthopaedic Surgery, Innlandet Hospital Trust, Lillehammer, Norway‡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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http://dx.doi.org/10.1097/BRS.0000000000002053DOI Listing
August 2017
14 Reads

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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https://linkinghub.elsevier.com/retrieve/pii/S13608592173004
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http://dx.doi.org/10.1016/j.jbmt.2017.03.024DOI Listing
July 2017
30 Reads

Coccydynia: Tailbone Pain.

Authors:
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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http://dx.doi.org/10.1016/j.pmr.2017.03.006DOI Listing
August 2017
7 Reads

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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http://link.springer.com/10.1007/s00590-017-1947-3
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http://dx.doi.org/10.1007/s00590-017-1947-3DOI Listing
October 2017
15 Reads

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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July 2017
9 Reads

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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http://dx.doi.org/10.1007/s00590-016-1896-2DOI Listing
July 2017
54 Reads

Pulsed Radiofrequency and Coccygodynia.

Turk Neurosurg 2016 ;26(6):957

Gulhane Military Medical Academy, Haydarpasa Training Hospital, Department of Anesthesiology, Algology, Istanbul, Turkey.

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http://dx.doi.org/10.5137/1019-5149.JTN.13551-14.1DOI Listing
January 2016
1 Read

A Rare Case of Isolated Lower Segment Transverse Sacral Fracture in a 12-Year-Old Girl and Its Management by Fixation with K-Wire.

World Neurosurg 2017 Jan 13;97:758.e1-758.e5. Epub 2016 Oct 13.

Surgical Emergency Hospital, Sulaymaniyah, Kurdistan, Iraq; Department of Neurosurgery, Shahid Doctor Aso Neurosurgical and Ophthalmological Hospital, Sulaymaniyah, Kurdistan, Iraq. Electronic address:

Background: Isolated lower segment sacral fracture is very rare. To the best of our knowledge, there is only one case report of S4 stable fracture that was treated conservatively.

Case Description: Here, we report a 12-year-old girl who sustained an isolated S5 fracture with anterior displacement of S5 and coccyx on S4. Read More

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http://dx.doi.org/10.1016/j.wneu.2016.10.014DOI Listing
January 2017
12 Reads
2.420 Impact Factor

Transsacrococcygeal approach to ganglion impar block for treatment of chronic coccygodynia after spinal arachnoid cyst removal: A case report.

Medicine (Baltimore) 2016 Sep;95(39):e5010

Department of Anesthesiology and Pain Medicine, Inha University School of Medicine, Inha University Hospital, Incheon, South Korea.

Background: Coccygodynia is a pain in the region of the coccyx that radiates to the sacral, perineal area. The cause of the pain is often unknown. Coccygodynia is diagnosed through the patient's past history, a physical examination, and dynamic radiographic study, but the injection of local anesthetics or a diagnostic nerve blockade are needed to distinguish between somatic, neuropathic, and combined pain. Read More

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http://dx.doi.org/10.1097/MD.0000000000005010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5265959PMC
September 2016
15 Reads

[Case control study on clinical effects of sacrococcygeal manipulation in the treatment of coccyx pain].

Zhongguo Gu Shang 2016 Sep;29(9):831-835

The Second Department of Spinal, Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102, China;

Objective: To study the clinical efficacy of sacral manual therapy in the treatment of coccygodynia.

Methods: From November 2013 to July 2015, 184 patients with sacrococcygeal pain were divided into treatment group and control group. There were 26 males and 65 females in the treatment group, with an average age of (39. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2016.09.012DOI Listing
September 2016
4 Reads

Small Tips for Treatment Principles in Coccygodynia.

Turk Neurosurg 2016 ;26(3):463

Maresal Cakmak Military Hospital, Department of Orthopaedics, Erzurum, Turkey.

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http://dx.doi.org/10.5137/1019-5149.JTN.12197-14.0DOI Listing
January 2016
5 Reads

Reply to the Letter by J. Hambraeus, 'Ganglion Impar Blocks for More than Coccygodynia'.

Pain Med 2016 Mar 15. Epub 2016 Mar 15.

Department of Physical Medicine and Rehabilitation, Section of Pain Medicine, Marmara University School of Medicine, Istanbul, Turkey.

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http://dx.doi.org/10.1093/pm/pnw034DOI Listing
March 2016
2 Reads

Ganglion Impar Blocks for More Than Coccygodynia.

Authors:
Johan Hambraeus

Pain Med 2016 Feb 18. Epub 2016 Feb 18.

Smartkliniken Eques Indolor AB, Vallentuna, Sweden.

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http://painmedicine.oxfordjournals.org/content/painmedicine/
Web Search
http://painmedicine.oxfordjournals.org/lookup/doi/10.1093/pm
Publisher Site
http://dx.doi.org/10.1093/pm/pnv119DOI Listing
February 2016
3 Reads

Sacrum and Coccyx Radiographs Have Limited Clinical Impact in the Emergency Department.

AJR Am J Roentgenol 2016 Apr 11;206(4):681-6. Epub 2016 Feb 11.

1 Division of Emergency Radiology, Department of Radiology and Imaging Sciences, Emory University Midtown Hospital, 550 Peachtree Rd, Atlanta GA 30308.

Objective: The purpose of this study was to determine the yield and clinical impact of sacrum and coccyx radiographs in the emergency department (ED).

Materials And Methods: Consecutive sacrum and coccyx radiographs obtained in the EDs of four hospitals over a 6-year period were categorized as positive for acute fracture or dislocation, negative, or other. Five follow-up metrics were analyzed: follow-up advanced imaging in the same ED visit, follow-up advanced imaging within 30 days, new analgesic prescriptions, clinic follow-up, and surgical intervention within 60 days. Read More

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http://dx.doi.org/10.2214/AJR.15.15095DOI Listing
April 2016
11 Reads

Pelvic Neuralgias by Neuro-Vascular Entrapment: Anatomical Findings in a Series of 97 Consecutive Patients Treated by Laparoscopic Nerve Decompression.

Pain Physician 2015 Nov;18(6):E1139-43

Department for Gynecology and Neuropelveology, University of Aarhus, Aarhus, Denmark.

Background: Some patients have pelvic, pudendal, or low lumbar pain radiating into the legs that is worse while sitting but differs from pudendal neuralgia. The purpose of this study was to present a new clinical entity of neuropathic pelvic pain by pelvic neuro-vascular entrapment.

Objectives: To report about the locations of predilection for pelvic neurovascular entrapment. Read More

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November 2015
40 Reads

Coccygectomy as a Surgical Option in the Treatment of Chronic Traumatic Coccygodynia.

Asian Spine J 2015 Jun 8;9(3):492. Epub 2015 Jun 8.

Department of Orthopaedic Surgery, Haydarpasa Gulhane Military Hospital, Istanbul, Turkey.

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http://dx.doi.org/10.4184/asj.2015.9.3.492DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4472602PMC
June 2015
6 Reads

Dutch Multidisciplinary Guideline for Invasive Treatment of Pain Syndromes of the Lumbosacral Spine.

Pain Pract 2016 Jan 1;16(1):90-110. Epub 2015 Jun 1.

Department of Anesthesiology, Centre of Pain Medicine, Erasmus Medical Center, Rotterdam, the Netherlands.

Objectives: When conservative therapies such as pain medication or exercise therapy fail, invasive treatment may be indicated for patients with lumbosacral spinal pain. The Dutch Society of Anesthesiologists, in collaboration with the Dutch Orthopedic Association and the Dutch Neurosurgical Society, has taken the initiative to develop the guideline "Spinal low back pain," which describes the evidence regarding diagnostics and invasive treatment of the most common spinal low back pain syndromes, that is, facet joint pain, sacroiliac joint pain, coccygodynia, pain originating from the intervertebral disk, and failed back surgery syndrome.

Methods: The aim of the guideline is to determine which invasive treatment intervention is preferred for each included pain syndrome when conservative treatment has failed. Read More

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http://dx.doi.org/10.1111/papr.12318DOI Listing
January 2016
6 Reads

Pain Relief due to Transsacrococcygeal Ganglion Impar Block in Chronic Coccygodynia: A Pilot Study.

Pain Med 2015 Jul 20;16(7):1278-81. Epub 2015 Mar 20.

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

Objective: Coccygodynia is a distressing condition that presents with pain around the coccyx. Impar (Walther) ganglion is a sympathetic ganglion located at the end of lumbosacral sympathetic chain. The objective of this study is to share our results and follow up of 34 ganglion impar blocks in 22 patients. Read More

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https://academic.oup.com/painmedicine/article-lookup/doi/10.
Publisher Site
http://dx.doi.org/10.1111/pme.12752DOI Listing
July 2015
10 Reads

Coccygectomy for coccygeal spicule: a study of 33 cases.

Eur Spine J 2015 May 6;24(5):1102-8. Epub 2015 Jan 6.

Department of Orthopaedic Surgery and Traumatology, Saint-Antoine Hospital, 184, rue du Faubourg-Saint-Antoine, 75571, Paris Cedex 12, France,

Purpose: To report the results of coccygectomy for coccygeal spicule.

Methods: We report the results of a retrospective series of 33 patients who underwent coccygectomy for coccygeal spicule. There were 31 women and 2 men. Read More

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http://dx.doi.org/10.1007/s00586-014-3753-5DOI Listing
May 2015
8 Reads

Coccygectomy as a surgical option in the treatment of chronic traumatic coccygodynia: a single-center experience and literature review.

Asian Spine J 2014 Dec 17;8(6):705-10. Epub 2014 Dec 17.

Department of Orthopedics, University Hospital Duesseldorf, University of Duesseldorf, Duesseldorf, Germany. ; Department of Orthopedic Surgery and Traumatology, Hospital Kemperhof-Koblenz, Koblenz, Germany.

Study Design: Retrospective cohort study.

Purpose: Trauma is the most common cause for chronic coccygodynia. The present study aims at presenting our results after complete removal of the coccyx for refractory traumatic coccygodynia in terms of pain level, complication rates, and patients' overall satisfaction. Read More

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http://asianspinejournal.org/journal/view.php?doi=10.4184/as
Publisher Site
http://dx.doi.org/10.4184/asj.2014.8.6.705DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4278974PMC
December 2014
8 Reads

Diagnosis and treatment of a rectal-cutaneous fistula: a rare complication of coccygectomy.

Eur Spine J 2016 06 1;25(6):1920-2. Epub 2014 Nov 1.

Centre for Spinal Studies and Surgery, Queens Medical Centre Campus of Nottingham University Hospitals NHS Trust, Derby Road, Nottingham, NG7 2UH, UK.

Background: Coccygectomy may be indicated for the treatment of debilitating coccygodynia unresponsive to non-operative treatment. Perineal contamination and postoperative wound infection following coccygectomy remains a major concern. We present a rare post-coccygectomy complication of rectal-cutaneous fistula. Read More

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http://dx.doi.org/10.1007/s00586-014-3579-1DOI Listing
June 2016
2 Reads

Treatment principles for coccygodynia.

Turk Neurosurg 2014 ;24(4):532-7

Neurospinal Academy, Istanbul, Turkey.

Aim: An evaluation of treatment methods and outcomes for coccygodynia cases that do not respond to conservative treatment.

Material And Methods: Local anesthetic and steroid injections were applied in 32 coccygodynia cases that did not respond to conservative treatment (average of 15 months). Coccyx excision was performed as surgical treatment in 25 cases that had pain relief after the injections but later re-presented with complaints. Read More

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http://dx.doi.org/10.5137/1019-5149.JTN.9505-13.0DOI Listing
April 2015
20 Reads
0.530 Impact Factor

Favourable outcomes of coccygectomy for refractory coccygodynia.

Ann R Coll Surg Engl 2014 Mar;96(2):136-9

Royal National Orthopaedic Hospital NHS Trust, UK.

Introduction: Coccygodynia is a condition associated with severe discomfort in the region of the coccyx. While traditional procedures had poor outcomes and high complication rates, recent literature suggests better outcomes and lower complication rates with coccygectomy.

Methods: Data were collected retrospectively from clinical notes. Read More

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http://dx.doi.org/10.1308/003588414X13814021676675DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4474242PMC
March 2014
4 Reads

Reply to the comment of Foye et al. "MRI, CT scan, and dynamic radiographs for coccydynia".

Joint Bone Spine 2014 May 2;81(3):280. Epub 2014 Apr 2.

Service de rhumatologie, CHU de Rouen, 147, avenue du Maréchal-Juin, 76230 Bois-Guillaume, France. Electronic address:

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http://dx.doi.org/10.1016/j.jbspin.2014.02.003DOI Listing
May 2014
3 Reads

Coccygodynia treated by pulsed radio frequency treatment to the Ganglion of Impar: a case series.

J Back Musculoskelet Rehabil 2014 ;27(3):349-54

Department of Pain Medicine, St. James's Hospital and Trinity College Institute of Neuroscience, Dublin, Ireland.

Background: Chronic coccygodynia accounts for 1% of all back pain referrals and very difficult to treat with an enormous functional deficit.

Objective: The purpose of this case series was to examine the effectiveness of pulsed radiofrequency treatment to the Ganglion of Impar in chronic coccygodynia patients unresponsive to comprehensive medical management.

Methods: Coccygodynia is defined as pain in and around the coccyx [1,2]. Read More

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http://dx.doi.org/10.3233/BMR-140454DOI Listing
April 2015
4 Reads

Sacrococcygeal chordoma, a rare cause of coccygodynia.

Am J Case Rep 2013 19;14:548-50. Epub 2013 Dec 19.

Department of Radiology, Theageneio Anticancer Hospital, Thessaloniki, Greece.

Patient: Male, 73 FINAL DIAGNOSIS: Sacrococcygeal chordoma •

Symptoms: Coccycodynia • sacral pain

Medication: - Clinical Procedure: - Specialty: Surgery Objective: Rare disease.

Background: Sacrococcygeal chordomas are rare and difficult to diagnose tumors.

Case Report: A 73-year-old man in the last 6 months felt a pain in and around the coccyx when sitting and especially when rising from the sitting position. Read More

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http://dx.doi.org/10.12659/AJCR.889688DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3873153PMC
December 2013
6 Reads

Extracorporeal shock wave therapy relieved pain in patients with coccydynia: a report of two cases.

Spine J 2014 Jan 2;14(1):e1-4. Epub 2013 Oct 2.

Department of Radiology, Jaber Al-Ahmad Armed Forces Hospital, Safat, Kuwait.

Background Context: Extracorporeal shock wave therapy (ECSWT) has been used widely for musculoskeletal conditions; however, no reports are available about its use for coccydynia.

Purpose: Study the effect of ECSWT in relieving pain of coccydynia.

Study Design: Case report. Read More

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http://dx.doi.org/10.1016/j.spinee.2013.07.438DOI Listing
January 2014
14 Reads

Acute traumatic instability of the coccyx: results in 28 consecutive coccygectomies.

Eur Spine J 2013 Nov 20;22 Suppl 6:S939-44. Epub 2013 Sep 20.

Orthopedic Division, Don Gnocchi Foundation, Milan, Italy,

Introduction: Coccygeal instability includes hypermobility, subluxation and fracture-dislocation. Surgical resection is still controversial, with intractable post-traumatic coccygodynia being an indication to surgery.

Materials And Methods: From 2001 to 2010, we enrolled 31 patients with post-traumatic coccygodynia (19 females, 12 males; mean age 31 years, range 21-47). Read More

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http://dx.doi.org/10.1007/s00586-013-3010-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3830045PMC
November 2013
4 Reads

[New practice guideline for spine related low back pain; anesthesiologists use a different classification system than general practitioners].

Ned Tijdschr Geneeskd 2013 ;157(32):A6592

Het Huisartsenteam De Keen, Etten-Leur, the Netherlands.

The practice guideline 'Invasive treatment of spine related low back pain' was recently released by the Netherlands Society of Anesthesiologists. This guideline evaluates the state of the art regarding the diagnosis and value of invasive treatment for facet joint pain, pain in the sacroiliac joint, coccygodynia, discogenic pain and the 'failed back surgery syndrome'. A new classification system for chronic low back pain was also proposed. Read More

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April 2014
5 Reads

[Multidisciplinary practice guideline 'Invasive treatment of spine related low back pain'].

Ned Tijdschr Geneeskd 2013 ;157(32):A6030

Erasmus MC, afd. Anesthesiologie-pijngeneeskunde, Rotterdam, the Netherlands.

The practice guideline 'Invasive treatment of spine related low back pain' describes the state of the art regarding the diagnosis and value of invasive treatment after failure of conservative treatment in patients with pain symptoms of facet joint pain, pain in the sacroiliac joint, coccygodynia, discogenic pain and the 'failed back surgery syndrome'. There is no consensus on definitions and a classification system for chronic low back pain symptoms. The classification in specific and nonspecific low back pain provides insufficient insight and is unable to show which therapy is effective for which disorder. Read More

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April 2014
11 Reads

Sciatic nerve high division: two different anatomical variants.

Acta Med Port 2013 May-Jun;26(3):208-11. Epub 2013 Jun 28.

Anatomy Department, Medical Sciences Faculty, New University of Lisbon, Lisbon, Portugal.

Introduction: Sciatic nerve variations are relatively common. These variations are often very significant in several fields of Medicine. The purpose of this paper is to present two such variants and discuss their clinical implications. Read More

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May 2014
4 Reads

Evaluation of coccygeal bone variability, intercoccygeal and lumbo-sacral angles in asymptomatic patients in multislice computed tomography.

Anat Sci Int 2013 Sep 23;88(4):204-11. Epub 2013 May 23.

First Department of Radiology with Telemedicine Unit, Medical University of Lublin, Jaczewskiego 8, 20-954, Lublin, Poland.

The coccyx is a highly variable structure in the human caudal spine. Previous studies have revealed a significant correlation between coccyx shape and the pain syndrome coccygodynia. The aim of this study was to carry out a complex morphological evaluation of the coccyx in a group of asymptomatic patients of different sex and age examined by multislice computed tomography (MSCT) of the pelvis for different clinical reasons. Read More

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http://dx.doi.org/10.1007/s12565-013-0181-2DOI Listing
September 2013
83 Reads

Factors influencing the evaluation and management outcomes of coccygodynia: a literature review.

J Back Musculoskelet Rehabil 2013 ;26(2):105-15

Department of Physiotherapy, Pt. DDU IPH, New Delhi, India.

Background: This paper reviews various methods for the assessment and management of the coccygodynia. It included review of both conservative as well as operative methods. Goal of conservative methods in coccygodynia is to restore the functional status of the patients and to eliminate or at least minimize the discomfort associated with this disabling condition. Read More

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http://dx.doi.org/10.3233/BMR-2012-00355DOI Listing
October 2013
5 Reads

Laparoscopic management of sacral nerve root schwannoma with intractable vulvococcygodynia: report of three cases and review of literature.

J Minim Invasive Gynecol 2013 May-Jun;20(3):394-7. Epub 2013 Mar 21.

Department of Gynecology/Oncology/Neuropelveology, Hirslanden Clinic, Zürich, Switzerland.

Herein we report the feasibility of laparoscopic resection of schwannomas of the sacral nerves roots in 3 women with intractable vulvodynia and coccygodynia. Laparoscopic en bloc resection of the sacral schwannomas was performed, with primary control of the tumor blood supply and with exposure and sparing of the sacral nerve roots. In all 3 patients, laparoscopy was successful, with minimal blood loss and without complications. Read More

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http://dx.doi.org/10.1016/j.jmig.2012.12.011DOI Listing
October 2013
5 Reads

Coccygodynia and coccygectomy.

Korean J Spine 2012 Dec 31;9(4):326-33. Epub 2012 Dec 31.

Department of Neurological Surgery, University of California Davis Medical Center, Sacramento, California, USA.

Objective: A review of the literature on coccygectomy and our patients was performed to assess the effectiveness of coccygectomy for chronic refractory coccygodynia.

Methods: An English language PubMed search was conducted with the terms "coccygodynia" and "coccygectomy" from January 1980 to January 2012. We retrospectively reviewed the medical records and performed telephone questionnaire on 61 patients who underwent coccygectomy at UCDMC between 1997 and 2009. Read More

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http://dx.doi.org/10.14245/kjs.2012.9.4.326DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4430558PMC
December 2012
3 Reads

[Coccygodynia: etiology, pathogenesis, clinical characteristics, diagnosis and therapy].

Authors:
Vjekoslav Grgić

Lijec Vjesn 2012 Jan-Feb;134(1-2):49-55

The term 'coccygodynia' means the pain in the tailbone area (os coccygis; coccyx). Due to the sitting intolerance, coccygodynia can significantly disturb the quality of life. Coccygeal disorders that could be manifested in coccygodynia are injuries (fracture, subluxation, luxation), abnormal mobility (hypermobility, anterior and posterior subluxation or luxation of the coccyx), disc degeneration at sacrococcygeal (SC) and intercoccygeal (IC) segments, coccygeal spicule (bony excrescence), osteomyelitis and tumors. Read More

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May 2012
7 Reads