Study Design: Study of 4 cases of severe coccydynia revealing calcium deposits in the sacrococcygeal and intercoccygeal joints.
Objective: To highlight calcium crystal deposition as a cause of sudden-onset coccydynia.
Summary Of Background Data: Intervertebral disc calcification in the cervical, thoracic, or lumbar spine is well known, but calcifications in the sacrococcygeal or intercoccygeal joints with symptoms have never been reported.
Methods: All 4 patients presented with severe, sudden-onset coccydynia. Radiographs of the coccygeal area showed calcific deposits in the sacrococcygeal or intercoccygeal joints. Patients received a short course of oral corticosteroids or steroid injections.
Results: Conservative management provided prompt relief in all but one case. In 2, the resolution of the calcific deposits as seen on follow-up radiography was highly suggestive of their apatite origin.
Conclusion: Calcium crystal deposition in the sacrococcygeal or intercoccygeal joints can cause coccydynia. Conservative treatment is effective as a first-line approach.
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Article Synopsis
- Coccydynia is often overlooked in clinical settings, particularly idiopathic cases that result in long-term pain and numerous doctor visits.
- A comprehensive literature review from the last five years was conducted using various medical databases, focusing on the causes, imaging techniques, and treatment options for this condition.
- The diagnosis should start with dynamic X-rays, and the understanding of specific coccyx morphologies is crucial; treatments range from conservative methods to surgical options like coccygectomy, highlighting the need for radiologists to be familiar with coccyx abnormalities.
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