274 results match your criteria: "Coccygodynia"

Introduction: Patients with persistent coccygodynia who do not respond to conventional therapies may undergo ganglion impar block (GIB). We looked at how GIB therapy for individuals with persistent coccygodynia affected their coccygeal dynamic patterns.

Materials And Methods: Patients with persistent coccydynia with GIB once using a trans-Sacro-coccygeal technique with fluoroscopy supervision were taken up for the study.

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Coccygodynia in a Long-Term Cancer Survivor Diagnosed with Metastatic Cancer: A Case Report.

Medicina (Kaunas)

August 2024

Department of Anesthesiology and Pain Medicine, The Catholic University of Korea, St. Vincent's Hospital, Suwon 16247, Republic of Korea.

: Rectal cancer is considered cured if no recurrence is found during the 5-year follow-up period after treatment. After this period, patients often believe that the cancer is completely eradicated. However, in modern society, where lifespans have become longer, it is important to recognize that metastatic cancer may occur long after the initial treatment has concluded.

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Coccygectomy for refractory coccydynia, old-fashioned but effective procedure: A retrospective analysis.

Int Orthop

August 2024

Department of Orthopedics and Trauma Surgery, Fondazione Casa Sollievo Della Sofferenza IRCCS, 71013, San Giovanni Rotondo, Italy.

Purpose: Coccydynia, characterized by persistent pain in the coccygeal region, significantly impacts patients' quality of life. While various treatment modalities exist, including conservative measures and surgical interventions like coccygectomy, optimal management remains unclear. This retrospective cohort study aimed to compare the clinical outcomes, functional improvements, and quality of life in patients with chronic coccydynia undergoing either infiltrative treatment or coccygectomy.

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Article Synopsis
  • Anal pain can be categorized into acute (often due to conditions like anal fissures, abscesses, thrombosis) or chronic (related to functional or nerve issues), with specific syndromes like levator ani syndrome.
  • Identifying acute anal pain relies heavily on the patient’s history and clinical exam, while chronic pain requires more detailed analysis of symptoms for accurate diagnosis.
  • The article aims to explore the main causes and treatment options for both acute and chronic anal pain, with a focus on managing hemorrhoidal disease and postoperative discomfort.
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Iatrogenic rectal perforation after coccygeal radiofrequency ablation.

BMJ Case Rep

June 2024

Surgery, HagaZiekenhuis, Den Haag, The Netherlands.

Article Synopsis
  • Coccygodynia, or pain in the coccygeal bone, can be treated with various methods including anti-inflammatory drugs, steroid injections, surgery, or radiofrequency thermal ablation.
  • There are risks associated with these treatments, particularly with thermal ablation, where heat can cause damage to nearby tissues like the rectum, potentially leading to perforation.
  • The case report details the management of such a complication, highlighting the necessity for cooperation between gastrointestinal surgeons and gastroenterologists following a rectal perforation caused by thermal treatment.
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Background: This study aimed to evaluate the effectiveness of adding caudal epidural steroid injection (CESI) to ganglion impar pulsed radiofrequency (GI-PRF) therapy in patients with refractory chronic coccygodynia, and to determine the effect of pain duration and trauma on treatment success.

Materials And Methods: Forty patients who underwent GI-PRF (n = 20) or GI-PRF + CESI (n = 20) were retrospectively assessed for age, gender, pain duration, history of trauma to the coccyx, Numerical Rating Scale (NRS) pain scores pre-procedure and 1, 3, and 6 months post-procedure and satisfaction rates at 6 months post-procedure. Satisfaction was categorized as excellent, high, moderate, and low.

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Article Synopsis
  • Pudendal neuralgia is a painful condition affecting 5-26% of people and is treated through various methods, but drug therapy often provides limited relief.
  • This study investigates the effectiveness and safety of pulsed radiofrequency therapy alone versus in combination with ganglion impar block in patients who haven't responded to other treatments.
  • The trial will involve 84 participants, measuring pain and psychological outcomes while monitoring for side effects, with analysis focusing on differences between the treatment methods and various patient subgroups.
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Mind the gap: paramedian approach for coccygectomy.

Spine J

August 2024

Washington State University, Elson S. Floyd College of Medicine 412 E Spokane Falls Blvd, Spokane, WA, USA; Alpine Orthopaedic and Spine, P.C., 212 E Central Ave #365, Spokane, WA, USA.

Article Synopsis
  • Coccydynia, or coccyx pain, often resolves on its own but can require treatments like NSAIDs, physical therapy, or a coccygectomy if severe symptoms persist.
  • A new proposed method for coccygectomy — the paramedian approach — aims to reduce infection rates and improve healing by placing the incision further from the anus.
  • A study of 41 patients who underwent this technique showed promising results, with evaluations of infection rates and patient satisfaction conducted post-surgery.
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[Treatment options for coccygodynia].

Orthopadie (Heidelb)

February 2024

Klinikum Fichtelgebirge, Schillerhain 1-8, 95615, Marktredwitz, Deutschland.

Background: To this day, patients with coccyx problems are the most frequently underestimated patient population in orthopedic practices. The clinical picture of coccygodynia was first described in 1859. Nevertheless, discussions about the importance of coccyx problems remain a tiresome topic.

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Objective: The aim of the present study was to describe the causes involved in the pathophysiology of coccydynia, emerging from the coccyx or the anatomical tailbone region.

Case Report: We present the case of a 64-year-old man with pain in the coccyx and numbness in the perianal area. After clinical examination and imaging evaluation, including plain X-rays and magnetic resonance, coccygeal disc disease was identified.

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Article Synopsis
  • * Recent literature reviews focused on emerging uses of extracorporeal shock wave therapy (ESWT) for conditions like low back pain, nerve entrapments, and osteoarthritis, indicating new potential benefits.
  • * The therapy predominantly works through biological mechanisms known as mechanotransduction, with strong evidence supporting its effectiveness for various MSK issues, including several types of tendinopathies and osteoarthritis.
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Imaging findings and treatment in coccydynia - update of the recent study findings.

Rofo

June 2024

Institute of Diagnostic and Interventional Radiology, Pediatric Radiology and Neuroradiology, Rostock University Medical Center, Rostock, Germany.

Background: Coccydynia is one of the most overlooked symptoms in clinical practice. The diagnosis and radiologic findings of traumatic coccyx can be more easily detected unless it is delayed and postponed. For idiopathic coccydynia, which accounts for one third of cases, patients present with long-standing pain and multiple physician visits.

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Purpose: Conservative treatment is the first step in the management of coccydynia. However, surgical treatment is required in cases where conservative treatment fails. The aim of this study was to compare the effect of traumatic and atraumatic etiologies on functional outcomes in patients who underwent coccygectomy for chronic coccydynia.

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Tarlov cysts were thought to be anatomic variants of uncertain etiology and clinical significance when initially described over 80 years ago. They are often detected in routine lumbosacral imaging and generally not reported in a differential diagnosis. There is increasing evidence that at least some Tarlov cysts are symptomatic and can have a significant adverse impact on patients' health and well-being.

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Sacral stimulation is a well-established therapy for urologic neuromodulation. After the advent of dorsal root ganglion (DRG) stimulation, pain surgeons have started to reach this target mostly for pelvic and sacral pain. For those without good surgical experience, sacral foramen puncture, especially S3 and S4, can be a challenge, due to its entry angle and limited C-arm image resolution.

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Objective: There are many types of pelvic pain. Pelvic plexus pain, coccyx pain, pain from episiotomy scars, and vulvodynia are frequently seen in postpartum women. The aim of this study was to conduct a systematic review of studies on pelvic pain in postpartum women to assess the effect of physiotherapy interventions on each type of pain.

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Spine fractures are most commonly observed among older people due to weak bones and irregular postures. These fractures of 10 lead to coccygodynia. Women are 5 times more prone to developing coccygodynia as compared to men.

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Rare complication of ganglion impar blockade with the transsacrococcygeal approach: A case of rectal perforation.

Turk J Phys Med Rehabil

March 2023

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

Although it has been reported that caution should be exercised in terms of rectal perforation, as the ganglion impar is located just behind the rectum in the presacral space, the authors could not find any case or images of rectal perforation occurring during ganglion impar blockade in the literature. In this report, the case of a 38-year-old female with rectal perforation that developed during ganglion impar blockade, performed by the transsacrococcygeal approach under fluoroscopy guidance, is presented. Wrong needle selection and the structurally short presacral space of the patient may have influenced the development of rectal perforation in the patient.

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Follow-up of at least 3 years after ganglion impar block for control of chronic coccygodynia.

Somatosens Mot Res

September 2023

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

Introduction: Although it is well known that ganglion impar block (GIB) reduces pain in the short term in patients with chronic coccygodynia, there are insufficient data on long-term treatment outcomes. The aim of this study was to examine the long-term outcomes of patients who underwent GIB for chronic coccygodynia and possible factors that might affect these outcomes.

Methods: The pre-treatment, 1st-hour, and 3rd-week numeric rating scale (NRS) scores of patients who underwent GIB 36-119 (min-max) months ago (between November 2011 and October 2018) due to coccygodynia were obtained from the medical records.

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Background: Coccydynia is also known as coccygodynia or coccygeal neuralgia. Coccyx is a triangular bone located within the vertebral column. The cause of coccydynia is unknown in the literature; however, it is found to be common among obese individuals, particularly females.

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Coccygodynia (coccydynia) is a painful condition of the perineum in the region of the tailbone or coccyx, aggravated by sitting on hard surfaces. It is frequently associated with injuries to the coccyx following direct trauma. Nevertheless, idiopathic coccygodynia without antecedent trauma history is not uncommon.

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