274 results match your criteria: "Coccygodynia"
Schmerz
December 2019
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.
View Article and Find Full Text PDFSaudi J Anaesth
January 2019
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.
View Article and Find Full Text PDFOrthopade
January 2019
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.
Int J Surg Case Rep
November 2018
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.
View Article and Find Full Text PDFNeurol Neurochir Pol
June 2019
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.
Neuromodulation
January 2019
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.
View Article and Find Full Text PDFInterv Neuroradiol
October 2018
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.
View Article and Find Full Text PDFAsian J Neurosurg
January 2018
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.
View Article and Find Full Text PDFCurr Pain Headache Rep
March 2018
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.
View Article and Find Full Text PDFActa Neurochir (Wien)
April 2018
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).
View Article and Find Full Text PDFJ Pain Res
December 2017
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.
View Article and Find Full Text PDFAnn R Coll Surg Engl
January 2018
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.
View Article and Find Full Text PDFPain Physician
September 2017
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.
Folia Morphol (Warsz)
August 2019
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.
View Article and Find Full Text PDFPol Przegl Chir
August 2017
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.
View Article and Find Full Text PDFSpine (Phila Pa 1976)
August 2017
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.
J Bodyw Mov Ther
July 2017
Swami Vivekanand National Institute of Rehabilitation Training & Research, Olatpur, Cuttack 754010, Odisha, India.
Unlabelled: Pain in the coccyx is referred as coccydynia. The pain aggravates in weight bearing i.e.
View Article and Find Full Text PDFPhys Med Rehabil Clin N Am
August 2017
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.
View Article and Find Full Text PDFEur J Orthop Surg Traumatol
October 2017
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.
View Article and Find Full Text PDFPain Physician
July 2017
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.
Eur J Orthop Surg Traumatol
July 2017
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.
Turk Neurosurg
January 2016
Gulhane Military Medical Academy, Haydarpasa Training Hospital, Department of Anesthesiology, Algology, Istanbul, Turkey.
World Neurosurg
January 2017
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.
Medicine (Baltimore)
September 2016
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.
View Article and Find Full Text PDFZhongguo Gu Shang
September 2016
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.