Osteopathic manipulative treatment in chronic coccydynia: A case series

Origo, Daniele; Tarantino, Andrea Gianmaria; Nonis, Alessandro; Vismara, Luca

doi:10.1016/j.jbmt.2017.06.010

Cited by 10 publications

(13 citation statements)

References 17 publications

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“…Manual therapy, typically performed by a chiropractor, osteopath, or physical therapist, has a high success rate and includes soft-tissue therapy or massage with or without manipulation of the coccyx (20)(21)(22). Manipulation may be attempted externally via cephalad traction of the superficial tissues overlying the sacrum and coccyx or internally via intrarectal contact of the coccyx with distraction of the sacrum superiorly using the opposite hand.…”

Section: Treatmentmentioning

confidence: 99%

Imaging Coccygeal Trauma and Coccydynia

et al. 2020

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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. However, imaging can aid in determining potential causes of pain to help guide management. Commonly, coccydynia (coccygodynia) occurs after trauma and appears with normal imaging features at static neutral radiography, but dynamic imaging with standing and seated lateral radiography may reveal pathologic coccygeal motion that is predictive of pain. In addition, several findings seen at cross-sectional imaging in patients with coccydynia can point to a source of pain that may be subtle and easily overlooked. Radiology can also offer a role in management of coccygeal region pain with image-guided pain management procedures such as ganglion impar block. In addition to mechanical coccyx pain, a host of other conditions involving the sacrococcygeal region may cause coccydynia, which are well depicted at imaging. These include neoplasm, infection, crystal deposition, and cystic formations such as pilonidal cyst. The authors review a variety of coccydynia causes, their respective imaging features, and common management strategies. ©

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Section: Treatmentmentioning

confidence: 99%

Imaging Coccygeal Trauma and Coccydynia

et al. 2020

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“…7 Results supported OMT over pharmacotherapy for coccydynia, including coccydynia associated with low back pain and radicular pain, but long-term follow-up was lacking. 10 Combination therapy pairing manual techniques with other treatments have also produced positive but inconsistent results. [11][12][13] To date, an active transrectal osteopathic approach has not been well described for coccydynia with concomitant pain in anatomically related areas.…”

Section: Discussionmentioning

confidence: 99%

The Treatment of Coccydynia and Headache with Transrectal OMT: A Case Report

Nourani

Gilbert

Rabago

2020

Scholar: Pilot and Validation Studies

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Coccydynia is debilitating pain of the coccyx that substantially impacts quality of life. Although most cases resolve with conservative therapy, pain can become chronic and involve other anatomical areas. Treatment options include physical therapy, manual medicine, injection, and surgery with mixed results. Manual medicine options vary depending on provider and physical exam findings. Little is known about transrectal therapy. We present a case of a 21-year-old female with coccydynia and subsequent headaches that failed conventional work-up and conservative therapy but resolved with osteopathic manipulative treatment (OMT).

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“…Several small shocks repeatedly on the back as for bikers, motorcycle taximan, cyclists or people who practice horseback riding for example. Coccygeal pain is usually immediate, but in some cases there may be a latency time of one or two years between the fall and the onset of coccygodynia, in the meantime, mild pain in prolonged sitting or contact is usually noted [5,6].…”

Section: The Main Causes Can Bementioning

confidence: 99%

Coccygodynia: Address of Osteopathy & Manual Medicine

Moumeni,

Fred

2024

J PhyMed Rehab Stud Rep

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Coccygodynia is characterized by pain located in the Coccyx and the sacrococcygeal joint. In general, coccygodynies have the reputation of being rebellious to pharmacological treatments: analgesic and infiltrations just give irregular success on the one hand, and surgery: a sometimes-heavy treatment for a modest lesion on the other hand. Manual medicine and osteopathy in coccygodynia occurring after a fall, bariatric surgery or after childbirth are almost all immediately cured by the maneuver we propose in this article. Osteopathic manual medicine is truly a first-line method of therapeutic choice regarding editorials and our own clinical experiences. The osteopath will determine what are the structures involved in coccygeal pain, investigate the different anatomical causes. He will thus be responsible for removing all joint, ligament and muscular blockages of the pelvis, both locally and remotely, which is not generally possible with pharmacological therapies.

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Osteopathic manipulative treatment in chronic coccydynia: A case series

Cited by 10 publications

References 17 publications

Imaging Coccygeal Trauma and Coccydynia

Imaging Coccygeal Trauma and Coccydynia

The Treatment of Coccydynia and Headache with Transrectal OMT: A Case Report

Coccygodynia: Address of Osteopathy & Manual Medicine

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