A treatment and outcomes analysis of patients with coccydynia

Hodges, Scott D.; Eck, Jason C.; Humphreys, S. Craig

doi:10.1016/j.spinee.2003.07.011

Cited by 87 publications

(85 citation statements)

References 7 publications

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“…In total 24 manuscripts met the inclusion criteria and were analyzed (Tables 3, 4, 5) [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32]. Only two of them [4,18] were prospective series, and five were classified as Level III studies [4,12,18,23,26].…”

Section: Resultsmentioning

confidence: 99%

“…The vast majority of the patients were females (511 pts, 82.9%), while males were only 106 in number (17.1%), bringing the male/female ratio to 1/4.4. In three studies, the demographics were presented only on the initial recruited population [4,22,23].…”

Section: Resultsmentioning

confidence: 99%

“…There were four (1 prospective) comparative studies assessing the efficiency of injections to surgical treatment (coccygectomy) [4,20,22,23]. Their findings showed that injection with manipulation is effective in providing pain relief, but they also suggested that coccygectomy is a valid surgical option for those in whom the conservative management failed.…”

Section: Resultsmentioning

confidence: 99%

“…Prior to coccygectomy, the majority of patients had undergone non-operative treatment modalities for a variable period of time ranging from 3-6 months [3,15,22] to 14-15 years [7,16]. In the majority of the papers the operation performed was well described.…”

Section: Resultsmentioning

confidence: 99%

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Surgical treatment of coccygodynia: an analytic review of the literature

2010

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Coccygodynia is a pathological condition associated with pain-discomfort all around the bottom end of the spine. The aetiology and the intensity of the symptoms may defer significantly. The effectiveness of the surgical treatment remains obscure. Our purpose, through this systematic review is to evaluate the results of surgical treatment of coccygectomy. Literature retrieval was performed by the use of the PubMed searching engine utilising the terms 'coccygodynia-coccygectomy' in the English language from January 1980 to January 2010. Case reports and tumour related case series were excluded as well as articles published in other languages. In total 24 manuscripts were analyzed. Only 2 of them were prospective studies whereas 22 were retrospective case series; five were classified as Level III studies and the remaining as Level IV studies. In total, 671 patients with coccygodynia underwent coccygectomy following failed conservative management. The sex ratio, male/female was 1:4.4. The most popular aetiology for coccygodynia was direct trauma in 270 patients. 504 of the patients reported an excellent/ good outcome following the procedure. There were 9 deep and 47 superficial infections. Other complications included two haematomas, six delayed wound healings and nine wound dehiscence. The overall complication rate was 11%. Patients with history of spinal or rectal disorders, as well as idiopathic or with compensation issues, had less predictable outcome than those with history of trauma or childbirth. Coccygectomy can provide pain relief to as high as 85% of the cases. The most common reported complication was wound infection.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Surgical treatment of coccygodynia: an analytic review of the literature

2010

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“…Asempromatik koksidinia hastalarında en çok tip 1 koksiks görülür (28). Fakat çoğu zaman koksidinia idiyopatiktir (6,15). Bazı az rastlanan koksidinia nedenleri arasında Pudendal sinir yaralanması, pilonidal kist, şişmanlık ve priformiste ağrı, pelvik taban kaslarında spazm, sakral araknoidit, somatizasyon sayılabilir (29).…”

Section: Etiyolojiunclassified

Coccydynia The Light Of Literature

Çıtışlı¹,

Onur²,

Sari³

2014

Turk J Bioch

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Koksidinia koksikste veya kuyruk sokumu kemiğinde ağrı demektir. Kuyruk sokumu kemiği guguk kuşunun(cuckoo) gagasına benzetilerek adını yunanca karşılığı olan coccyx'ten almıştır. Dynia bilindiği üzere kronik ağrı demektir. Oturur durumda düşme sonucu koksikste kırık, çıkık olması ya da doğum zorlamasıyla veya artroz sonucu koksiksin ucu öne veya yana doğru yer değiştirir ve mobil hale gelir. Koksiks bölgesinde görülen rahatsız edici bu ağrılı klinik tabloya Koksidinia adı verilir. Hasta oturduğu zaman koksiksin ucunun hareketi sonucu şiddetli ağrı ortaya çıkar. Tanı genellikle öykü ile ve anorektoskopinin negatif olması ile konur. Rektal tuşe sırasında koksiksin palpasyonunda ağrılı olduğu saptanırsa koksidinia tanısı kuvvetle muhtemeldir. Daha sonra sıcak oturma banyoları önerilir. Konservatif tedavinin başarı şansı yüksektir. Ayrı-ca koksidinia tedavisinde kriyoterapi, termoterapi, TENS gibi fiziksel yöntemler de kullanılır. Hastalar sert zeminlere oturmamalı ve sünger simit şeklinde yastık üzerine oturmalıdır. Ağrıyı azaltmak için analjezik, non-steroid antienflamatuvar ve myorelaksan ilaçlar verilmelidir. Koksiks üzerine enjeksiyonlar ile ağrı tedavisi denenebilir. Konservatif tedavinin başarısız ise ve hastanın günlük yaşamının zorlaştığı durumlarda koksektomi yapılır.Coccydynia is pain in the area of the coccyx, or tailbone. The coccyx is a small, curved, V-shaped bone at the bottom of the spine. The diagnosis of coccydynia was based on clinical history, local of pain, and response to previous diagnostic and therapeutic procedures. In sitting position from falling coccyx fracture, dislocation, or arthrosis is a result of forced labor or the tip of coccyx, and mobile becomes displaced forward or sideways. A result of the movement of the patient severe pain occurs when seated on the tip of coccyx sitz baths. Conservative treatment, the chances of success are high. Also in the treatment of coccydynia used physical methods such as cryotherapy, thermotherapy and TENS. Patients sit in the company and sponge donut-shaped pillow rest on hard surfaces.Analgesic, to reduce pain, non-steroidal antiinflammatory drugs, and should be given myorelaksan.Coccyx pain treatment injections can be tried on. If conservative treatment fails and the patient's daily life difficult situations is coccygectomy.Anahtar Kelimeler: Koksidinia, koksektomi, koksigeal ağrı.

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Adult Hip and Pelvis Disorders

Seidenberg¹

2010

The Hip and Pelvis in Sports Medicine and Primary Care

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A treatment and outcomes analysis of patients with coccydynia

Cited by 87 publications

References 7 publications

Surgical treatment of coccygodynia: an analytic review of the literature

Surgical treatment of coccygodynia: an analytic review of the literature

Coccydynia The Light Of Literature

Adult Hip and Pelvis Disorders

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