Coccygodynia Among the Geriatric Population

Stern, Francis H.

doi:10.1111/j.1532-5415.1967.tb05344.x

Cited by 11 publications

(3 citation statements)

References 4 publications

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“…27 of the patients had received local steroid injections elsewhere. Four men and 2 women regularly participated in sporting activities and their Nirschl pain phase scores 3 were recorded. Patients with posttraumatic and post-delivery coccygodynia, unhealthy back skin, sacro-coccygeal subluxation, or a coccygeal spicule on radiographs were excluded.…”

Section: Methodsmentioning

confidence: 99%

Dextrose Prolotherapy for Recalcitrant Coccygodynia

Khan

Kumar

Varshney

et al. 2008

J Orthop Surg (Hong Kong)

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Section: Methodsmentioning

confidence: 99%

Dextrose Prolotherapy for Recalcitrant Coccygodynia

Khan

Kumar

Varshney

et al. 2008

J Orthop Surg (Hong Kong)

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“…7 Its therapeutic usefulness has been confirmed 6,24 and is thought to be attributable to stretching of the ligaments, which allows painless normal movements. Coccyx manipulation, combined with local injection, is another nonoperative therapy for patients with coccygodynia.…”

Section: Conservative Treatmentmentioning

confidence: 99%

Coccygectomy

Hofstetter

Brecker

Wang

2015

Contemporary Spine Surgery

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VOLUME 16 ■ NUMBER 4 ■ APRIL 2015 most commonly affected between their late 20s and early 50s. 8,9 Causes of coccygodynia include direct trauma (59.1%); idiopathic causes (30.9%); childbirth (8.1%); or recent rectal surgery, lumbar surgery, or epidural injections (1.9%). 8 Trauma secondary to falls or childbirth within the month before the onset of symptoms has been shown to be associated with coccygeal hypermobility. 5 Maigne and colleagues 5 proposed that body mass index greater than 27.4 kg/m 2 in women and 29.4 kg/m 2 in men increases the risk for development of idiopathic or posttraumatic coccygodynia. This is due to the diminished pelvic rotation in obese patients. The coccyx juts out more posteriorly while sitting, 5 which increases the exposure to pressure and increases the risk for coccygeal subluxation. In some cases, coccygodynia can be related to tumors such as chordoma, giant cell tumor, intradural schwannoma, perineural cyst, and intraosseous lipoma. 10-12

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“…This technique is only indicated when the pain is attributable to damage of the distal nerve roots, in the context of cauda equina syndrome [12]. The long-term effect of sacral rhizotomy S-4 and S-5 in 24 patients with coccygodynia was evaluated by Albrektsson [3]; only 6 patients responded well, all of them with symptoms associated with Coccygeal tenderness.…”

Section: Surgery Proceduresmentioning

confidence: 99%