Pelvic incidence as a prognostic factor in coccydynia

Erşen, Ömer; Sir, Ender; Eksert, Sami; Bilekli, Ahmet Burak; Örsçelik, Aydan; Ege, Tolga

doi:10.5137/1019-5149.jtn.24141-18.1

Cited by 4 publications

(3 citation statements)

References 21 publications

(42 reference statements)

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“…The mean PI values in coccydynia patients did not differ from those of the healthy population in a study that assesses the PI of patients with coccydynia treated with various techniques to ascertain whether PI is a risk or a prognosis factor. Patients who had greater PIs were more likely to need surgery and have Type III or Type IV coccyx configurations [23].…”

Section: Radiologic Assessmentmentioning

confidence: 99%

Imaging findings and treatment in coccydynia – update of the recent study findings

Sukun,

Cankurtaran,

Agildere

et al. 2023

Rofo

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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. Method The keywords coccyx, coccydynia, coccygodynia were searched in PubMed, Embase, Scopus databases in the last 5 years. Research articles, reviews and case reports were analyzed. The studies conducted in the last 5 years were presented under the headings of etiology, radiologic assessment, interventional and surgical treatments. Results and Conclusion The first step is dynamic X-ray of the coccyx in standing and sitting position. In this way, morphologic parameters and hypermobility causing idiopathic coccydynia can be evaluated. Morphologic and morphometric features of the coccyx described in previous CT and MR studies have explained the relationship with coccydynia. The key features are as follows: Type II coccyx morphology, subluxation of the intercoccygeal joint, presence of bony spicules. Knowledge of these definitions as well as the differential diagnosis in this anatomical region will help in reaching the correct diagnosis. The treatment of coccydynia is stepwise like the diagnosis. Conservative treatments are initiated first. Manipulations, ganglion impar block, injections, radiofrequency and shock treatments and finally coccygectomy are treatment methods reported. Radiologists should not overlook this region and should be familiar with the coccyx’s morphologic appearance and the sacrococcygeal region’s differential diagnosis. Key points:

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Section: Radiologic Assessmentmentioning

confidence: 99%

Imaging findings and treatment in coccydynia – update of the recent study findings

Sukun,

Cankurtaran,

Agildere

et al. 2023

Rofo

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“…U-shaped cushions are often recommended for coccydynia patients (14). In cases where non-surgical options are ineffective, coccygectomy may be considered (15,16). This study aims to ascertain the prevalence of coccydynia among wheelchair users due to prolonged sitting, to understand the distribution and magnitude of the condition in this population, identify risk factors, and provide essential data for the planning, implementation, and evaluation of services for prevention, control, and treatment of coccydynia.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Coccydynia among Wheelchair Users Due to Prolong Sitting

Sanobar,

Mustafa,

Javed

et al. 2024

JHRR

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Background: Coccydynia, characterized by pain in or around the coccyx, is a condition that is particularly prevalent among wheelchair users due to prolonged sitting. Previous studies have highlighted various factors contributing to coccydynia, including extended sitting on hard surfaces, obesity, and gender-specific susceptibility. Objective: The primary objective of this study was to determine the prevalence of coccydynia among wheelchair users, with a focus on identifying key risk factors such as prolonged sitting, gender, and sitting surface hardness. Methods: This cross-sectional study utilized convenience sampling to gather data from 250 wheelchair users across private/government special education institutes, hospitals, rehabilitation centers, and homes in the South Punjab region. Participants aged 15-60 years using a wheelchair for more than one year were included, excluding those with spinal cord injuries, spina bifida, coccyx fractures, sensory loss, psychological issues, or postpartum women. Data was collected via a self-structured questionnaire, Numeric Pain Rating Scale (NPRS), and Visual Analog Scale (VAS). Statistical analysis was conducted using SPSS version 25, focusing on frequencies, percentages, cross-tabulation, and Chi-square tests. Results: The study found that 72.4% of participants experienced tailbone tenderness, with a significant association between longer wheelchair usage hours and increased tenderness (P < 0.001). A majority of participants (76%) reported tailbone pain, with 72.4% experiencing tenderness. The prevalence of coccydynia was higher in females, and most participants did not use a cushion despite the prolonged sitting. The pain was predominantly described as an ache/dull sensation (89.6%), and it worsened after prolonged sitting in 90.8% of cases. Conclusion: Coccydynia is a prevalent condition among wheelchair users, influenced by prolonged sitting, gender, and the hardness of the sitting surface. The study emphasizes the need for educational interventions, ergonomic wheelchair designs, and the usage of specialized cushions to mitigate the risk and alleviate symptoms.

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“…The first step of treatment is conservative, which includes analgesic and antiinflammatory drugs, modifying the sitting style with the aid of ring-shaped pillows, manual manipulation of the coccyx, administration of transcutaneous electrical nerve stimulation, and physical therapy [7]. Each patient should be evaluated individually as no predictive factor has been identified for the most effective treatment modality [8]. In refractory patients, interventional treatment modalities, such as caudal epidural steroid injection, ganglion impar block (GIB), radiofrequency ablation, chemical neurolysis of the impar ganglion, and coccygectomy can be administered [9].…”

Section: Introductionmentioning

confidence: 99%

Comparison of block and pulsed radiofrequency of the ganglion impar in coccygodynia

Sir¹,

Eksert²

2019

Turk J Med Sci

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Background/aim: Ganglion impar block is used for the treatment of chronic coccygodynia. Pulsed radiofrequency (PRF) of the ganglion impar is a promising novel technique. The aim of this study was to determine and compare the efficacy of the blockade and PRF of the ganglion impar. Materials and methods: Thirty-nine consecutive patients diagnosed with coccygodynia and treated with a blockade or PRF of the ganglion impar were included in this retrospective study. We compared the ganglion impar block (GIB) group (n = 25) with the ganglion impar pulsed radiofrequency (GIPRF) group (n = 14) in terms of pain intensity and patient satisfaction. We applied a numeric pain rating scale (NPRS) and a Likert scale (LS). Results: The NPRS scores in both groups had improved significantly from baseline at 3 weeks and at 3 and 6 months. However, in the sixth month, pain levels in the GIPRF group remained good, but they had returned to almost initial levels in the GIB group. Correspondingly, there were significant differences between groups in NPRS and patient satisfaction scores at 6 months (P ˂ 0.05). Conclusion: PRF neuromodulation provides significantly longer pain relief and reduces the risk of recurrence of pain in chronic coccygodynia as compared with blockade of the impar ganglion.

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Pelvic incidence as a prognostic factor in coccydynia

Cited by 4 publications

References 21 publications

Imaging findings and treatment in coccydynia – update of the recent study findings

Imaging findings and treatment in coccydynia – update of the recent study findings

Prevalence of Coccydynia among Wheelchair Users Due to Prolong Sitting

Comparison of block and pulsed radiofrequency of the ganglion impar in coccygodynia

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