The Treatment of Chronic Coccydynia and Postcoccygectomy Pain With Pelvic Floor Physical Therapy

Scott, Kelly M.; Fisher, Lauren W.; Bernstein, Ira H.; Bradley, Michelle H.

doi:10.1016/j.pmrj.2016.08.007

Cited by 34 publications

(29 citation statements)

References 23 publications

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“…[95][96][97] Patients with coccydynia and vulvodynia also had significant improvements in pain following a course of pelvic physical therapy. 98,99 Cognitive behavioral therapy (CBT) has been extensively studied in many chronic pain conditions. 100 CBT was initially developed as a treatment for depression, but has since been adapted to treat many other psychological conditions and chronic pain disorders.…”

Section: Non-pharmacologic Optionsmentioning

confidence: 99%

Psychology of Chronic Pelvic Pain: Prevalence, Neurobiological Vulnerabilities, and Treatment

Till¹,

As‐Sanie²,

Schrepf

2019

Clinical Obstetrics &Amp; Gynecology

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Patients with pelvic pain suffer from psychological conditions at a disportionately high rate compared to their peers. We review environmental, genetic, inflammatory, and neurobiological factors that increase vulnerability to developing both of these conditions. We review treatment strategies for chronic pelvic pain in patients who have comorbid psychological conditions, including both non-pharmacologic and pharmacologic options.

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Section: Non-pharmacologic Optionsmentioning

confidence: 99%

Psychology of Chronic Pelvic Pain: Prevalence, Neurobiological Vulnerabilities, and Treatment

Till¹,

As‐Sanie²,

Schrepf

2019

Clinical Obstetrics &Amp; Gynecology

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“…8 A 2017 retrospective study of 93 patients supports at-home exercises with weekly one-hour visits with a trained pelvic floor physical therapist utilizing transrectal manipulation without simultaneous active patient assistance, focusing on lengthening and relaxing overactive pelvic floor muscles for coccydynia. 9 A 2018 case series of 52 patients used visual analogue scale and Oswestry Low Back Pain Disability Questionnaire to evaluate pharmacotherapy and OMT. The study included transrectal manipulation without active patient assistance as described by Maigne et al 2006 as a treatment for coccydynia.…”

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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“…Patients were instructed to lie down on their back with the hips and knees flexed to 90 degrees with both lower limbs rested on three or four pillows and assumed deep breathing exercises. The exercise program for both groups were pelvic floor exercises, 10 transversus abdominis training, 26 bridging exercises, 27 Clamshell exercises, 28 hamstring stretches, 29 and treadmill training. 30 Descriptions of exercises are shown in Table 1.…”

Section: Interventionmentioning

confidence: 99%

“…4,5 Physical therapy modalities include shortwave diathermy to relieve pain and muscle spasms by deep tissue heating, 6 interferential current to provide temporary relief, 7,8 extracorporeal shock wave therapy to induce analgesic effect and to enhance tissue regeneration, 8 stretching of piriformis and iliopsoas muscles, Maitland's rhythmic oscillatory thoracic mobilization and phonophoresis, 9 and pelvic floor exercises. 10 Kinesiotaping is a rehabilitation method used widely in clinical practice. It is elastic strips carefully made to suit the density and elasticity of human skin.…”

Section: Introductionmentioning

confidence: 99%

Effects of kinesiotaping and exercise program on patients with obesity-induced coccydynia: a randomized, double-blinded, sham-controlled clinical trial

et al. 2020

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Objective: To investigate the effect of kinesiotaping and a designed exercise program versus sham kinesiotaping and the same exercise program on pain, range of motion, and activities of daily living in obese patients suffering from coccydynia. Design: A double-blinded, randomized, sham-controlled trial. Setting: Outpatient, Cairo University hospitals. Participants: Sixty patients with coccydynia randomized equally into kinesiotape plus exercise and sham kinesiotape plus exercise groups. Intervention: The kinesiotape was worn for three days and replaced for three weeks. Each patient practiced exercises for three weeks. Outcome measures: All patients were examined by visual analogue scale (VAS) for rating pain, Modified Modified Schober Test (MMST), and Oswestry Disability Index (ODI). All outcomes were measured at baseline, three weeks postintervention, and four weeks follow-up. Results: There were no statistically significant differences between groups at baseline ( P < 0.05), but there were statistically significant differences between groups for pain score, MMST, and ODI at post and follow-up data in favor of the kinesiotape group ( P < 0.001). For the three weeks postintervention, mean (SD) for pain score, MMST, and ODI was 33.07 ± 3.8, 6.6 ± 0.7, and 8.7 ± 2.1 in the study group and 39.9 ± 4.7, 5.8 ± 1.4, and 14.4 ± 2.7 in the control group, respectively. For the four weeks follow-up, mean (SD) for pain score, MMST, and ODI was 32.2 ± 3.4, 7.13 ± 0.6, and 7.2 ± 1.8 in the study group and 40.9 ± 4.4, 6.6 ± 0.75, and 13 ± 2 in the control group, respectively. Conclusion: Experimental kinesiotape intervention and exercise program provided significant improvements in pain, range of motion, and disability. It is suggested as an adjunctive therapy in treating obese patients with coccydynia.

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The Treatment of Chronic Coccydynia and Postcoccygectomy Pain With Pelvic Floor Physical Therapy

Abstract: III.

Cited by 34 publications

References 23 publications

Psychology of Chronic Pelvic Pain: Prevalence, Neurobiological Vulnerabilities, and Treatment

Psychology of Chronic Pelvic Pain: Prevalence, Neurobiological Vulnerabilities, and Treatment

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

Effects of kinesiotaping and exercise program on patients with obesity-induced coccydynia: a randomized, double-blinded, sham-controlled clinical trial

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