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Coccydynia. Aetiology and treatment.

C C Wray1, S Easom, J Hoskinson

  • 1Department of Orthopaedic Surgery, Leicester Royal Infirmary, England.

The Journal of Bone and Joint Surgery. British Volume
|March 1, 1991
PubMed
Summary

This study on coccydynia (tailbone pain) found localized musculoskeletal issues, not disc problems, as the cause. Local corticosteroid injections and manipulation offered effective treatment, with surgery successful in severe cases.

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Area of Science:

  • Orthopedics
  • Pain Management
  • Musculoskeletal Disorders

Background:

  • Coccydynia, or tailbone pain, is a genuine and distressing condition.
  • Its aetiology is often linked to localized musculoskeletal abnormalities in the coccygeal region.
  • Neurotic factors are not considered a significant cause.

Purpose of the Study:

  • To investigate the causes and effective treatments for coccydynia.
  • To evaluate the efficacy of various treatment modalities.

Main Methods:

  • A five-year prospective trial involving 120 patients.
  • Assessment of treatment outcomes for physiotherapy, local injections, manipulation, and coccygectomy.

Main Results:

  • Physiotherapy showed limited effectiveness.
  • Local injections of corticosteroid and local anaesthesia achieved a 60% response rate.
  • Manipulation combined with injection cured approximately 85% of patients.
  • Coccygectomy was required in nearly 20% of cases with over 90% success.

Conclusions:

  • Localized musculoskeletal abnormalities are the primary cause of coccydynia.
  • Local injections and manipulation are highly effective conservative treatments.
  • Coccygectomy is a successful option for refractory cases.

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