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Low incidence of vascular uptake during ganglion impar sympathetic nerve blocks for coccydynia.

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Steroids further improve ganglion impar blocks for coccyx pain (tailbone pain).

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Author Spotlight: Enhancing Women's Chronic Pelvic Pain Management Through Acupoint Catgut Embedding
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Coccydynia: Tailbone Pain.

Patrick M Foye1

  • 1Physical Medicine and Rehabilitation, Coccyx Pain Center, Rutgers New Jersey Medical School, 90 Bergen Street, DOC Suite 3100, Newark, NJ 07103-2425, USA.

Physical Medicine and Rehabilitation Clinics of North America
|July 6, 2017
PubMed
Summary
This summary is machine-generated.

Coccyx pain, or tailbone pain, significantly impacts quality of life. Treatments range from conservative measures like cushions and physical therapy to injections and, rarely, coccygectomy.

Keywords:
CoccydyniaCoccygodyniaCoccyxCoccyx painPainTailboneTailbone pain

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Area of Science:

  • Pain Management
  • Orthopedics
  • Physical Therapy

Background:

  • Coccyx (tailbone) pain is a debilitating condition affecting patient quality of life.
  • Symptoms include midline pain below the sacrum, exacerbated by sitting.
  • Diagnosis involves physical examination and imaging studies.

Purpose of the Study:

  • To summarize the diagnostic and treatment modalities for coccyx pain.

Main Methods:

  • Review of classic symptoms and physical examination findings.
  • Description of diagnostic imaging techniques including radiographs, MRI, CT scans, and bone scans.
  • Overview of available treatment options.

Main Results:

  • Focal tenderness on palpation is a key physical finding.
  • Radiographs are standard; advanced imaging aids in complex cases.
  • A range of treatments exists, from conservative to surgical.

Conclusions:

  • Coccyx pain management requires a multi-faceted approach.
  • Conservative treatments and physical therapy are primary interventions.
  • Coccygectomy is reserved for rare, refractory cases.