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Related Experiment Video

Updated: May 5, 2026

A Mobile Outside-in Technique of Transforaminal Lumbar Endoscopy for Lumbar Disc Herniations

A Mobile Outside-in Technique of Transforaminal Lumbar Endoscopy for Lumbar Disc Herniations

Published on: August 7, 2018

Coccydynia Improved by Percutaneous Discectomy.

Reon Kobayashi¹, Ichiro Okano², Asae Taketomi¹

¹Anesthesiology, Showa University School of Medicine, Tokyo, JPN.

|December 30, 2024

Summary

This summary is machine-generated.

Lumbar disc herniation can cause coccydynia (tailbone pain) even without back pain or sciatica. Discoblock diagnostic procedures and percutaneous discectomy surgery effectively treated this condition in a case study.

Keywords:

coccyx discectomy intervertebral disc displacement lumbar disc minimally invasive lumbar decompression nerve block percutaneous percutaneous disc decompression

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Area of Science:

Neurology
Pain Medicine
Spinal Surgery

Background:

Coccydynia is often linked to herniated discs, typically presenting with low back pain and sciatica.
The possibility of lumbar disc herniation causing coccydynia in the absence of back pain remains an area requiring further investigation.

Observation:

A case study involved a young woman experiencing prolonged sitting-induced coccydynia without coccyx tenderness.
Initial diagnostic attempts to block pain at the coccyx were unsuccessful due to unclear pain localization.
Magnetic resonance imaging revealed an L5/S1 lumbar disc herniation, notably without concurrent low back pain or sciatica.

Findings:

Discoblock was instrumental in diagnosing lumbar disc herniation as the source of coccydynia.
Percutaneous discectomy successfully treated the coccydynia, resolving symptoms upon sitting.
The patient experienced complete relief from coccydynia post-surgery without requiring medication.

Implications:

Lumbar disc herniation should be considered a potential differential diagnosis for coccydynia, especially when typical back pain symptoms are absent.
Discoblock emerges as a valuable diagnostic tool for differentiating the causes of coccydynia.
Percutaneous discectomy offers an effective treatment for coccydynia attributed to lumbar disc herniation.