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Return to cycling protocol after chronic coccydynia: a case report
Melissa Hamilton1, Kristen Mangos1,2
1Royal College of Chiropractic Sports Sciences (Canada).
Objective:
To outline a successful return to cycling protocol in a patient recovering from chronic coccydynia.
Case Presentation:
A 34-year-old female recreational cyclist suffered chronic coccydynia for one year. She received a cortisone shot that provided relief until she had a hysterectomy, which then intensified the pain. She was referred to a pelvic floor physiotherapist where she was discharged after one visit due to no pelvic abnormalities. She then sought chiropractic care where she went through a return to cycling protocol based around coccydynia rehabilitation and pain management. The patient was able to return to cycling after 22 weeks of chiropractic care.
Summary:
Coccydynia is a painful condition that has no universally accepted treatment or guidelines for management. As such, there are no return-to-sport protocols for individuals who have developed coccydynia in sports. Here we present an evidence-based protocol that can assist practitioners in the management of chronic coccydynia.
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