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Related Experiment Video

Updated: May 9, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
04:19

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

Contemporary Management of Coccydynia.

Victor E Staartjes1,2,3, Daniel De Wilde3, Aron Alakmeh3

  • 1Capio Spine Center Stockholm, Löwenströmska Hospital, Upplands Väsby, Sweden.

Neurospine
|May 7, 2026
PubMed
Summary

Coccydynia (tailbone pain) diagnosis and treatment are often inconsistent. This review offers a framework for evaluation and management, emphasizing conservative care, targeted injections, and reserving surgery for severe, refractory cases.

Keywords:
CoccydyniaCoccygectomyCoccygodyniaCoccyx painTailbone pain

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Last Updated: May 9, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
04:19

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

Area of Science:

  • Orthopedics
  • Pain Management
  • Physical Medicine

Background:

  • Coccydynia, or tailbone pain, is often misdiagnosed and managed inconsistently.
  • Current evidence on diagnostic and treatment strategies requires synthesis to guide clinical practice.

Purpose of the Study:

  • To summarize and grade evidence on diagnostic strategies for coccydynia.
  • To propose a best-practice framework for evaluating and managing tailbone pain.

Main Methods:

  • Systematic literature search and review of 42 studies.
  • Inclusion of studies on conservative, interventional, and surgical management.
  • Grading of current evidence for diagnostic and therapeutic approaches.

Main Results:

  • Initial assessment involves history, physical exam, and basic radiographs; advanced imaging (MRI/CT) is reserved for specific indications.
  • First-line treatments include education, NSAIDs, physiotherapy, and extracorporeal shock wave therapy.
  • Image-guided injections and radiofrequency procedures offer relief for persistent pain, guiding selection for surgery.

Conclusions:

  • A structured diagnostic and therapeutic framework is proposed based on current evidence.
  • Conservative management is the cornerstone, with interventional options for refractory cases.
  • Coccygectomy is a last resort for chronic, function-limiting pain unresponsive to other treatments.