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Dolor en el cóccix dolor en el cóccix
Rainer Günter Knobloch1, Ante Matti Kalstad1, Vilhjalmur Finsen2
1Ortopedisk avdeling, St. Olavs hospital.
Resumen
El dolor del cóccix, o coccydynia, a menudo se resuelve por sí solo en cuestión de meses, especialmente con la reducción de la presión y las inyecciones de corticosteroides. La cirugía es una opción para los casos persistentes.
Área de la Ciencia:
- Manejo del dolor Manejo del dolor.
- La ortopedia es la ortopedia.
- Salud de la Mujer Salud de la Mujer.
Sus antecedentes:
- El dolor en el cóccix (coccydynia) puede deberse a un trauma, al parto o ser idiopático.
- Afecta desproporcionadamente a las mujeres y generalmente se presenta como dolor al sentarse.
- Los síntomas a menudo se resuelven espontáneamente en cuestión de meses.
Objetivo del estudio:
- Proporcionar una revisión clínica exhaustiva de la coccidinía.
- Actualizar a los proveedores de atención médica sobre la última comprensión y manejo del dolor en el hueso de la cola.
Principales métodos:
- Revisión clínica de la literatura existente sobre la coccidinia.
- Síntesis de información con respecto a las causas, síntomas y tratamientos.
Principales resultados:
- El dolor al sentarse es el síntoma principal de la coccidinia.
- Los tratamientos conservadores incluyen la reducción de la presión sobre el cóccix y las inyecciones de corticosteroides.
- Se considera la intervención quirúrgica para los casos refractarios.
Conclusiones:
- El manejo de Coccydynia implica medidas conservadoras al principio.
- Las inyecciones de corticosteroides ofrecen una opción de tratamiento para el dolor persistente del hueso de la cola.
- La cirugía sigue siendo una opción viable para la coccidinia severa y no sensible.
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