Coccygodynia: etiology, diagnosis, and treatment

Yarikov, A.; Perlmutter, O.; Sosnin, A.; Leonov, V. A.; Фраерман, А П; Мухин, А С; Pardaev, S.

doi:10.29296/25877305-2021-01-04

Cited by 4 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[1,4,5] Individuals who have a history of trauma around the coccyx region develop chronic inflammation around the joint due to repetitive trauma causing coccygeal instability. [6][7][8] The rare syndrome is found to be relatively more common in overweight individuals, and women are likelier to get affected [9][10][11][12] and old age is also considered a risk factor. [13] The anatomy and physiology of the coccyx, which consists of 4 or 5 cranial bones attached to the sacrum, are important in understanding the pain resulting from trauma.…”

Section: Introductionmentioning

confidence: 99%

“…[13] The anatomy and physiology of the coccyx, which consists of 4 or 5 cranial bones attached to the sacrum, are important in understanding the pain resulting from trauma. [11,12,14] Furthermore, hyperactivity of nerve cells in the ganglion impar, which shapes at the end of lumbosacral sympathetic chains, can cause pain in the coccyx, pelvic and rectal region. [5,13] It has a varying size and location.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Coccygectomy for coccygodynia: A single-center experience

İZCİ

Keskin

2023

Medicine

View full text Add to dashboard Cite

Spine fractures are most commonly observed among older people due to weak bones and irregular postures. These fractures of 10 lead to coccygodynia. Women are 5 times more prone to developing coccygodynia as compared to men. Initially, different painkillers, physiotherapy, and other non-surgical treatments are recommended to reduce the pain. However, in case of the failure of these treatments, a surgical procedure (named coccygectomy) is considered to remove the tailbone to achieve effective outcomes. The main aim of this study is to determine the effectiveness of coccygectomy in treating coccygodynia (after the failure of different non-surgical treatments) in the context of patients who were treated at Konya City Hospital neurosurgery department, Turkey. In this study, a total of 14 cases of coccygodynia treated with coccygectomy at Konya City Hospital were selected from the period of August 2020 and January 2022. These patients were given different treatments for 6 to 7 months before the operation. Therefore, due to the lack of positive outcomes, a coccygectomy was performed by a senior surgeon. Visual analogue scale was used to assess the pain of the patients after the surgery. Statistical Package for the Social Sciences was used for statistical analysis. The level of significance was set at P < .05. The results of this study showed that more women suffered from coccygodynia as compared to men. Most of the patients had Type I (35.7%) and Type IV (35.7%) coccyx. The visual analogue scale was reduced after the surgery (P < .0011), showing positive outcomes. Ten (71.4%) cases showed excellent outcomes, whereas only one (7.1%) case showed poor outcomes after the surgery, and wound infections were observed in two (14.2%) cases post-operatively. The results obtained from this study concluded that in case of failure of conservative non-surgical treatments for coccygodynia, coccygectomy has emerged as an effective surgical method which is recommended by various surgeons to reduce the pain by removing the tailbone. Additionally, only a few complications such as infection as a relevant concern after this type of surgery were observed, and most of the patients were satisfied with the outcomes and also recommended it to others.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Coccygectomy for coccygodynia: A single-center experience

İZCİ

Keskin

2023

Medicine

View full text Add to dashboard Cite

show abstract

Modern approaches in the treatment of oncological pain: interventional treatment

Yarikov

Kuznetsov

Фраерман

et al. 2022

jour

View full text Add to dashboard Cite

The article presents a review of the literature on the topic of interventional treatment of pain in oncological practice. The epidemiology, classification and mechanism of oncological pain are presented. Aspects of the use of interventional methods of pain syndrome treatment, including neurolysis and blockade, are considered. The technique, indications, contraindications, complications are described for each minimally invasive intervention.

show abstract

Modern approaches to the diagnosis and treatment of coccygodynia

Yarikov¹,

Шпагин²,

Perlmutter³

et al. 2022

Bulletin of Neurology, Psychiatry and Neurosurgery

View full text Add to dashboard Cite

Currently, there are no clear clinical guidelines for the diagnosis and treatment of coccygodynia. There are still debatable issues related to the choice of the most optimal diagnostic method, evaluation of the effectiveness of blockades, establishment of indications for surgical treatment and the determination of the most appropriate method of surgery. The features of the anatomical structure of the coccyx are considered in the scientific paper. The clinical picture and neurological symptoms of coccygodynia are described in detail. Modern instrumental methods of diagnosis of this disease (spondylography, MSCT, MRI) are presented. Modern scientific works on evaluating the effectiveness of conservative and surgical treatment have been studied. The methods of surgical treatment of patients with coccygodynia are analyzed. Indications for surgical treatment and the results of surgeries in patients with coccygodynia are considered. In addition, the authors presented their classification of coccygodynia.

show abstract

Coccygodynia: etiology, diagnosis, and treatment

Cited by 4 publications

References 0 publications

Coccygectomy for coccygodynia: A single-center experience

Coccygectomy for coccygodynia: A single-center experience

Modern approaches in the treatment of oncological pain: interventional treatment

Modern approaches to the diagnosis and treatment of coccygodynia

Contact Info

Product

Resources

About