Poster 168: Tailbone Pain from Coccyx Injuries on Water Slides: A Case Series

Coccydynia: A Narrative Review of Pathophysiology, Etiology and Treatment

“…Hyperactivity or irritation of the ganglion impar due to a tumor located in the anterosuperior neighborhood of the coccyx may also cause coccydynia. 17,18 Sometimes psychosomatic reasons can also be underlying.…”

“…Thus, radiation exposure is reduced and image quality is increased. 19,20 Since coccydynia is a dynamic disorder, it must be evaluated with dynamic radiographs. Lateral views should be taken in a standing and sitting position and they should be compared.…”

“…Lateral views should be taken in a standing and sitting position and they should be compared. 6,18,21 The probability of diagnosis with standing radiographs is very low. However, when sitting and standing radiographs are examined together, the etiology of coccydynia can be determined by up to 70% of cases.…”

“…Normally, a flexion of up to 20 degrees anterior to the coccyx in the sitting position (forward) or listhesis below 25 degrees in any coccygeal joint can be seen. 18,20 While posterior subluxation is seen in the majority of cases, anterior subluxation is rarely encountered. Coccygeal instability is mentioned higher than this angle.…”

“…However, CT is not highly recommended due to the risk of direct radiation to intrapelvic organs. 18,22,23 Figure 3. 43 years old male patient with history of trauma about 4 months ago has admitted to our clinic with coccydynia.…”