Klinik Araştırma
BibTex RIS Kaynak Göster
Yıl 2024, Cilt: 5 Sayı: 2, 146 - 151, 03.09.2024
https://doi.org/10.53811/ijtcmr.1512616

Öz

Kaynakça

  • Patel R, Appannagari A, Whang PG. Coccydynia. Curr Rev Musculoskelet Med. 2008;1(3-4):223-226. doi:10.1007/s12178-008-9028-1
  • Wray CC, Easom S, Hoskinson J. Coccydynia. Aetiology and treatment. J Bone Joint Surg Br. 1991;73(2):335-338. doi:10.1302/0301-620X.73B2.2005168
  • Benditz A. Kokzygodynie – ein häufig unterschätztes Krankheitsbild [Coccygodynia-An often underestimated clinical picture]. Z Rheumatol. 2023;82(1):25-30. doi:10.1007/s00393-022-01254-w
  • Fogel GR, Cunningham PY 3rd, Esses SI. Coccygodynia: evaluation and management. J Am Acad Orthop Surg. 2004;12(1):49-54. doi:10.5435/00124635-200401000-00007
  • Howard PD, Dolan AN, Falco AN, Holland BM, Wilkinson CF, Zink AM. A comparison of conservative interventions and their effectiveness for coccydynia: a systematic review. J Man Manip Ther. 2013 Nov;21(4):213-9. doi: 10.1179/2042618613Y.0000000040.
  • Lin SF, Chen YJ, Tu HP, et al. The Effects of Extracorporeal Shock Wave Therapy in Patients with Coccydynia: A Randomized Controlled Trial. PLoS One. 2015;10(11):e0142475. Published 2015 Nov 10. doi:10.1371/journal.pone.0142475
  • Origo D, Tarantino AG, Nonis A, Vismara L. Osteopathic manipulative treatment in chronic coccydynia: A case series. J Bodyw Mov Ther. 2018;22(2):261-265. doi:10.1016/j.jbmt.2017.06.010
  • Nourani B, Norton D, Kuchera W, Rabago D. Transrectal osteopathic manipulation treatment for chronic coccydynia: feasibility, acceptability and patient-oriented outcomes in a quality improvement project. J Osteopath Med. 2023;124(2):77-83. Published 2023 Nov 24. doi:10.1515/jom-2023-0001
  • Gonnade N, Mehta N, Khera PS, Kumar D, Rajagopal R, Sharma PK. Ganglion impar block in patients with chronic coccydynia. Indian J Radiol Imaging. 2017;27(3):324-328. doi:10.4103/ijri.IJRI_294_16
  • Sugar O. Coccyx. The bone named for a bird. Spine (Phila Pa 1976). 1995;20(3):379-383.
  • Nathan ST, Fisher BE, Roberts CS. Coccydynia: a review of pathoanatomy, aetiology, treatment and outcome. J Bone Joint Surg Br. 2010;92(12):1622-1627. doi:10.1302/0301-620X.92B12.25486
  • Maigne JY, Chatellier G, Faou ML, Archambeau M. The treatment of chronic coccydynia with intrarectal manipulation: a randomized controlled study. Spine (Phila Pa 1976). 2006;31(18):E621-E627. doi:10.1097/01.brs.0000231895.72380.64
  • Postacchini F, Massobrio M. Idiopathic coccygodynia. Analysis of fifty-one operative cases and a radiographic study of the normal coccyx. J Bone Joint Surg Am. 1983;65(8):1116-1124.
  • Thiele, g. H. Coccygodynia and pain in the superior gluteal region: and down the back of the thigh: causation by tonic spasm of the levator ani, coccygeus and piriformis muscles and relief by massage of these muscles. Journal of the american medical association 109, 1271–1275 (1937).
  • Steiman I. Diagnosis and treatment of pain of vertebral origin, 2nd ed. J Can Chiropr Assoc. 2006;50(4):291.
  • Jaiswal A, Shetty AP, Rajasekaran S. Precoccygeal epidermal inclusion cyst presenting as coccygodynia. Singapore Med J. 2008;49(8):e212-e214.
  • Maigne JY, Doursounian L, Chatellier G. Causes and mechanisms of common coccydynia: role of body mass index and coccygeal trauma. Spine (Phila Pa 1976). 2000;25(23):3072-3079. doi:10.1097/00007632-200012010-00015
  • Dampc B, Słowiński K. Coccygodynia - pathogenesis, diagnostics and therapy. Review of the writing. Pol Przegl Chir. 2017;89(4):33-40. doi:10.5604/01.3001.0010.3909
  • De Andrés J, Chaves S. Coccygodynia: a proposal for an algorithm for treatment. J Pain. 2003;4(5):257-266. doi:10.1016/s1526-5900(03)00620-5
  • Kwon HD, Schrot RJ, Kerr EE, Kim KD. Coccygodynia and coccygectomy. Korean J Spine. 2012;9(4):326-333. doi:10.14245/kjs.2012.9.4.326
  • Mitra R, Cheung L, Perry P. Efficacy of fluoroscopically guided steroid injections in the management of coccydynia. Pain Physician. 2007;10(6):775-778.
  • Alexandre K, Channell MK. Osteopathic Approach to the Treatment of a Patient With an Atypical Presentation of Coccydynia. J Am Osteopath Assoc. 2019;119(6):395-400. doi:10.7556/jaoa.2019.069
  • Lin CH, Wu SY, Hu WL, Hung CH, Hung YC, Aurea Kuo CE. Laser acupuncture for refractory coccydynia after traumatic coccyx fracture: A case report. Medicine (Baltimore). 2020;99(6):e18860. doi:10.1097/MD.0000000000018860
  • Maigne JY, Lagauche D, Doursounian L. Instability of the coccyx in coccydynia. J Bone Joint Surg Br. 2000;82(7):1038-1041. doi:10.1302/0301-620x.82b7.10596.

Efficacy of Pericoccygeal Local Injection with Rectal Manipulation in the Treatment of Chronic Coccygodynia

Yıl 2024, Cilt: 5 Sayı: 2, 146 - 151, 03.09.2024
https://doi.org/10.53811/ijtcmr.1512616

Öz

Introduction: Coccygodynia, predominantly affecting women, involves pain around the coccyx, exacerbated by sitting, sexual activity, defecation, or transitioning from sitting to standing. Despite various conservative treatments like NSAIDs, ice packs, and physical therapy, some patients do not experience relief.

Objective: This study aims to evaluate the efficacy of rectal manipulation combined with paracoccygeal steroid injections in patients with chronic coccygodynia unresponsive to conservative treatments.

Methods: This retrospective study included 24 patients (20 females, 4 males) with chronic coccygodynia unresponsive to over 3 months of conservative treatment. All patients received a combination of steroid-local anesthetic injections and rectal manipulation. VAS scores were recorded before intervention, on the 10th day post-intervention, at one year, and at the last follow-up visit. Patients were assessed for trauma history, BMI, coccyx type, and dynamic radiographic findings.

Results: The mean VAS score significantly decreased from 7.9 pre-treatment to 2.2 on the 10th day post-treatment (p<0.001). This improvement persisted with mean VAS scores of 2.9 at one year and 2.7 at the last follow-up, although a slight, non-significant increase was noted over time. Patients with hypermobility of the coccyx showed significantly higher VAS scores at the last follow-up compared to those without hypermobility (p=0.009). No significant differences in treatment outcomes were observed between traumatic and atraumatic etiologies or between normal and overweight BMI groups.

Conclusion: The combination of paracoccygeal steroid injections and rectal manipulation appears to be an effective treatment for chronic coccygodynia, with a significant reduction in pain scores. Hypermobility of the coccyx may be associated with higher recurrence rates, warranting further investigation into tailored treatments for this subgroup.

Kaynakça

  • Patel R, Appannagari A, Whang PG. Coccydynia. Curr Rev Musculoskelet Med. 2008;1(3-4):223-226. doi:10.1007/s12178-008-9028-1
  • Wray CC, Easom S, Hoskinson J. Coccydynia. Aetiology and treatment. J Bone Joint Surg Br. 1991;73(2):335-338. doi:10.1302/0301-620X.73B2.2005168
  • Benditz A. Kokzygodynie – ein häufig unterschätztes Krankheitsbild [Coccygodynia-An often underestimated clinical picture]. Z Rheumatol. 2023;82(1):25-30. doi:10.1007/s00393-022-01254-w
  • Fogel GR, Cunningham PY 3rd, Esses SI. Coccygodynia: evaluation and management. J Am Acad Orthop Surg. 2004;12(1):49-54. doi:10.5435/00124635-200401000-00007
  • Howard PD, Dolan AN, Falco AN, Holland BM, Wilkinson CF, Zink AM. A comparison of conservative interventions and their effectiveness for coccydynia: a systematic review. J Man Manip Ther. 2013 Nov;21(4):213-9. doi: 10.1179/2042618613Y.0000000040.
  • Lin SF, Chen YJ, Tu HP, et al. The Effects of Extracorporeal Shock Wave Therapy in Patients with Coccydynia: A Randomized Controlled Trial. PLoS One. 2015;10(11):e0142475. Published 2015 Nov 10. doi:10.1371/journal.pone.0142475
  • Origo D, Tarantino AG, Nonis A, Vismara L. Osteopathic manipulative treatment in chronic coccydynia: A case series. J Bodyw Mov Ther. 2018;22(2):261-265. doi:10.1016/j.jbmt.2017.06.010
  • Nourani B, Norton D, Kuchera W, Rabago D. Transrectal osteopathic manipulation treatment for chronic coccydynia: feasibility, acceptability and patient-oriented outcomes in a quality improvement project. J Osteopath Med. 2023;124(2):77-83. Published 2023 Nov 24. doi:10.1515/jom-2023-0001
  • Gonnade N, Mehta N, Khera PS, Kumar D, Rajagopal R, Sharma PK. Ganglion impar block in patients with chronic coccydynia. Indian J Radiol Imaging. 2017;27(3):324-328. doi:10.4103/ijri.IJRI_294_16
  • Sugar O. Coccyx. The bone named for a bird. Spine (Phila Pa 1976). 1995;20(3):379-383.
  • Nathan ST, Fisher BE, Roberts CS. Coccydynia: a review of pathoanatomy, aetiology, treatment and outcome. J Bone Joint Surg Br. 2010;92(12):1622-1627. doi:10.1302/0301-620X.92B12.25486
  • Maigne JY, Chatellier G, Faou ML, Archambeau M. The treatment of chronic coccydynia with intrarectal manipulation: a randomized controlled study. Spine (Phila Pa 1976). 2006;31(18):E621-E627. doi:10.1097/01.brs.0000231895.72380.64
  • Postacchini F, Massobrio M. Idiopathic coccygodynia. Analysis of fifty-one operative cases and a radiographic study of the normal coccyx. J Bone Joint Surg Am. 1983;65(8):1116-1124.
  • Thiele, g. H. Coccygodynia and pain in the superior gluteal region: and down the back of the thigh: causation by tonic spasm of the levator ani, coccygeus and piriformis muscles and relief by massage of these muscles. Journal of the american medical association 109, 1271–1275 (1937).
  • Steiman I. Diagnosis and treatment of pain of vertebral origin, 2nd ed. J Can Chiropr Assoc. 2006;50(4):291.
  • Jaiswal A, Shetty AP, Rajasekaran S. Precoccygeal epidermal inclusion cyst presenting as coccygodynia. Singapore Med J. 2008;49(8):e212-e214.
  • Maigne JY, Doursounian L, Chatellier G. Causes and mechanisms of common coccydynia: role of body mass index and coccygeal trauma. Spine (Phila Pa 1976). 2000;25(23):3072-3079. doi:10.1097/00007632-200012010-00015
  • Dampc B, Słowiński K. Coccygodynia - pathogenesis, diagnostics and therapy. Review of the writing. Pol Przegl Chir. 2017;89(4):33-40. doi:10.5604/01.3001.0010.3909
  • De Andrés J, Chaves S. Coccygodynia: a proposal for an algorithm for treatment. J Pain. 2003;4(5):257-266. doi:10.1016/s1526-5900(03)00620-5
  • Kwon HD, Schrot RJ, Kerr EE, Kim KD. Coccygodynia and coccygectomy. Korean J Spine. 2012;9(4):326-333. doi:10.14245/kjs.2012.9.4.326
  • Mitra R, Cheung L, Perry P. Efficacy of fluoroscopically guided steroid injections in the management of coccydynia. Pain Physician. 2007;10(6):775-778.
  • Alexandre K, Channell MK. Osteopathic Approach to the Treatment of a Patient With an Atypical Presentation of Coccydynia. J Am Osteopath Assoc. 2019;119(6):395-400. doi:10.7556/jaoa.2019.069
  • Lin CH, Wu SY, Hu WL, Hung CH, Hung YC, Aurea Kuo CE. Laser acupuncture for refractory coccydynia after traumatic coccyx fracture: A case report. Medicine (Baltimore). 2020;99(6):e18860. doi:10.1097/MD.0000000000018860
  • Maigne JY, Lagauche D, Doursounian L. Instability of the coccyx in coccydynia. J Bone Joint Surg Br. 2000;82(7):1038-1041. doi:10.1302/0301-620x.82b7.10596.
Toplam 24 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Geleneksel, Tamamlayıcı ve Bütünleştirici Tıp (Diğer)
Bölüm Araştırma Makaleleri
Yazarlar

Mehmet Akif Çaçan 0000-0003-2587-6327

Kadir Uzel 0000-0002-3695-9884

Recep Abdullah Erten 0009-0005-6177-0927

Ali Ihsan Tugrul 0000-0002-3411-3404

Mehmet Kursat Yilmaz 0000-0002-6398-281X

Yayımlanma Tarihi 3 Eylül 2024
Gönderilme Tarihi 9 Temmuz 2024
Kabul Tarihi 3 Eylül 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 5 Sayı: 2

Kaynak Göster

APA Çaçan, M. A., Uzel, K., Erten, R. A., Tugrul, A. I., vd. (2024). Efficacy of Pericoccygeal Local Injection with Rectal Manipulation in the Treatment of Chronic Coccygodynia. International Journal of Traditional and Complementary Medicine Research, 5(2), 146-151. https://doi.org/10.53811/ijtcmr.1512616

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