Treatment of chronic coccydynia

Abstract

Coccydynia is a rare but painful disorder characterized by axial coccygeal pain which is typically exacerbated by pressure. 35 patients with chronic coccydynia were included into the study. Among them 30 females and 5 males; mean age 39 years – range 12 to 58 years. The mean symptom duration was 3 months (range 1 to 6 months). Twenty-one patients had a history of trauma and the rest were considered idiopathic. No patient with trauma addressed at the time of the incident. The results of our study allowed to establish that the conservative treatment is the treatments of choice for patients with coccydynia despise etiology, radiographic data and intensity of clinical symptoms. Successful results can be obtained and maintained with no less then two courses of conservative treatment. For patients unresponsive to conservative treatment, coccygectomy is a successful method of treatment.