Coccygodynia in childhood and its treatment

Abstract

Coccygodynia is the pain in the zone of the coccygeal bone. The cause is injury. The purpose is to determine the main clinical and X-ray signs of coccygodeny in childhood and to justify the effectiveness of her surgical treatment. Since 2005, 33 children have been observed with a clinical symptoms of coccygodynia - age from 8 to 17 years old. There were 5 boys and 28 girls. On examination, all patients were determined constant pain in the coccyx. Clinically - the coccygeal zone without pathological changes. Palpation in this area defined pain at all 33 patients, 24 patients have pain while sitting on a solid surface, pain during the act of defecation at 16 patients. Vicious position of coccygeal bone and pain determined in all patients with rectal examination and X-Ray. Anamnesis contains a fall on the buttocks. All patients underwent surgery - removal of coccyx bone. The pain syndrome disappeared on the second day after surgery at 27 patients, all children without pain syndrome were prescribed for outpatient observation. All patients treated with a surgical method had a persistent cure - the pain syndrome in the coccyx region disappeared. Long-term results were followed to a depth of 5 years, recurrence of pain wasn`t observed. Coccygodynia is a consequence of traumatic damage of the coccygeal bone followed by non-nonunion of the fracture, and the rapid development of scar tissue with involvement in the process of sensory nerve endings to the clinic constant pain in the coccyx. Diagnosis is simple - a constant pain in the area of the coccyx. Radiographically is a vicious position of the coccygeal bone. The removal of the coccygeal bone is an effective way to treat coccygodynia.