Review on the management of chronic traumatic coccydynia

Abstract

The purpose  of this study is to evaluate  the conservative   treatment  of chronic  traumatic coccydynia   by intrarectal   manipulation   of the coccyx and massage  of the coccygeal  Muscles.  Case series  study  was done in the department   of Neurosurgery,   Ibn-Sina  teaching  hospital  in Mosul,  from March 2000-August   2006.  Sixty five patients  (sixty  females,  five males)  with  chronic  traumatic coccydynia  treated  by intra rectal manipulation    of the coccyx  and massage  of the coccygeal  muscles. Those  with failure  of this method  treated  by coccydectomy.   Sixty five patients  underwent   intra rectal manipulation   of the coccyx.  Sixty patients  responded  to conservative   treatment.  Five patients underwent   coccydectomy,   three  of them  did well the remaining  two did not respond  even to surgical treatment. Conservative   treatment for chronic  traumatic coccydynia   is the treatment of choice. Surgical treatment is required only to those patients with failure of conservative   treatment.