Coccygodynia: etiology, diagnosis, and treatment

DOI: https://doi.org/10.29296/25877305-2021-01-04
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Issue: 
1
Year: 
2021

A. Yarikov(1, 2), Candidate of Medical Sciences*; Professor O. Perlmutter(2, 3), MD; A.
Sosnin(1), Candidate of Medical Sciences; V. Leonov(3)**; Professor A. Fraerman(2, 3)***, MD; Professor A.
Mukhin(3), MD; S. Pardaev(4), Candidate of Medical Sciences (1)Volga District Medical Center, Federal
Biomedical Agency of Russia, Nizhny Novgorod (2)City Clinical Hospital Thirty-Nine, Nizhny Novgorod (3)Volga
Research Medical University, Ministry of Health of Russia, Nizhny Novgorod (4)Samarkand Branch, Republican
Specialized Research and Practical Medical Center of Traumatology and Orthopedics, Samarkand, Uzbekistan

Coccygodynia is a pain syndrome that develops in the coccygeal region and is one of the causes of pelvic pain. Coccygodynia is divided into primary (caused by trauma), and secondary (associated with pelvic or abdominal visceral diseases). Material and methods. The paper considers the etiology, pathogenesis, clinical presentations, and diagnosis of coccygodynia. Its diagnosis is based on a neurological assessment, physical examination, and instrumental studies. Results. The authors considered current coccygodynia treatments including conservative therapy (nonsteroidal anti-inflammatory drugs, analgesics, muscle relaxants, antidepressants, manual therapy, etc.) and local injection therapy (sacrococcygeal disk block, unpaired ganglion thermocoagulation). Different methods for coccygectomy were shown. Conclusion. In their article, the authors have presented their own algorithm for the treatment and diagnosis of coccygodynia, which makes it possible to achieve 100% efficiency in treating coccygeal pain.
Keywords: 
neurology
coccygodynia
pelvic pain
coccygeal pain
therapy
coccygalgia
coccygectomy

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