Coccyx Pain Questions & Answers

Updated: Jan 07, 2021
  • Author: Patrick M Foye, MD; Chief Editor: Consuelo T Lorenzo, MD  more...
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Questions & Answers

Overview

What is coccyx pain?

How is coccydynia diagnosed?

How is coccydynia treated?

What is the anatomy of the coccyx relative to coccydynia?

What is the anatomy of muscles and ligaments relative to coccyx pain?

What are the biomechanics relative to coccydynia?

What causes coccyx pain?

What is the prevalence of coccydynia?

What is the prognosis of coccydynia?

Where are patient education resources about coccyx pain found?

Presentation

What is the focus of the clinical history to evaluate coccyx pain?

What is the role of palpitation in the evaluation of coccyx pain?

What is included in the physical exam to evaluate coccyx pain?

DDX

Which conditions are included in the differential diagnoses of coccyx pain?

What are the differential diagnoses for Coccyx Pain?

Workup

What should be included in the workup of coccyx pain?

What is the role of EMG and NCS in the workup of coccyx pain?

What is the role of anesthetic injections in the workup of coccyx pain?

Which histologic findings are characteristic of coccyx pain?

What is the role of lab tests in the workup of coccyx pain?

What is the role of radiography in the workup of coccyx pain?

Which lateral view radiographic findings are characteristic of coccyx pain?

Which anteroposterior (AP) view radiographic findings are characteristic of coccyx pain?

Which coned-down (focused) view radiographic findings are characteristic of coccyx pain?

What is the role of lumbosacral MRI in the workup of coccyx pain?

What is the role of bone and CT scans in the workup of coccyx pain?

What is the role of pelvis imaging in the workup of coccyx pain?

Treatment

When is malignancy screen indicated in the workup of coccyx pain?

What is the role of physical therapy (PT) in the treatment of coccyx pain?

Which activity modifications are used in the treatment of coccyx pain?

Which specialist consultations are beneficial to patients with coccyx pain?

What is the role of surgery in the treatment of coccyx pain?

What is the role of ganglion impar nerve blocks in the treatment of coccyx pain?

How are ganglion impar nerve blocks administered in the treatment of coccyx pain?

What is the role of sacrococcygeal joint injections in the treatment of coccyx pain?

What is the role of epidural steroid injections in the treatment of coccyx pain?

What is the role of ischial bursa injection in the treatment of coccyx pain?

What is the role of nerve ablation in the treatment of coccyx pain?

What is the role of osteopathic/chiropractic manipulation in the treatment of coccyx pain?

Medications

What is the role of medications in the treatment of coccyx pain?

Which medications in the drug class Anticonvulsants, Other are used in the treatment of Coccyx Pain?

Which medications in the drug class Analgesics, Other are used in the treatment of Coccyx Pain?

Which medications in the drug class Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) are used in the treatment of Coccyx Pain?