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Manipulation of the coccyx with anesthesia for the management of coccydynia

Journal: The Journal of the American Osteopathic Association Date: 2012/12, 112(12):Pages: 805-807. doi: Subito , type of study: case report

Free full text   (https://www.degruyter.com/document/doi/10.7556/jaoa.2012.112.12.805/html)

Keywords:

anesthesia [6]
coccyx [1]
female [379]
woman [19]
low back pain [413]
osteopathic manipulative treatment [2973]
OMT [2951]
case report [514]

Abstract:

Coccydynia is pain in and around the coccyx, with trauma being the most common etiologic factor. The authors describe the case of a 60-year-old woman who was injured in an automobile accident several months before consultation. After the physician recorded the patient's history, performed a physical examination, and reviewed imaging reports, lumbar radiculopathy and somatic dysfunction of the lumbar and sacral vertebrae were diagnosed as the cause of her coccydynia. During a 6-week period, the patient underwent a series of 3 epidural steroid injections, osteopathic mobilization of the lumbar and sacral spine, and manual manipulation of the coccyx with anesthesia. After each treatment session, the patient reported a substantial improvement in radicular pain as well as a subjective increase in her lower extremity range of motion.


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