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The standard workup of a suspected coccyx fracture includes medical history and a physical examination including a rectal examination. [ 1 ] X-ray has no quantifiable clinical impact, [ 2 ] and is regarded as a waste of resources and unnecessary exposure to ionizing radiation .
Coccydynia due to these causes usually is not permanent, but it may become very persistent and chronic if not controlled. Coccydynia may also be caused by sitting improperly thereby straining the coccyx. Rarely, coccydynia is due to the undiagnosed presence of a sacrococcygeal teratoma or other tumor in the vicinity of the coccyx. [1]
It stretches from median sacral crest [3] and the free margin of the sacral hiatus [1] to the dorsal surface of the coccyx. [ 1 ] The lateral sacrococcygeal ligaments run from the lower lateral angles of the sacrum to the transverse processes of the first coccygeal vertebra to complete the foramina for the last sacral nerve . [ 1 ]
Buck's traction, involving skin traction. It is widely used for femoral fractures, low back pain, acetabular fractures and hip fractures. [2] Skin traction rarely causes fracture reduction, but reduces pain and maintains the length of the bone. [2] Dunlop's traction – humeral fractures in children; Russell's traction; Halo-gravity traction
Coccygectomy is a surgical procedure in which the coccyx or tailbone is removed. It is considered a required treatment for sacrococcygeal teratoma and other germ cell tumors arising from the coccyx. Coccygectomy is the treatment of last resort for coccydynia (coccyx pain) which has failed to respond to nonsurgical treatment. Non surgical ...
The preferred first treatment for SCT is complete surgical removal (i.e., complete resection) including coccygectomy. The preferred approach to a small SCT is through the perineum; a large SCT may require an additional approach through the abdomen. Resection should include the coccyx and may also include portions of the sacrum. The surgery ...
The cause is believed to be muscle tension or spasms within the affected musculature. [1] Diagnosis is based on the symptoms and possible sleep studies. [1] Treatment may include pain medication, physical therapy, mouth guards, and occasionally benzodiazepine. [1] It is a relatively common cause of temporomandibular pain. [1]
Physical therapy treatment for airway clearance may include manual percussions and vibrations, postural drainage, [120] respiratory muscle training, and assisted cough techniques. [121] Patients are taught to increase their intra-abdominal pressure by leaning forward to induce cough and clear mild secretions. [ 121 ]