Coccygodynia (pain in the coccyx ) - Causes, Symptoms and Treatment .MF .

August 12, 2017 17:52 | Musculoskeletal System.

  • coccygodynia (pain in the coccyx):
  • Diagnostics coccygodynia (pain in the coccyx)
  • Treatment coccygodynia (pain in the coccyx)

coccygodynia - this pain is manifested paroxysmal emerging or persistent pain in thecoccyx.Due to the anatomical structures located in the vicinity of the area authorities coccygodynia more common in women.This is due to the mobility of the coccyx in connection with the reproductive functions.The age of patients can be very different, but most of all - from 40 to 60 years.

reasons coccygodynia

coccygodynia The reasons may be different, but most often it is due to the emergence of diseases or injuries of the sacral or coccygeal plexus.Coccygodynia that occurs after a trauma (fall on the coccyx, blow on it, or a solid object), in some cases due to the displacement or dislocation of the coccyx, in the other - the formation of scars in the surrounding soft tissues, myositis associated muscles, which are often accompanied by the displacement or dislocation of the coccyx.

A characteristic feature of post-traumatic coccygodynia is that the injury could be long before the pain, so the patient often forgets about it and does not associate with the emergence of trauma pain.

Other causes of coccygodynia include diseases of the nerves and muscles of the perineum, the omission of the perineum (often occurs after childbirth), scarring in the anus, as a result of surgeries, constipation and diarrhea, which lead to prolonged sitting on the toilet andhabitual omission of the perineum, the habit of constantly sit on something soft and so on.It is also possible coccygodynia some connection with diseases of adjacent organs (pelvic bones, rectum, pelvic tissue, the muscles of the pelvic floor, etc.).

Pathogenesis coccygodynia syndrome (pain in the coccyx) is caused by local spasm of the perineal muscles and shortening of the pelvic ligaments.Local hypertonicity perineal muscles is any feature in its origin, it arises according to the laws of the formation of trigger points in skeletal muscle.The isolated form hypertonus of this muscle creates the appearance of an independent disease that does not fit into the framework of the classical diseases of the pelvic organs.

Symptoms coccygodynia

coccygodynia The main feature is the continuous or paroxysmal pain in the coccyx or the anus.Sometimes it hurts once in both places.The pain may be constant or occur suddenly, it is amplified when sitting, standing up, defecate, often radiates (sends) to the perineum, gluteal region, genitals, inner thighs - it's a pain, limited range spread coccygeal plexus (sometimes the patient is difficult to determine the placeof pain).The pain often occurs at night, can wear a sharp, stabbing or aching, dull nature, duration of pain can be different, it can pass on their own or after taking painkillers.Patients may also disturb the feeling of heaviness or persistent discomfort in the coccyx.Pain in the coccyx is aching, burning, boring character, severely limits the physical activity of patients.

often during attacks of pain appear pale skin and excessive sweating - is a sign that the autonomic nervous system responds innervating blood vessels - in response to the blood vessels spazmiruyutsya (compressed) pain.Since the state of the pelvic organs plays a significant role in shaping the emotional background of the patient, depressive reactions are a must-have this syndrome.

The examination is determined by pain on pressure on the coccyx.In some cases, traumatic coccygodynia (pain in the coccyx after the injury) may disappear spontaneously, due to resorption of hematoma, scarring.However, in most cases coccygodynia (pain in the coccyx) is prolonged and hard, and remission replaced exacerbations.

often determined by bending, even dislocated tailbone, varicose veins of the rectum, uterus Bend, residual effects of deferred inflammation, prolapse of pelvic organs and so forth.

Diagnostics coccygodynia

To diagnose coccygodynia, must be fullyexamine the patient and eliminate the disease, which can also cause pain in this area (hemorrhoids, anal fissure, inflammation of the adipose tissue surrounding the rectum, spinal cord disease, sciatica, various gynecological diseases, and so on).Mandatory consultation gynecologist, urologist and neurologist.

presence of pain in the coccyx requires a digital examination of the rectum.A digital rectal examination often reveals or suggests the cause of the disease is already in the doctor's office.Objectively study with finger through the rectum (per rectum) is always determined by significant pain in the coccyx area, painful seal in the form of radial cord on the posterior palpation sector.Pressure on the cord is accompanied by a significant increase in pain in the coccyx.In the words of the patients, the pain deep, "acting on the nerves", "boring".Sometimes you can palpate the painful sacrospinous ligament in a very tight strand.
For diagnosis carried ultrasound sacrococcygeal spine abdominal radiography (identified injuries and diseases of the spine, which may cause pain) and rectum (ergography - detected tumors and various changes in the colon wall), and if necessary -sigmoidoscopy, orthopedic, urological, gynecological examination..Also carried out inspection of the mucosa of the rectum using special equipment - a sigmoidoscopy, often allowing to identify the disease, which can not be detected in other types of surveys, including small tumors.

coccygodynia treatment (pain in the coccyx)

Treatment coccygodynia depends on its causes, but there are general principles of conservative therapy, they include a large amount of physical therapy: electrotherapy with electrodes inserted into the rectum, and ultrasound with the anesthetic mixture orglucocorticoid hormones (eg, hydrocortisone), paraffin baths, ozocerite, mud, underwater traction, and so on.

When severe pain patients prescribed procaine blockade (the introduction of novocaine solutions in the field of nerve plexus), the blockade with lidocaine, hydrocortisone, diprospanom, kenalogom etc., massage the muscles of the rectum.With the success of the method of influence on biologically active points on the skin (reflexology, acupuncture).It is mandatory to be manual therapy (if the patient has no other contraindications), which improves regional circulation and restores the lost range of motion of the injured tailbone.Recommended therapeutic gimnostika.Postisometric relaxation of the pelvic floor muscles during coccygodynia (pain in the coccyx) is not only therapeutic but also diagnostic methods, relieving the patient from fear of the unknown.When treating coccygodynia (pain in the coccyx) elimination swelling, inflammation, pain, restore range of motion is accelerating the use of physiotherapy (UHF, SMC and infrared radiation therapy).

neuropsychotropic funds can be assigned to the weakening of emotional negative background.Surgical treatment

Policy Pay only fracture or dislocation of the coccyx.

result of treatment depends largely on how the cause of the disease was identified correctly.Therefore, patients are encouraged to go to the doctor immediately after the onset of pain - it will increase the chances of a correct diagnosis and treatment, and hence recovery.