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Patients present complaining of ''tailbone pain''. The pain will usually be worse with prolonged sitting, leaning back while seated, prolonged standing, and. Individuals will report that pain is alleviated with sitting on the legs or buttock. Patients may also report pain with defecation or the frequent need to. Coccydynia is a painful disorder characterised by coccygeal pain which is typically exaggerated by pressure. It remains an unsolved mystery. anteverted coccyx causing predominantly defecation pain and coccydynia, successfully treated by coccygectomy. then be sou ght for diagnostic. A localized pain over the coccyx region that is worse with sitting is the classic presentation of coccydynia. The patient may also complain of pain during. type IV: the coccyx is subluxed anteriorly at the level of the sacrococcygeal joint or at the level of the first or second intercoccygeal joints. Coccydynia is a medical term meaning pain in the coccyx or tailbone area, often brought on by a fall onto the coccyx or by persistent irritation usually.

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Abnormalities of Pelvic Support

Table of Contents

Coccyx pain is a frequently encountered condition in pelvic rehabilitation practices. Although sitting is one of the primary limitations for patients who present with coccyx pain, or coccygodynia, defecation can be included in the list of functional complaints. This brings to mind the question: what does the coccyx do during defecation? Coccygeal mobility was examined using MRI in this study by Grassi and colleagues. The authors included subjects for the dynamic MRI research in positions of maximal contraction as well as straining for evacuation. Included in the study were subjects who complained of constipation, sense of incomplete evacuation of bowels, pain not coccyx pain , organ prolapse, and minor trauma. Although the MRI was completed with the patient in supine a non-functional defecation position , the authors reported that during a straining maneuver, the coccyx moves into extension, or backwards. What if the coccyx does not move into extension during a straining maneuver? Is it possible for the coccyx to interfere with defecation? This appears to be true for a patient who appeared as the subject in the Journal of Medical Case Reports. Although removal of the coccyx was the treatment in this particular case, the authors state that first-line treatment for coccyx pain includes conservative measures such as seat cushioning, coccygeal massage, stretching and manipulation, and injections, and that the majority of patients will respond favorably to these interventions. There is more to learn about the coccyx and its role in defecation, sitting, and other daily functions.

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