Pain in coccygodynia may radiate to the anus, the sacrum, buttocks and genitals.The intensity of pain can be quite high and prevents a person live and work normally.
Because of isolated pevichny and secondary pain syndromes.Primary coccygodynia (source of the pain is the coccyx) is usually traumatic in nature when observed injury (dislocation) of the coccyx and the subsequent degenerative changes in the sacrococcygeal junction:
In secondary coccygodynia (psevdokoktsigodinii) source of pain are affected pelvic organs.Therefore, the cause of the syndrome can be:
pain when coccygodynia can be permanent and not dependent on external factors.Sometimes the pain is amplified in certain
Diagnosis The diagnosis is made after:
sometimes conducted a test with an injection of the anesthetic in the sacrococcygeal joint.
Treatment Treatment depends on the cause of the pain.In the case of diseases of the pelvic organs of the patient is sent for further observation to a specialist - a urologist, gynecologist, proctologist.In primary coccygodynia use non-drug and medical techniques and surgical intervention.
Drug-free methods include the following types of therapy: rectal massage, using pillows, physical therapy, exercise therapy, manual therapy, osteopathic techniques.They all aim to reduce mechanical irritation okolokopchikovyh structures.
Drug treatment is aimed at reducing the inflammatory degenerative process in bone and ligamentous structures (non-steroidal anti-inflammatory drugs), normalization of defecation (laxatives), relieve pain by topical anesthetic (blockade), removing the spastic sokrascheniyae pelvic floor muscles (muscle relaxants), reduce emotional stress in case of psychogenic component in the development of pain (antidepressants, tranquilizers).
Surgical treatment is indicated for primary coccygodynia when exhausted the potentials of other forms of therapy.
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