coccydodinia – vertebral disjunction?

Hello,

When we manage similar cases with our neurosurgeon, I do first an infiltration of the coccygeal disc, for diagnostic and therapeutic purposes.

A. Complete relief, no further action
B. Transitory relief, argument for surgery
C. No relief, search other causes

Regards

Marian Simko

Radiologist and Neuroradiologist FMH

CIMF , Fribourg

Switzerland

De : ocad-msk@googlegroups.com <ocad-msk@googlegroups.com> De la part de sorin ghiea
Envoyé : lundi, 27 septembre 2021 08:17
À : OCAD MSK <ocad-msk@googlegroups.com>
Objet : Re: coccydodinia – vertebral disjunction?

Hi, thank you all for your aswers.

The majority of ocaders considers there is not necesary somethin pathologic about coccys

One answer asked about endometriosis – it is possibil indeed – she has a large hematosalpings on the left.

Avneesh Chhabra suggested injecting the impar ganglion for test/ analgesisa – I will discuss this with the neurologist and neurosurgeon

Thank you all!

On Saturday, September 25, 2021 at 11:20:53 AM UTC+3 sorin ghiea wrote:

Hi, dear Ocaders,

Can I please have your opinion regarding the last coccyx vertebrae, which seems dislocatated from the proximal one

I see no inflammation arround – I looked with ultrasound also

Apparently no clear mobility of this one, but the patient is in a lot of pain more than 8 month

It is true that she’s not in a good state of mind, probably depression, but I would like to exclude an organic cause

Do you think that this vertebrae, without any inflammation arround can cause intense pain when sitting for the last 8 month?

If so, should it be resected, in your experience?

Thanks a lot,

Sorin