title: Manipulation of the coccyx with anesthesia for the management of coccydynia.
abstract: Coccydynia is pain in and around the coccyx, with trauma being the most common etiologic factor. The authors describe the case of a 60-year-old woman who was injured in an automobile accident several months before consultation. After the physician recorded the patient's history, performed a physical examination, and reviewed imaging reports, lumbar radiculopathy and somatic dysfunction of the lumbar and sacral vertebrae were diagnosed as the cause of her coccydynia. During a 6-week period, the patient underwent a series of 3 epidural steroid injections, osteopathic mobilization of the lumbar and sacral spine, and manual manipulation of the coccyx with anesthesia. After each treatment session, the patient reported a substantial improvement in radicular pain as well as a subjective increase in her lower extremity range of motion.
authors.affiliation: semerson2006@yahoo.com
authors.forename: Scott S
authors.initials: SS
authors.lastname: Emerson
authors.forename: Arthur J
authors.initials: AJ
authors.lastname: Speece
mesh_terms: D000758:Anesthesia / Q000379:methods*; D003050:Coccyx; D005260:Female; D006801:Humans; D017116:Low Back Pain / Q000628:therapy*; D026301:Manipulation, Osteopathic / Q000379:methods*; D008875:Middle Aged