Pulsed Radiofrequency as a Treatment for Coccydynia -A case report-

박동성 고주파를 이용한 미골통 환자의 치료 -증례 보고-

Kim, Eun-Jin;Yun, So-Jung;Kim, Tae-Hyeng;Shim, Woo-Seok
김은진;윤소정;김태형;심우석

  • Published : 20040000

Abstract

Coccydynia or coccygeal pain is a well-known, but rarely studied, painful syndrome that affects the coccyx region. Its etiology is not well understood, but includes pericoccygeal soft tissues, pelvic floor muscle spasms, referred pain from lumbar pathology, arachnoiditis of the lower sacral nerve roots, local traumatic lesions and somatization. Despite the advances in the treatment of other pain conditions, the therapeutic options for coccydynia remain unclear. This case demonstrates a favorable outcome when pulsed radiofrequency was used in a coccydynia patient.

Keywords

References

  1. Perkins R, Schofferman J, Reynolds J: Coccygectomy for severe refractory sacrococcygeal joint pain. J Spinal Disord Tech 2003; 16: 100-3. https://doi.org/10.1097/00024720-200302000-00016
  2. Polkinghorn BS, Colloca CJ: Chiropratic treatment of coccygodynia via instrumental adjusting procedures using activator methods chiropratic technique. J Manipulative Physiol Ther 1999; 22: 411-6. https://doi.org/10.1016/S0161-4754(99)70087-4
  3. Maigne JY, Chatellier G: Comparison of three manual coccydynia treatment: pilot study. Spine 2003; 26: 479-83. https://doi.org/10.1097/00007632-200103010-00010
  4. Jones ME, Shoaib A, Bircher MD: A case of coccygodynia due to coccygeal fracture secondary to parturition. Injury 1997; 28: 549-50. https://doi.org/10.1016/S0020-1383(97)00034-X
  5. Maigne JY, Chatellier G: Causes and mechanisms of common coccydynia. Spine 2000; 25: 3072-9. https://doi.org/10.1097/00007632-200012010-00015
  6. Hodges SD, Eck JC, Humphreys SC: A treatment and outcomes analysis of patients with coccydynia. Spine 2004; 4: 138-40. https://doi.org/10.1016/j.spinee.2003.07.011
  7. Maigne JY, Tamalet B: Standardized radiologic protocol for the study of common coccygodynia and characteristics of the legions observed in the sitting position: clinical elements differentiating luxation, hypermoblility, and normal mobility. Spine 1996; 21: 2588-93. https://doi.org/10.1097/00007632-199611150-00008
  8. De Andres J, Chaves S: Coccydynia: a proposal for an algorithm for treatment. J Pain 2003; 4: 257-66. https://doi.org/10.1016/S1526-5900(03)00620-5
  9. Wray CC, Easom S, Hoskinson J: Coccydynia: aetiology and treatment. J Bone Joint Surg Br 1991; 73: 335-8.
  10. Traycoff RB, Crayton H, Dodson R: Sacrococcygeal pain syndromes: diagnosis and treatment. Orthopedics 1989; 12: 1373-7.
  11. Saris SC, Silver JM, Vieira JF, Nashold BS Jr: Sacrococcygeal rhizotomy for perineal pain. Neurosurgery 1986; 19: 789-93. https://doi.org/10.1227/00006123-198611000-00012
  12. Sabersky LLR: Cryoneurolysis in clinical practice. In: Interventional Pain Management. 2nd ed. Edited by Waldmamn SD: Philadelphia, W.B. Saunders. 2001, pp 226-41.
  13. Sluijter ME: A review of radiofrequency procedures in the lumbar region. Meggen, Flivo Press SA. 2001. pp 73-4.