Henry,
Maybe this will help, see below. If the coccyx is not
in it's normal position then a chiropractor does have
the ability to correct it via an adjustment.
Jay
Introduction | Common causes | Conservative care |
Surgery |
Diagnostics |
Anatomy
Coccydynia:
* Introduction and history
* Causes of coccydynia
> Diagnosis
* Conservative treatments
* Surgical treatments
Diagnosis
A health professional diagnoses coccydynia by taking a
thorough medical
history and completing a physical examination.
Diagnostic tests, such
as
x-ray or MRI, are also commonly performed in order to
rule out other
potential causes of the pain.
A thorough physical examination should include:
Pelvic and rectal exam to check for a mass or tumor
that could be a
cause of
the pain
Palpation to check for local tenderness.
The most striking finding on examination is usually
the local
tenderness
upon palpation of the coccyx. If the coccyx is not
tender to palpation,
then
the pain in the region is referred from another
structure, such as a
lumbosacral disc herniation or degenerative disc
disease.
Diagnostic studies that should be done include:
X-rays of the sacrum and coccyx should be done to rule
out the unlikely
event that either an obvious fracture or a large tumor
is the cause of
the
discomfort.
An MRI scan is useful to rule out infection or tumor
as a cause of pain
Bone scans and CT scans add very little information
and are generally
not
done. Typically, all imaging studies will be negative.
Back to common causes Next: Conservative treatments
Related information:
* Tumors
* Lumbar disc herniation
* Lumbar degenerative disc disease
* X-ray
* MRI scan
--- Henry Tsao <[log in to unmask]> wrote:
> To all:
>
> I was talking to a patient who told me that a chiro
> told him that he had a
> 45 degree inclination of the coccyx, and that it was
> basically jabbing into
> his gluts. The chiro convinced him that this was
> where the pain was coming
> from.
>
> My questions are:
> 1. How much movement is in the coccyx in "normal"
> patients,
> 2. Is what the patient described above something
> called coccydnia(probably
> spelt it wrong)? I am not familiar with this... does
> anybody know of good
> references?
> 3. How does one treat such a condition.
>
> Thank you in advance for your replies :)
>
> Henry***
>
>
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