a splint or orthotic for the coccyx conjures up some amazingly painful
pictures!
Cheers,
Anna.
Anna Lee
Principal,
Work Ready Industrial Athlete Centre
Write to me at: [log in to unmask]
Visit me at: www.workready.com.au
Snail mail:
Suite 3, 82 Enmore Road,
Newtown NSW Australia 2042
Australia
Phone: (612) 95197436
Fax: (612) 95197439
Mob: 0412 33 43 98
----- Original Message -----
From: "Dr. S.C.Sood" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Saturday, January 01, 2000 5:11 AM
Subject: cocydynia! treatment options
> My Dear Sarah Fern Striffler and Paul Duffy ,Jason&Will,
> and list members,
> Thanks for your valuable inputs ,I
> have few points to consider
> when we study the X-rays of these patients in sit-stand position we know
the
> lesion better.
> The physiologic movements of the coccyx are restricted to flexion and
> extension. Active flexion (movement in a forward direction) is performed
by
> the levator ani and the sphincter ani externus muscles. Extension
(movement
> in a backward direction) is due to relaxation of these muscles and to the
> increased intra-abdominal pressure which occurs during defecation and
> parturition . It is a passive movement. Surprisingly, the movements of the
> coccyx in the sitting posture have never been reported in the literature
as
> far I know .When we talk about PA mobs are we moving coccyx into flexion
> if so which part proximal/distal .Use of a finger placed in rectum is
> required ?during this procedure ? can any one guide us regarding
> massages of the pelvic floor as described by Thiele and manipulations
> consist in mobilisations of the coccyx in joint mobilisation and
stretching
> of the coccyx (and of the attached muscles) with the rectal finger. This
> latter maneuver was described by R Maigne or a technique, consisting in a
> mild levator and external sphincter stretch without moving the coccyx .
> At last coming to my original question can we
> support the coccyx by placing some sort of splint/orthotics /supporting
this
> bone till it heals .
> Thanking you.
> DrSarveshwar Chander Sood
> Orthopaedic Surgeon ,
> Member American Academy Of Pain Management.
> Member Mckenzie International Institute USA
> E-mail [log in to unmask]
> http://personal.vsnl.com/sarveshwar
>
>
> ----- Original Message -----
> From: "paul duffy" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Wednesday, October 15, 2003 10:05 PM
> Subject: Re: cocydynia!
>
>
> > Dear Dr Sood & list members
> > I recently successfully treated one such patient with PA mobilisations,
> > pelvic floor/TA exercises and seating advise. Although this is getting
> away
> > from the question posed I was wondering was it still current practice
> > (evidence based) to recommend inflated rings/cushions for these patients
> > whilst sitting.
> > I was told by a senior physio that these were no longer recommended as
> they
> > had an adverse effect on blood flow to the area and thus reduced healing
> > rates. ( she did not state the source of her evidence)
> > Paul Duffy
> > Sen 2 PT
> >
> > >From: Uri Yaros <[log in to unmask]>
> > >Reply-To: - for physiotherapists in education and practice
> > ><[log in to unmask]>
> > >To: [log in to unmask]
> > >Subject: Re: cocydynia!
> > >Date: Wed, 15 Oct 2003 06:53:00 +0200
> > >
> > >-----Original Message-----
> > >From: Dr. S.C.Sood [mailto:[log in to unmask]]
> > >Sent: Friday, December 31, 1999 9:14 PM
> > >To: [log in to unmask]
> > >Subject: cocydynia!
> > >
> > >
> > >Dear friends,
> > > We come across many cases of postraumatic pain in
> cocyx
> > >which is very much painful and diabling ,we offer proper sitting
advise
> > >and
> > >NSAIDS drugs I wonder if at all there is ANY known way to stabilise and
> > >support this small naughty bone to relief the pain,
> > >
> > >Thanking you all,
> > >DrSarveshwar Chander Sood
> > >Orthopaedic Surgeon & Head Department of Physical
> > >Medicine & Rehabilitation,
> > >Member American Academy Of Pain Management.
> > >S.B.L.S.Hospital
> > >812/1,Housing Board Colony
> > >Model Town,Jalandhar city
> > >Punjab State.India
> > >E-mail [log in to unmask]
> > >http://personal.vsnl.com/sarveshwar
> > >"Physicians add years to life whereas physiotherapist add life to
> years.
> > >
> > >dear dr Sood.
> > >
> > >It is very useful to treat cocydynia with .p.r.t ---positional realese
> > >therapy.
> > >in my exspiriance 1--2 treatments and the pain is over.
> > >uri yaros -israel
> >
> > _________________________________________________________________
> > Stay in touch with absent friends - get MSN Messenger
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>
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