Treatment Principles for Coccygodynia

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dc.contributor.authorDalbayrak, Sedat
dc.contributor.authorYaman, Onur
dc.contributor.authorYilmaz, Tevfik
dc.contributor.authorYilmaz, Mesut
dc.date.accessioned2024-04-24T17:24:58Z
dc.date.available2024-04-24T17:24:58Z
dc.date.issued2014
dc.departmentDicle Üniversitesien_US
dc.description.abstractAIM: An evaluation of treatment methods and outcomes for coccygodynia cases that do not respond to conservative treatment. MATERIAL and METHODS: Local anesthetic and steroid injections were applied in 32 coccygodynia cases that did not respond to conservative treatment (average of 15 months). Coccyx excision was performed as surgical treatment in 25 cases that had pain relief after the injections but later re-presented with complaints. The patients' pain levels were assessed with VAS. Postacchini classification was used for patient classification based on plain radiography. RESULTS: 20 (62%) of the cases (the total including injection and surgery groups) had a trauma history. Majority of the cases treated with local steroid injection included patients with Type I, while the 25 cases that received surgical treatment predominantly included Type II patients. One case had post-operative skin infection, which was treated with antibiotics. It was observed by comparing pre-operative and post-operative pain scores that both methods provided significant pain relief in all patients. CONCLUSION: While local steroid injection is an effective method of treatment for Type I patients, the coccyx removal I is an effective method for controlling the pain in patients with trauma history and in Type II, III and IV patients.en_US
dc.identifier.doi10.5137/1019-5149.JTN.9505-13.0
dc.identifier.endpage537en_US
dc.identifier.issn1019-5149
dc.identifier.issue4en_US
dc.identifier.pmid25050678
dc.identifier.startpage532en_US
dc.identifier.trdizinid177694
dc.identifier.urihttps://doi.org/10.5137/1019-5149.JTN.9505-13.0
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/177694
dc.identifier.urihttps://hdl.handle.net/11468/19896
dc.identifier.volume24en_US
dc.identifier.wosWOS:000340227300015
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherTurkish Neurosurgical Socen_US
dc.relation.ispartofTurkish Neurosurgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCoccygodyniaen_US
dc.subjectTreatmenten_US
dc.subjectSteroid Injectionen_US
dc.subjectCoccyx Excisionen_US
dc.titleTreatment Principles for Coccygodyniaen_US
dc.titleTreatment Principles for Coccygodynia
dc.typeArticleen_US

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