Coccydynia Systematic Review | ||||
| Al-Azhar University Journal of Medical and Virus Researches and Studies | ||||
| Volume 7, Issue 1, December 2025, Page 52-66 PDF (473.93 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/aujv.2025.450964 | ||||
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| Abstract | ||||
| Coccydynia (Coccygodynia) a term that used to indicate pain–discomfort all around the lower end of the spine. Various methods of coccydynia therapy are found in the literature, but the effectiveness of either surgical or conservative treatment remains obscure. A systematic literature review of research studies using PubMed.com., MEDLINE, Google Scholar and Scopus, between the year 2000 and January 2021. Thirty-one manuscripts (21surgical interventions & 10 conservative interventions) were analyzed including 914 patients (618 surgical interventions & 296 conservative interventions). examining the various surgical and traditional interventions for coccydynia and their efficacy. The majority of analyzed twenty-one surgical interventions manuscripts were retrospective series and only three were prospective series. Five were divided according to LOE as Level III studies. The most familiar reason was direct trauma (56.5%). Excellent result after the procedure was reported in (82.5%) of the patients. The total complication rate was 11.3% & the most common reported complication was wound infection. The ten conservative interventions papers had three randomized controlled trials (RCTs) and seven observational studies. Manual therapy improves VAS scores and sitting time without pain in 22% of the patients. Injections were effective in 75% of patients & VAS score reduced from 8.5 to 2.5 after two injections. Numerous conservative therapies may be beneficial in lowering the discomfort associated with coccydynia, but further study is required. Coccygectomy looks to be a viable surgical option for individuals who do not improve with conservative therapy. | ||||
| Keywords | ||||
| Coccydynia; Coccyx; Surgical; Conservative; Treatment | ||||
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