La coccygodynie : du diagnostic à la thérapeutique

Coccygodynia is pain located in coccyx. Factors that increase are stay position, and stand up. Acute coccygodynia evolutes less than two months. After this delay, coccygodynia is chronic. Coccys biomechanics makes understand etiopathogeny. Traumatic should be searched in illness history. Clinical exam find pain in digital rectal examination. Excessive mobility, thorn and dyslocation of coccyx are found in dynamics radiography. Bone fracture and calcification can be found. Inflammation and dislocation consequence are diagnosed for magnetic resonance imaging. Therapeutic management includes hygienic measures, inflammatory drugs and rehabilitation. Inflammatory drugs are indicated in acute coccygodynia, coccyx thorn. Discal injection of prednisolone 2.5% associated of local anesthesia is efficacy. Intranasal calcitonin can be use. Rehabilitation includes massage of pelvic muscles, stretching elevator muscles and external sphincter, releasing sacro-tuberal ligament. Coccyx ablation is proposed at failed therapeutic. Results are controversy. Complications are dominated for infection.