Location
Suwanee, GA
Start Date
7-5-2024 1:00 PM
End Date
7-5-2024 4:00 PM
Description
Coccydynia is characterized by pain or discomfort in the coccyx region, most frequently caused by direct trauma. This condition, exacerbated by sitting on flat or hard surfaces, may cause immobility and adversely impact the daily lives of those afflicted. Standard treatment options include ergonomic adaptations, manual or physical therapy, nerve blocks, or surgery. Currently, there is very little evidence supporting the use of osteopathic manipulative treatment (OMT) as a therapeutic option for patients suffering from chronic coccydynia. The authors describe the case of a 26-year-old female, previously healthy, highly active competitive volleyball player who developed chronic coccydynia following direct trauma to the coccyx. At the time of the first visit, pain levels were 10/10, requiring persistent use of a donut pillow and decreasing her engagement in physical activities. Yet, after one treatment session involving intrarectal manipulation of the coccyx using osteopathic manipulative treatments, pain immediately decreased post-treatment and was non-existent by the six-month follow-up. The patient no longer required a donut pillow and returned to competing in volleyball at a high level. Given the limited treatment options, the significant impact of coccydynia on patients' quality of life, and the excellent safety profile of OMT compared to current standard pharmaceutical or surgical options, it should be further explored as a standardized therapeutic option.
Embargo Period
6-25-2026
Resolution of Chronic Coccydynia After Osteopathic Manipulative Treatment: A Case Report
Suwanee, GA
Coccydynia is characterized by pain or discomfort in the coccyx region, most frequently caused by direct trauma. This condition, exacerbated by sitting on flat or hard surfaces, may cause immobility and adversely impact the daily lives of those afflicted. Standard treatment options include ergonomic adaptations, manual or physical therapy, nerve blocks, or surgery. Currently, there is very little evidence supporting the use of osteopathic manipulative treatment (OMT) as a therapeutic option for patients suffering from chronic coccydynia. The authors describe the case of a 26-year-old female, previously healthy, highly active competitive volleyball player who developed chronic coccydynia following direct trauma to the coccyx. At the time of the first visit, pain levels were 10/10, requiring persistent use of a donut pillow and decreasing her engagement in physical activities. Yet, after one treatment session involving intrarectal manipulation of the coccyx using osteopathic manipulative treatments, pain immediately decreased post-treatment and was non-existent by the six-month follow-up. The patient no longer required a donut pillow and returned to competing in volleyball at a high level. Given the limited treatment options, the significant impact of coccydynia on patients' quality of life, and the excellent safety profile of OMT compared to current standard pharmaceutical or surgical options, it should be further explored as a standardized therapeutic option.