Location
Moultrie, GA
Start Date
17-4-2026 12:00 PM
End Date
17-4-2026 1:00 PM
Description
INTRODUCTION: Chronic sacrococcygeal dislocation is an uncommon source of long-lasting tailbone pain, often following a fall or other direct injury. Because the coccyx varies widely in shape and alignment from person to person, identifying a clinically meaningful displacement can be difficult, and imaging findings do not always match the severity of a patient’s symptoms. Standard conservative measures such as postural changes, cushions, physical therapy, and medication may help only partially when joint irritation or instability persists.
OBJECTIVES: This report describes a patient with ongoing pain from sacrococcygeal displacement who improved with a combined approach of ultrasound-guided injection and osteopathic manipulative treatment.
METHODS: Data for this study were obtained through a retrospective electronic medical record review. Visual Analog Scale (VAS) pain scores were recorded at each visit during which the patient reported coccygeal and lumbar pain. The timing of ultrasound-guided injection and osteopathic manipulative treatment (OMT) was documented and analyzed in relation to corresponding VAS scores. These data were plotted using a scatter plot to evaluate trends between intervention and changes in reported pain levels. The mean difference in VAS scores immediately before and after each procedure was subsequently calculated.
RESULTS: Treatment of his pain with a combination of ultrasound guided injection and osteopathic manipulative treatment was shown to be effective and the patient described his pain after treatment as a 1/10 demonstrating 60% improvement.
CONCLUSION: Using ultrasound allowed precise placement of medication around the affected joint, easing local inflammation and pain, while manual techniques were used to address surrounding soft-tissue tension and pelvic mechanics. Together, these interventions led to meaningful symptom relief and better function, suggesting that this paired strategy can be a useful option for patients whose symptoms do not respond to routine care.
Embargo Period
5-27-2026
Included in
Treatment of Sacrococcygeal Dislocation Using Ultrasound-Guided Injection and Osteopathic Manipulative Medicine: A Case Report
Moultrie, GA
INTRODUCTION: Chronic sacrococcygeal dislocation is an uncommon source of long-lasting tailbone pain, often following a fall or other direct injury. Because the coccyx varies widely in shape and alignment from person to person, identifying a clinically meaningful displacement can be difficult, and imaging findings do not always match the severity of a patient’s symptoms. Standard conservative measures such as postural changes, cushions, physical therapy, and medication may help only partially when joint irritation or instability persists.
OBJECTIVES: This report describes a patient with ongoing pain from sacrococcygeal displacement who improved with a combined approach of ultrasound-guided injection and osteopathic manipulative treatment.
METHODS: Data for this study were obtained through a retrospective electronic medical record review. Visual Analog Scale (VAS) pain scores were recorded at each visit during which the patient reported coccygeal and lumbar pain. The timing of ultrasound-guided injection and osteopathic manipulative treatment (OMT) was documented and analyzed in relation to corresponding VAS scores. These data were plotted using a scatter plot to evaluate trends between intervention and changes in reported pain levels. The mean difference in VAS scores immediately before and after each procedure was subsequently calculated.
RESULTS: Treatment of his pain with a combination of ultrasound guided injection and osteopathic manipulative treatment was shown to be effective and the patient described his pain after treatment as a 1/10 demonstrating 60% improvement.
CONCLUSION: Using ultrasound allowed precise placement of medication around the affected joint, easing local inflammation and pain, while manual techniques were used to address surrounding soft-tissue tension and pelvic mechanics. Together, these interventions led to meaningful symptom relief and better function, suggesting that this paired strategy can be a useful option for patients whose symptoms do not respond to routine care.