89 lines
4.4 KiB
TypeScript
89 lines
4.4 KiB
TypeScript
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import Article from "@/components/Article";
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const ArticleCoccydyniaCaseReport = () => {
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return (
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<Article
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title="Coccydynia Case Report"
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author="Dr. Chelsey Shoemaker, D.O."
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>
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<p>
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Coccydynia, or pain of the coccyx (tailbone), is a common
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musculoskeletal ailment. The tailbone, though rarely thought of during
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the day, plays a key role in a person’s posture and ability to sit. It,
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along with a person’s hip bones, bears the entire weight of the body
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when someone sits. It is located at the very bottom of the spine. It
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consists of three to five vertebral segments, interconnected by small
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discs or fibrocartilaginous joints. It is common for some or all of
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these to become fused as one ages.
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</p>
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<p>Common causes of coccydynia include:</p>
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<ul>
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<li>
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Direct trauma to the tail bone. This would include a fall on the ice
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or pavement.
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</li>
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<li>
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Repetitive minor trauma to the tail bone. This occurs during periods
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of prolonged sitting on firm surfaces; including airline/car seats,
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bicycle seats, or the ground.
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</li>
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<li>
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Injury to the tail bone during childbirth. Prolonged births,
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mispositioned babies, or use of forceps can worsen the immense
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pressure applied to the coccyx during birth.
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</li>
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<li>
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Posterior bone spur on the tailbone or osteoarthritis. Years of poor
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posture, obesity, or repetitive trauma can lead to the production of
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bone spurs or loss of joint space between the coccygeal joints.
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</li>
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</ul>
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<p>
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Mainstream medical treatment of coccydynia includes conservative
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treatment with seat cushions, nonsteroidal antiinflammatory pain
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medications, and heat or ice. In patients who experience discomfort for
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greater than 2 months, local injections at the site, pelvic floor
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physical therapy, and chronic pain medications are options for
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treatment. The most extreme treatment is complete surgical resection of
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the coccyx.
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</p>
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<p>
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At the Feely Center for Optimal Health our first line treatment includes
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same day hands on treatment to resolve the patient’s pain and
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misalignment of the tailbone. This saves our patients from months of
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discomfort, the hassle of multiple doctor office visits, and the use of
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unnecessary medications and expense. As an example of our success in
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treating this disease with Osteopathic manipulation; see the below case
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of a recent patient treated at the Center.
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</p>
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<p>
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A 32-year-old female presented to the Center due to 5 months of
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progressing tailbone pain. Pain started 2 months after delivery of her
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first child. The baby boy was born via C- section after a failed
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induction. She experienced a long labor without cervical dilation due to
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misalignment of the baby. She did not experience any tailbone pain
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directly after birth, however, she noticed a mild ache develop 2 months
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after delivery at the very tip of her tailbone. Her pain was worsened
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during long periods of rocking and nursing several hours a day in a
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glider at home. Severe pain occurred two weeks prior to presentation
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when she bent down to pick up her baby from the ground. Since that event
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she has had significant pain when sitting, greatly affecting her life.
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</p>
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<p>
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After a complete physical exam ensuring there were no life-threatening
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disease processes causing her pain, osteopathic manipulation was
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performed. She was instructed to place herself in specific positions
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which allowed key muscles and ligaments to relax. Dr. Feely utilized
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counterstrain Osteopathic techniques while the patient was lying on her
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stomach that completely resolved her pain. Using muscle energy and
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myofascial release techniques the bones of her spine, hips, and tailbone
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were moved into correct alignment, contributing to completing and
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maintaining her pain free state. Thus, she easily tolerated sitting
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directly on her tailbone, something she had not experienced in 5 months.
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</p>
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</Article>
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);
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};
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export default ArticleCoccydyniaCaseReport;
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