Bushra Shirazi, Ahid Shamim M Shahid, Nadeem Baloch.
Local infiltration of steroid along with manipulation of Coccyx as a treatment of Coccydynia.
J Surg Pak Jan ;12(3):135-7.

Objective: To evaluate the efficacy of manipulation of coccyx along with local infiltration of steroid in the treatment of coccydynia. Design: Interventional study. Place & Duration of Study: Department of surgery, Ziauddin Hospital Karachi from 2000 and December 20042000 and December 2004. Patients & Methods: All patients having coccydynia who did not improve between three to six months of conservative treatment were included in this study. They were treated with manipulation of coccyx under sedation along with local infiltration of steroid. Parameters taken into account were bio-data, cause of coccydynia, duration of pain and indication for treatment. Follow up of the patients was performed at one year. Results: Out of the 25 patients who underwent treatment 19 had excellent results, 4 had good and 2 had fair outcomes at one year follow up. Superficial infection was noted in one patient, which was managed conservatively. Conclusions: We recommend manipulation along with local infiltration of steroid in all patients of coccydynia who had failure of conservative treatment. It is less invasive, carried out under sedation and managed as a daycare.

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