Coccygectomy is a controversial operation. Some authors have reported good results, but others advise against the procedure. The criteria for selection are ill-defined. We describe a study to validate an objective criterion for patient selection, namely radiological instability of the coccyx as judged by intermittent subluxation or hypermobility seen on lateral dynamic radiographs when sitting....

We recently read the interesting article entitled 'Treatment Principles for Coccygodynia' by Dalbayrak et al. (3), which touches on an underrated topic in neurosurgical practice. Periosteal preservation and closure during the coccygectomy procedure have been found to be related to the low risk of infection (2). Although Dalbayrak et al. (3) found an infection rate of 4% (one case) in their seri...

Fifteen patients with identical symptoms of pain and tenderness at the tip of the greater trochanter are reviewed. Diagnosis by the referring doctor was usually osteoarthritis of the hip or sciatica, but localised tenderness and pain on resisted abduction were the only clinical signs. Radiographs were usually normal. Most cases were relieved by one or more local steroid injections. This disorde...

in the axial skeleton. Fibroma, aneurysmal bone cyst, chondroblastoma and fibrous dysplasia must be evaluated in the radiographic differential diagnosis of chondromyxoid fibroma. Being an eccentric metaphyseal location, showing sharp, sclerotic, scalloped margins and matrix calcification are its major radiographic features. In pathological evaluation, the tumour shows a distinctly lobulated pat...

Pain and discomfort in the coccyx or tailbone area is called as coccydynia coccygodynia. Despite its small size, coccyx, which forms terminal of spine, has an important role to support balanced distribution body weight, especially sitting position, due relationship with surrounding muscles, ligaments bone structures. The problems this for various reasons manifests itself localized pain sacrococ...

Emsella is a revolutionary, US FDA approved, noninvasive treatment technology used for of urinary incontinence in both men and women. It uses High-Intensity Focused Electromagnetic (HIFEM) as well biofeedback mechanism this purpose. delivers around 11,000 Kegel’s contractions half hour strengthens the muscles so that patients can hold bladder urethra together tighter, providing control strength...

Ten coccygectomies were performed. Patients were all females (aged 26-74, average 46). All patients expressed satisfaction after the operation (one was deceased at the time of follow up). The material is too small for definitive conclusions, but it shows clearly that carefully selected cases with traumatic or idiopathic coccygodynia could benefit from coccygectomy.