Clinical reflection of anatomical evaluation in coccydynia

Abstract

Coccydynia is a pain in the coccyx and the surrounding anatomical structures. Our aim in the study was to evaluate whether the disease duration, pain assessment, and coccyx morphological type had an effect on this clinic in patients with a diagnosis of coccydynia. A total of 68 coccyx Magnetic Resonance Imaging (MRI) results were evaluated. Coccyx segment number, morphological typing, lumbosacral, sacrococcygeal, and intercoccygeal angle measurements were made. Disease duration, day and night movement and the rest of Numerical Pain Scale (NRS) values were recorded from existing records of patients with a diagnosis of coccydynia. When the morphological typing was evaluated, type 4 subluxation was found to be high in the group with coccydynia. Pain complaint duration was 13.94 ± 12.22 months, sitting time was 16.82 ± 14.22 minutes, and the numerical pain scale was 7.62 ± 1.48. Morphologically, type 1;14 (3 coccydynia), type 2;22 (9 coccydynia), type 3;14 (6 coccydynia), type 4;18 (16 coccydynia) images were also detected. A moderately statistically significant positive correlation was found between the sacrococcygeal and intercoccygeal angles (p<0.05). We believe that evaluating clinical data and anatomical measurements together will contribute to the treatment of coccydynia, which is especially difficult to treat.