The effect of adding kinesiotaping versus pelvic floor exercise to conventional therapy in the management of post-colonoscopy coccydynia: a single-blind randomized controlled trial

Abstract

Background: Coccydynia is a challenging disorder that is frequently managed conservatively. Objective: This study aimed to evaluate the efficacy of adding kinesiotaping versus pelvic floor exercise to conventional therapy in the management of post-colonoscopy coccydynia. Methods: Forty-two participants, aged 25–45 years, were randomly assigned to: the conventional therapy group (CT) receiving Piriformis and Iliopsoas muscle stretching exercise, clamshell exercise, and seat cushioning; the CT plus kinesiotaping group (CT-KT) receiving additional kinesiotaping; or the CT plus pelvic floor exercise (PFE) group (CT-PFE) executing additional PFE. All groups completed 4 weeks of training, 3 days a week. Pain intensity, assessed by the Pain Numeric Rating Scale (PNRS), and functional disability, evaluated by the Oswestry Disability Index (ODI), were estimated at baseline and after 4 weeks. Results: There were significant inter-group variations in PNRS and ODI, where (P = 0.0001) and (P = 0.03), respectively. Differences between experimental groups were noteworthy in terms of NPRS, where the major change was in favor of group CT-KT (P = 0.001). However, there was no significant difference between them regarding their impact on ODI. Conclusion: CT-KT is more effective than CT-PFE in reducing pain associated with coccydynia post-colonoscopy, but there is no difference in their effects on functional disability. CT-KT is therefore recommended as an alternative treatment option for post-colonoscopy coccydynia. Keywords: Coccydynia; colonoscopy; kinesiotaping; pelvic floor; tonic spasm; exercise.