Coccygodynia
Dr. Weyrich's Naturopathic Proctology Notebook
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Overview
Coccygodynia is a pain syndrome of the rectal, and perineal areas that is due to injury to the coccyx.
Signs and Symptoms
- Tenderness is mostly elicited by motion of the coccyx (as opposed to palpation of the levator ani).
Etiology
- Injury to the coccyx
- Dislocation of the coccyx
- Arachnoiditis
- Spasm of muscles inserting or originating at coccyx
Differential Diagnosis
- Coccygodynia (tenderness elicited by coccygeal motion)
- Degenerative disease of the lumbosacral spine.
- Proctalgia fugaux (stabbing pain)
- Levator spasm (left-sided, as if sitting on ball)
Treatment
A dislocation of the coccyx should be reduced by bi-manual manipulation with a finger in the rectum.See proctalgia fugaux for additional treatment modalities.
ICD-9 Codes
| ICD9-Code | Description | Comments |
|---|---|---|
References
Unless specifically noted above, references used in the construction of this web page include the following:[FDM] Lecture notes from Functional Medicine University.
[SCNM] Lecture notes from Southwest College of Naturopathic Medicine.
[UT] Lecture notes from the University of Tennessee graduate programs in Chemistry and Biochemistry.
[Shackelford2007] Charles Yeo et al. Shackelford's Surgery of the Alimentary Tract, 6th Edition. Philadelphia: Saunders-Elsevier (2007).
[Shacket2009] www.hemorrhoid.net/levator.php
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This web page is http://www.DrWeyrich.com/disorders/coccygodynia.html - Phone Dr. Weyrich at (480) 423-6952