Review on the management of chronic traumatic coccydynia

The purpose of this study is to evaluate the conservative treatment of chronic traumatic coccydynia by intrarectal manipulation of the coccyx and massage of the coccygeal Muscles. Case series study was done in the department of Neurosurgery, Ibn-Sina teaching hospital in Mosul, from March 2000-August 2006. Sixty five patients (sixty females, five males) with chronic traumatic coccydynia treated by intra rectal manipulation of the coccyx and massage of the coccygeal muscles. Those with failure of this method treated by coccydectomy. Sixty five patients underwent intra rectal manipulation of the coccyx. Sixty patients responded to conservative treatment. Five patients underwent coccydectomy, three of them did well the remaining two did not respond even to surgical treatment. Conservative treatment for chronic traumatic coccydynia is the treatment of choice. Surgical treatment is required only to those patients with failure of conservative treatment.