Koktsigodiniya( pain in the coccyx) - Causes, symptoms and treatment. MF.

Coccidia( pain in coccyx):
Diagnosis of cocciogony( pain in coccyx)
Treatment of cocciogony( pain in coccyx)

Coccidonia is a painful syndrome that is characterized by paroxysmal or permanent pain in the coccyx. In connection with the anatomical features of the structure of the organs located near this area, cocciogonia is more common in women. This is due to the mobility of the coccyx in connection with the childbearing function. The age of patients can be very different, but most often - from 40 to 60 years.

Causes of coccidogeny

The causes of cocciogeny may be different, but most often its appearance is associated with diseases or traumas of sacral or coccygeal plexuses. Coccigodia that occurs after trauma( fall on the coccyx, strike it or hard object) in some cases is caused by the displacement or dislocation of the coccyx, in others - by the formation of scars in the surrounding soft tissues, the myositis of the adjacent muscles, which are often accompanied by the displacement or dislocation of the coccyx. A characteristic feature of post-traumatic cocciogeny is that the trauma could be long before the onset of pain, so the patient often forgets about it and does not associate the appearance of pain with trauma.

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Other causes of coccyalgia include diseases of nerves and muscles in the perineum, crotch of the perineum( often this occurs after delivery), cicatricial changes in the anus, as a result of operations, constipation and diarrhea that lead to prolonged sitting in the toilet and the usualomission of the perineum, the habit of constantly sitting on something soft and so on. There is also a certain connection between cocci and diseases with a number of located organs( pelvic bones, rectum, pelvic floor, pelvic floor muscles, etc.).

The pathogenesis of coccidogeny syndrome( pain in the coccyx) is caused by local spasm of part of the perineal muscle and shortening of the pelvic ligaments. Local hypertonicity of the perineal muscle does not represent any peculiarity in its origin, it arises according to the patterns of the formation of trigger points of skeletal muscles. In isolated form, the hypertonicity of this muscle creates the appearance of an independent disease that does not fit into the framework of classical pelvic organs diseases.

Symptoms of coccidonia

The main sign of cocciogeny is a permanent or paroxysmal pain in the region of the coccyx or in the anus. Sometimes it hurts at once in both places. Pain can be permanent or sudden, it increases with sitting, standing, defecating, often irradiating( gives) to the perineum, gluteal region, genital organs, inner thighs - these are pains limited to the limits of the distribution of the coccygeal plexus( sometimes the patient finds difficulty in locatingoccurrence of pain).Pain often occurs at night, can be sharp, stitching or aching, stupid in nature, the duration of pain can be different, it can go away on its own or after taking painkillers. Patients may also be troubled by a feeling of heaviness or constant discomfort in the coccyx. Pain in the coccyx is aching, burning, boring character, sharply restricts the physical activity of patients.

Often during pain episodes, skin pallor and excessive sweating appear - this is a sign that the autonomic nervous system that innervates the blood vessels reacts - in response to pain, blood vessels spasmodic( shrink).Since the condition of the pelvic organs plays a significant role in the formation of the emotional background of the patient, depressive reactions are a compulsory companion of this syndrome.

The examination determines the soreness with pressure on the coccyx. In some cases, traumatic cocciogeny( pain in the coccyx after trauma) can disappear spontaneously, which is explained by the resorption of hematoma, scars. However, in most cases koktsigodiniya( pain in the coccyx) proceeds long and persistently, and remissions are replaced by exacerbations.

Bending, even dislocation of the coccyx, varicose veins of the rectum, bending of the uterus, residual phenomena of the transferred inflammation processes, pelvic organs lowering, etc. are often determined.

Diagnosis of the coccidium

In order to diagnose cocciogeny, it is necessary to fully examine the patient and exclude diseases that can also cause pain in this area( hemorrhoids, anal fissure, inflammation in fatty tissue surrounding the rectum, spine diseases, sciatica, various gynecologicaldisease and so on).Obligatory consultations of a gynecologist, urologist and neurologist.

The presence of pain in the coccyx region requires a finger examination of the rectum. Fingal examination of the rectum often makes it possible to identify or presume the cause of the disease already in the doctor's office. Objectively, when you study your finger through the rectum, you always determine a significant soreness in the zone of the coccyx, a painful compaction in the form of a radial cuff in the posterior palpation sector. Pressure on this chest is accompanied by a significant increase in pain in the coccyx. According to the expression of patients, deep pain, "acting on the nerves", "boring".Sometimes it is possible to palpate a painful sacro-neural ligament in the form of a very tight cuff.

To diagnose, ultrasound examination of the abdominal cavity, radiography of the sacrococcygeal spine( traumas and spinal diseases that could cause pain) and rectum( irrigography - identify tumors and various changes in the rectum wall), and if necessary - sigmoidoscopy, orthopedic, urological, gynecological examinations..The mucous membrane of the rectum is also examined with the help of special equipment - sigmoidoscopy, often allowing to identify diseases that can not be detected with other types of examination, including small tumors.

Treatment of cocciogeny( pain in coccyx)

Treatment of cocciogeny depends on the cause of its occurrence, but there are general principles of conservative therapy, they include a large volume of physiotherapy procedures: electrotherapy with the introduction of an electrode into the rectum, ultrasound with an anesthetic mixture or with glucocorticoid hormones(for example, with hydrocortisone), paraffin applications, ozocerite, therapeutic mud, underwater traction and so on.

With severe pain, patients are prescribed novocain blockades( introduction of solutions of novocain in the area of nerve plexuses), blockade with lidocaine, hydrocortisone, diprospan, kenalog, etc., massage of the rectum muscles. Successfully applied method of action on biologically active points located on the skin( reflexotherapy, acupuncture).Mandatory therapy is performed( if the patient has no other contraindications), which improves regional blood circulation and restores the lost volume of movements of the injured coccyx. Recommended therapeutic hymnology. Postisometric relaxation of the pelvic floor muscles in coccidogeny( pain in the coccyx) is not only a therapeutic, but also a diagnostic technique that relieves the patient of fear of suspense. In the treatment of cocci( pain in the coccyx) elimination of swelling, inflammation, soreness, recovery of the volume of movements is accelerated by the use of physiotherapy( UHF, CMT and infrared therapy).

Neuropsychotropic agents may be prescribed to relieve the emotional negative background.

Operative treatment is administered only with a fracture or dislocation of the coccyx.

The result of treatment largely depends on how correctly the cause of the disease was identified. Therefore, patients are recommended to consult a doctor immediately after the onset of pain - this will increase the chances of correctly diagnosing and treating, and therefore, recovery.