Coccygodynie: Ein Überblick.

Although coccygodynia was already first described in 1859, it remains a controversially discussed clinical picture to this day. Typical for patients with tailbone pain is a long deal with many preliminary examinations without a real diagnosis. The deep-seated pain directly above the tip of the tailbone, usually only when sitting or changing position, can be seen as a leading symptom. Women are affected more often than men and trauma is only remembered in around 50 % of the cases. From the author's point of view, the dynamic, lateral x-rays of the coccyx are the most informative imaging methods. After diagnosis, conservative measures such as oral NSAID intake and discharge through a donut cushion should be tried. In addition, local infiltrations can be carried out directly on the tailbone with local anaesthetic and a glucocorticoid. Physiotherapy (pelvic floor) and osteopathy can also have a positive influence on the symptoms. Coccygectomy should be considered for treatment-resistant symptoms over 6 months with a good short-term response to conservative treatment. With the correct selection of patients, the removal of the coccyx is a safe method with a success rate of over 80-90 % according to the literature. [ABSTRACT FROM AUTHOR]